Study Objective: To compare the rates and causes of stillbirth in level 2 and 3 obstetric institutions1.
Study Design: This was a retrospective group study.
Materials and Methods: Statistical data and labor and delivery histories of women who experienced stillbirth and were admitted to obstetric facilities (two level 2 facilities and one level 3 facility) between January and June 2019 were reviewed. Retrospective analysis was done of their labor and delivery histories, and the cases of stillbirth were clinically analyzed, using the ReCoDe classification.
Study Results: The frequency of stillbirth was higher in the level 3 hospital. Irrespective of the level of hospital, mortality in the antenatal period dominated (four out of six cases in the level 2 facilities and 104 out of 129 in the level 3 facility); it was more often due to congenital malformations in the level 2 facilities and to intrauterine growth restriction (IUGR) or placental insufficiency in the level 3 facility. In the level 3 hospital, the most common causes of intranatal fetal death included maternal (pre-eclampsia and extragenital diseases) and fetal (IUGR) disorders that developed before labor.
Conclusion: The actual causes, as established in this study, of negligence leading to stillbirth demonstrate that there is potential for reducing perinatal mortality.
Contributions: Dr. M.Ya. Kamilova supervised the study, developed the concept and design of the study, analyzed the data, and participated in writing the paper. Dr. P.A. Dzhonmakhmadova collected material, did statistical analysis, and participated in writing the paper. Dr. F.R. Ishan-Khodzhaeva did statistical analysis and was scientific editor.
Conflict of interest: The authors declare that they do not have any conflict of interests.
M.Ya. Kamilova (Corresponding author) — Research Institute of Obstetrics, Gynecology, and Perinatology (a State Institution), Ministry of Health and Social Protection of the Republic of Tajikistan; 31 Mirzo Tursunzade St., Dushanbe, Republic of Tajikistan 734002. eLIBRARY.RU SPIN: 2527-2877. https://orcid.org/0000-0002-2525-8273. E-mail: firstname.lastname@example.org
P.A. Dzhonmakhmadova — Research Institute of Obstetrics, Gynecology, and Perinatology (a State Institution), Ministry of Health and Social Protection of the Republic of Tajikistan; 31 Mirzo Tursunzade St., Dushanbe, Republic of Tajikistan 734002. https://orcid.org/0000-0002-9457-961X. E-mail: email@example.com
F.R. Ishan-Khodzhaeva — Tambov City Clinical Hospital No. 3 (a Tambov Region Government-funded Healthcare Institution); 234/365 Karl Marx St., Tambov, Russian Federation 392000. https://orcid.org/0000-0002-9211-1124. E-mail: firstname.lastname@example.org