Retrospective Study of Intra Uterine Death Cases at a Tertiary Care Centre of Kumaon Region of Uttarakhand

This study was done retrospectively at Govt. Medical College Haldwani from 1^st January 2010 to 30^th November 2011. And all the cases of IUD after 28 week of gestation were taken in study. During this period total 2872 deliveries were conducted out of which 130 cases of intra uterine death (95.26/1000birth). According to etiology 20% were eclampsia & PIH, 18.5% Ante Partum Haemorrhage (APH), 24.6% Intra Uterine Growth Retardation (IUGR) other causes were rupture uterus 6.1%, congenital malformation 7.7%, obstructed labour 7.7%, transverse lie 7.7% etc.

Intra uterine death can be decreased by improving the medical facility. Skilled birth attendant and ante natal care are strongly associated with lower incidence of fresh stillbirth and maternal mortality. Thus improving the quality of intra partum care can reduce the rate of fresh stillbirth and maternal mortality. Emergency obstetric care is one as initiated by Government of India to reduce the maternal & foetal death. For exact cause of IUD we should go for postmortem of dead foetus after delivery.