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Methodology: This descriptive cross sectional study was carried out on 155
patients. Study was conducted at Department of Gynecology Lady Reading
Hospital Peshawar from 30th August 2010 to 28th February 2011. Intra-uterine
fetal death (IUFD) at or after 28 weeks of gestation was diagnosed on ultrasound.
Complete obstetrical history including last menstrual period and history
of loss of fetal movements was taken. In GPE blood pressure was recorded
and other relevant examination were performed. In vaginal examination
any bleeding was noted and umbilical cord was examined and cord prolapse
recorded if present. Full blood count, fasting blood glucose level, urine sample
collected in 24 hours and all other relevant investigations were performed.
Results: Mean age of the patients was 37.00±2.46 years. 62 (40%) patients
were primigravida and 93 (60%) were multigravida. Placental abruption was
found in 52%, anemia in 8%, pre-eclampsia in 30%, eclampsia in 54%, diabetes
mellitus in 18% and cord prolapse in 58% of the patients.
Conclusion: Placental abruption, eclampsia, and prolapsed cord were found
to be important factors in IUFD.
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