@article{Shrestha_Gurung_Shrestha_Shrestha_Pradhan_Pant_2018, title={Stillbirth at Patan Hospital, Nepal}, volume={5}, url={https://www.nepjol.info/index.php/JPAHS/article/view/24041}, DOI={10.3126/jpahs.v5i1.24041}, abstractNote={<p class="Default"><strong><span style="font-size: 10.0pt;">Introductions: </span></strong><span style="font-size: 10.0pt;">Stillbirth (SB) is one of the most common adverse outcomes of pregnancy. The aim of this study was to determine the SB rate and to identify the likely causes contributing to SB. </span></p> <p class="Default"><strong><span style="font-size: 10.0pt;">Methods: </span></strong><span style="font-size: 10.0pt;">This cross-sectional study was conducted at Patan Hospital from 15</span><span style="font-size: 6.5pt;">th </span><span style="font-size: 10.0pt;">June 2014 to 14</span><span style="font-size: 6.5pt;">th </span><span style="font-size: 10.0pt;">June 2017 for all the cases of SBs, at or after 22 weeks, birth weight of 500 gm or more. The perinatal outcome, demographic profile, fetal characteristics, causes and contributing factors were analyzed. </span></p> <p class="Default"><strong><span style="font-size: 10.0pt;">Results: </span></strong><span style="font-size: 10.0pt;">There were 262 SB out of total 23069 deliveries, (11.24 per 1000) and 119 (46.12%) had antenatal check-up (ANC) at Patan Hospital. The 214 (82.95%) SB were among 20-34 years mothers, 133 (51.55%) being multigravida. Antepartum SB were 234 (89.31%), macerated 213 (81.30%), birth weight <1000gm 86 (32.82%) and male 156 (59.54%). The intrauterine growth restriction (IUGR) was present in 60 (22.90%), unexplained casue in 43 (16.41%), prematurity 28 (10.69%), congenital anomalies 26 (9.92%), pre-eclampsia 19 (7.25%), gestational diabetes, and abruptio placenta each 13 (4.96%). Delay in seeking care in 202 (78.30%) was a potential contributing factor. </span></p> <p class="Default"><strong><span style="font-size: 10.0pt;">Conclusions: </span></strong><span style="font-size: 10.0pt;">The SB was 11.24/1000 births. The causes in descending order were IUGR, unexplained, prematurity, congenital anomalies, pre-eclampsia, gestational diabetes and abruptio placenta. Delay in seeking care was found as a potential contributing factor.</span></p>}, number={1}, journal={Journal of Patan Academy of Health Sciences}, author={Shrestha, Sarada Duwal and Gurung, Padma and Shrestha, Reena and Shrestha, Prashant and Pradhan, Renee and Pant, Una}, year={2018}, month={Jun.}, pages={40–46} }