Intrauterine deaths - an unsolved problem in Polish perinatology.

Autor:	Gora T; Clinical Department of Gynecology and Obstetrics, John Paul II Municipal Hospital in Rzeszow, Poland.; Clinical Department of Obstetrics and Perinatology, University Hospital of the CMUJ in Cracow, Poland., Wojtowicz KA; Clinical Department of Gynecology and Obstetrics, John Paul II Municipal Hospital in Rzeszow, Poland. guccii@poczta.onet.pl., Drozdzak M; Clinical Department of Gynecology and Obstetrics, John Paul II Municipal Hospital in Rzeszow, Poland., Guzik P; Clinical Department of Gynecology and Obstetrics, John Paul II Municipal Hospital in Rzeszow, Poland., Kornacki J; Clinical Department of Reproduction and Perinatal Medicine, Gynecology And Obstetrics Clinical Hospital, Medical University in Poznan, Poland., Kosinska-Kaczynska K; Department of Obstetrics, Perinatology and Neonatology, Center of Postgraduate Medical Education in Warsaw, Poland., Kajdy A; Department of Pregnancy Pathology, Zelazna Medical Center - Specialist Hospital St. Zofia in Warsaw, Poland.; Department of Reproductive Health CMKP in Warsaw, Poland., Sys D; Department of Pregnancy Pathology, Zelazna Medical Center - Specialist Hospital St. Zofia in Warsaw, Poland.; Department of Reproductive Health CMKP in Warsaw, Poland., Feduniw S; Department of Pregnancy Pathology, Zelazna Medical Center - Specialist Hospital St. Zofia in Warsaw, Poland., Kosinski P; Clinical Department of Obstetrics, Perinatology and Gynecology, University Clinical Center, Medical Uniwersity in Warsaw, Poland., Szczepkowska A; University Center of Women's and Newborn's Health in Warsaw, Poland., Darmochwal-Kolarz D; Clinical Department of Gynecology, Obstetrics and Perinatology, Provincial Clinical Hospital No 2 in Rzeszow, Poland., Tos P; Clinical Department of Gynecology, Obstetrics and Perinatology, Provincial Clinical Hospital No 2 in Rzeszow, Poland., Kluz T; Clinical Department of Gynecology and Obstetrics, University Hospital them. Fryderyk Chopin in Rzeszow, Poland., Zymroz A; Clinical Department of Gynecology and Obstetrics, University Hospital them. Fryderyk Chopin in Rzeszow, Poland., Rybak-Krzyszkowska M; Clinical Department of Obstetrics and Perinatology, University Hospital of the CMUJ in Cracow, Poland., Huras H; Clinical Department of Obstetrics and Perinatology, University Hospital of the CMUJ in Cracow, Poland., Piela B; Clinical Department of Gynecology, Obstetrics and Perinatology, Provincial Municipal Hospital in Ruda Slaska, Poland., Malec M; Clinical Department of Gynecology, Obstetrics and Perinatology, Provincial Municipal Hospital in Ruda Slaska, Poland., Banas-Fiebrich E; Clinical Department of Gynecology, Obstetrics and Perinatology, Provincial Municipal Hospital in Ruda Slaska, Poland., Janowska-Tyc E; Clinical Department of Gynecology, Obstetrics and Perinatology, Provincial Municipal Hospital in Ruda Slaska, Poland., Stefanska K; Academy of Applied Medical and Social Sciences in Elblag, Poland., Swiatkowska-Freund M; Academy of Applied Medical and Social Sciences in Elblag, Poland., Mrozinska A; Department of Gynecology and Obstetrics, Medical University in Gdansk, Poland., Bednarek-Jedrzejek M; Department of Obstetrics and Gynecology, Independent Public Clinical Hospital, No 2, Medical University in Szczecin, Poland., Kukla A; Department of Obstetrics and Gynecology, Independent Public Clinical Hospital, No 2, Medical University in Szczecin, Poland., Boboryko D; Department of Obstetrics and Gynecology, Independent Public Clinical Hospital, No 2, Medical University in Szczecin, Poland., Warejko U; Department of Obstetrics and Gynecology, Independent Public Clinical Hospital, No 2, Medical University in Szczecin, Poland., Kwiatkowski S; Department of Obstetrics and Gynecology, Independent Public Clinical Hospital, No 2, Medical University in Szczecin, Poland.
Jazyk:	angličtina
Zdroj:	Ginekologia polska [Ginekol Pol] 2024; Vol. 95 (9), pp. 693-704. Date of Electronic Publication: 2023 Dec 15.
DOI:	10.5603/gpl.92940
Abstrakt:	Objectives: The Polish criteria for "intrauterine death" include fetal demise after 22 weeks of gestation, weighing > 500 g and body length at least 25 cm, when the gestational age is unknown. The rate of fetal death in Poland in 2015 is 3:10,000. In 2020, 1,231 stillbirths were registered. Material and Methods: An analysis using 142,662 births in the period between 2015-2020 in 11 living in Poland. The first subgroup was admitted as patients > 22 to the beginning of the 30th week of pregnancy (n = 229), and the second from the 30th week of pregnancy inclusively (n = 179). In the case of women from both subgroups, there was a risk of preterm delivery close to hospitalization. Results: It was found that stillbirth in 41% of women in the first pregnancy. For the patient, stillbirth was also the first in his life. The average stillbirth weight was 1487 g, the average body length was 40 cm. Among fetuses up to 30 weeks, male fetuses are born more often, in subgroup II, the sex of the child was usually female. Most fetal deaths occur in mothers < 15 and > 45 years of age. Conclusions: According to the Polish results of the origin of full-term fetuses > 30 weeks of gestation for death in the concomitant antenatal, such as placental-umbilical and fetal hypoxia, acute intrapartum effects rarely, and moreover < 30 Hbd fetal growth restriction (FGR), occurring placental-umbilical, acute intrapartum often.
Databáze:	MEDLINE
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