STATISTICAL ANALYSIS OF MATERNAL AND FETAL RISK FACTORS ASSOCIATED WITH INTRAUTERINE FETAL DEMISE
Ruhide AZEMI NEZIRI, Slagjana SIMEONOVA KRSTEVSKA, Merita BAJRAMI, Violeta ANGJELKOSKA, Rushadije RAMANI HALILI, Violeta NASUFI, Stefani KOTEVSKA, Ana SIMOSKA, Elena VERUSEVSKA, Lidija MAZNEVSKA, Ivana STOJANOSKA
Abstract
Fetus mortus or fetal intrauterine death is one of the potential tragic consequence in obstetrics, which can result from fetal, maternal and placental disorders. The main focus of this study is based on the correlation between maternal and fetal biological characteristics and pathological conditions with intrauterine fetal death. Maternal factors in this study included body mass index, gestation weight gain, comorbidities, whereas fetal factors consisted of gestational age at the time of fetal death and fetal body parameters including birth weight and body length. This retrospective cohort study was conducted at a tertiary care center (University clinic for gynecology and obstetrics, Skopje), which included 59 patients with fetal intrauterine death. All the clinical data for this study were obtained from patient’s medical documentation, implemented in a period of time from January to December 2024. Evaluation of the data was made applying descriptive analysis and for the relation between variables were used statistical tests as the Chi square test and Student’s t-test. Important significant relation was found between maternal obesity, excessive gestational weight gain and maternal comorbidities (including diabetes and hypertensive disorders) with intrauterine fetal demise. This study emphasizes the crucial role of maternal risk factors for severe fetal complications that may result in intrauterine fetal death and the importance of identification of high risk pregnancies without delay for improving prenatal and perinatal outcomes.
Pages: 273 - 279