AI Article Synopsis

  • The study analyzed autopsy and placental examination results of fetal deaths at the University of Szeged between 1996 and 2010, identifying 140 stillbirths, or 4.69 per 1000 deliveries.
  • The cause of fetal death was determined in 57.9% of cases, with placental insufficiency (46.9%) and umbilical cord complications (25.9%) being the most common causes.
  • It was noted that many stillbirths could likely be prevented through better screening for placental insufficiency, despite the high percentage of unexplained cases.

Article Abstract

The autopsy and placental histopathological examination results following fetal deaths were analyzed retrospectively in an attempt to explain the stillbirths that occurred from 1996 to 2010 at the Department of Obstetrics and Gynecology, University of Szeged. One hundred and forty fetal deaths were recorded in that period, i.e. a rate of 4.69 stillbirths per 1000 deliveries. The postmortem examination provided the exact cause of the fetal death in 57.9% of the cases. The most common causes were a placental insufficiency (46.9%) and an umbilical cord complication (25.9%). In the first half of the third trimester, a placental insufficiency predominated as the cause of stillbirth, whereas mainly umbilical cord complications occurred around term. In spite of the availability of the autopsy and histopathological examination results, the proportion of unexplained stillbirths in our sample was relatively high. A considerable proportion of stillbirth cases could probably be prevented by more effective screening of a placental insufficiency.

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http://dx.doi.org/10.3109/15513815.2013.850132DOI Listing

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