Cause Analysis of 85 Cases of Fetal Death

Objective:To analyze the causes and associated factors of fetal death and to explore effective preventive measures so as to reduce the incidence rate of fetal death.Methods:Clinical data of 85 pregnant women,who suffered from intrauterine fetal death with gestational age of 20-42 weeks,in Obstetrics Gynecology Hospital of Fudan University during Jan 2010 and Dec2014 were analyzed retrospectively.Results:The incidence rate of fetal death was 2.36‰.The highest incidence rate of fetal death emerged at the gestational age of 28-31+6 weeks,and accounted for 31.8%.The causes,in turn,were maternal factors for 54 cases,fetal factors for 28 cases,umbilical cord factors for 13 cases,placental factors 10 cases,unexplained factors for 10 cases.And 27 cases saw a doctor for abnormal fetal irritability.The rate of pathological examination was 21.12%.And 11 patients had more than two kinds of causes of fetal death.Conclusions:Maternal complications were the most common causes of fetal death.In order to reduce the perinatal rate of fetal death,actions such as attaching importance to prenatal examination and early intervention and treatment,enhancing fetal monitoring and terminating pregnancy at proper time point,should be taken.