Islamic lifestyle with a focus on health

Islamic lifestyle with a focus on health

Determining the relationship between the maternal response dose and intrauterine fetal death in mothers visiting Dr. Shariati Hospital in Tehran: A retrospective cohort study

Document Type : Original Article

Authors
Fereshteh Bagheri 1
Maryam Keshavarz 2
Mohammadreza Jafari 3
Fatemeh Sarvi 4
1 MSc. in Midwifery Counseling, Midwifery and Reproductive Health Department, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
2 Associate Prof of Midwifery and Reproductive Health, Reproductive Science and Technology Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
3 General Practitioner, Deputy for Development and Resource Management, Dr. Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
4 Assistant Prof in the Public Health Department, School of Health, Larestan University of Medical Sciences, Larestan, Iran
Abstract
Background and objective: In developing countries, intrauterine fetal death is considered as one of the unfavorable indicators of birth. Currently, the role of mother's age in the incidence of intrauterine fetal death has not been determined. The present study investigates the dose-response relationship of maternal age in the incidence of intrauterine fetal death.
Methods and Materials: The current descriptive-analytical study is a retrospective cohort type, from June to July 1403, information related to 2951 pregnant mothers with a gestational age of 22 weeks and more who were admitted to Shariati Hospital during the years 1401 and 1402 and had their pregnancy terminated. was collected The data was obtained using an Excel form made by the researcher from the hospital's birth registration offices, which included demographic factors related to the mother, medical and obstetric records of the mother, and fetal factors.
Results: Of the 3292 registered births, 122 were stillbirths. None of the medical and obstetrical records were statistically significantly different between the live birth and intrauterine fetal death groups. The results of the dose-response analysis showed that the risk of intra-uterine fetal death did not increase with increasing maternal age (P = 0.263).
Conclusion: Intrauterine fetal death is an indicator of the quality of care during pregnancy and childbirth. Based on the obtained results, if proper prenatal care is provided, maternal age is not effective as a factor in fetal intrauterine death.
 
 
Keywords
Intrauterine fetal death
dose-response relationship
maternal age
stillbirth
  1. Tasew H, Zemicheal M, Teklay G, Mariye T. Risk factors of stillbirth among mothers delivered in public hospitals of Central Zone, Tigray, Ethiopia. Afr Health Sci. 2019 Jun;19(2):1930-1937. [PMC free article] [PubMed]
  2. Ngwenya, S. Jones, B. Mwembe, D. Nare, H. & Heazell, A. E. The Prevalence Of and Risk Factors for Stillbirths In Women With Severe Preeclampsia In A High-Burden Setting At Mpilo Central Hospital, Bulawayo, Zimbabwe. Journal of Perinatal Medicine. 2022, 50, 678-683.
  3. Gardosi, J. Madurasinghe, V. Williams, M. Malik, A. & Francis, A. Maternal And Fetal Risk Factors For Stillbirth: Population Based Study. BMJ, 2017, 346.
  4. Thakur, S. & Dangal, G. Factors Associated with Intrauterine Fetal Death at Paropakar Maternity Women’s Hospital. Kathmandu University Medical Journal. 2022, 20, 260-263.
  5. Say, L. Donner, A. Gülmezoglu, A. M. Taljaard, M. & Piaggio, G. The Prevalence Of Stillbirths: A Systematic Review. Reproductive Health. 2016, 3, 1-11.
  6.  Abebe, H. Shitu, S. Workye, H. & Mose, A. Predictors Of Stillbirth Among Women Who Had Given Birth In Southern Ethiopia, 2020: A Case-Control Study. Plos One. 2021, 16, E0249865.
  7. Asare, M. & Laar, A. S. Accessing The Prevalence Of Stillbirth Rate And Associated Factors Among Women Who Delivered In A Rural Hospital: A Retrospective Cross-Sectional Analysis. International Journal Of Health Sciences And Research, 6, 341-347.
  8. Dattani, S. Spooner, F. Ritchie, H. & Roser, M. 2023. Child And Infant Mortality. Our World In Data. 2016.
  9. WHO (2021). Who.Int. Available At: Https://Who.Int/Data/Gho/Data/Indicators/Indicator-Details/Gho/Stillbirth-Rate-(Per-1000-Total-Births
  10. Gazidekar, Ghalenoi, Qutbi, Ashkriz, Taher and Hourieh. Investigation of risk factors associated with stillbirth in expectant mothers: a case-control study. Iranian Journal of Women, Midwifery and Infertility. 2023, 26, 74-83. [Persian]
  11. Hajipour, M. Tabatabaee, H. R. Etemad, K. Ansari, H. Moghadam, A. A. Mohammadi, M. Tabatabaei, S. M. Mirahmadizadeh, A. R. Lotfi, M. H. & Saeidinejat, S. The Pre-Pregnancy Risk Factors Of Stillbirth In Pregnant Iranian Women: A Population-Based Case-Control Study. Health Scope. 2019, 8
  12. Kasa, G. A. Woldemariam, A. Y. Adella, A. & Alemu, B. The Factors Associated With Stillbirths Among Sub-Saharan African Deliveries: A Systematic Review And Meta-Analysis. BMC Pregnancy and Childbirth. 2023, 23, 835.
  13. Jamie, A. H. Prevalence And Determinants Of Stillbirth In Attended Deliveries In University Hospital, Eastern Ethiopia In 2021. Caspian Journal of Reproductive Medicine. 2022. 8, 9-14.
  14. Martin, L. Benchmark Dose Software (Bmds) Version 2.1 User’s Manual Version 2.0. Washington, Dc: United States Environmental Protection Agency, Office of Environmental Information. 2019.
  15. Sediqi Jila, Tavousi Mahmoud, Montazeri Kermani, Ramin Eslami and Mohammad Rostami. Pregnancy indicators and its determinants in the female population of Iran. Monitoring. 2020,19, 645-672. [Persian]
  16. Ministry of Health and Medical Education, Vebeda. Safe motherhood national program: integrated maternal health care. 1402. [Persian]
  17. Khatibi, Toktam, et al. "Proposing a machine-learning based method to predict stillbirth before and during delivery and ranking the features: nationwide retrospective cross-sectional study." BMC pregnancy and childbirth. 2021, 1-17.‏
  18. Maleki, Z. Ghaem, H. Seif, M. & Foruhari, S. Incidence and Maternal-Fetal Risk Factors Of Stillbirth: A Population-Based Historical Cohort And A Nested Case-Control Study. 2019.
  19. Timuri Safia, Qadawi Hamed, Ahadi Mina and Timuri Azadeh. Report on the experience and function of investigating the frequency of stillbirth according to the underlying diseases of the mother in the maternity hospitals of Mashhad University of Medical Sciences in the years 2016-2018. 2012. abstract [Persian]