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- Title
Epidemiology of stillbirth and strategies for its prevention in Vietnam
- Authors
Hirst, Jane E.; Arbuckle, Susan M.; Do, Trong M.H.; Ha, Lieu T.T.; Jeffery, Heather E.
- Abstract
<bold>Objective: </bold>To describe major epidemiologic and placental findings regarding stillbirth in Vietnam.<bold>Methods: </bold>A cross-sectional study of all stillbirths in a tertiary referral facility in Ho Chi Minh City, Vietnam, was performed. Detailed examination of each infant, placental pathology, and semi-structured maternal interviews were conducted according to the Perinatal Society of Australia and New Zealand Perinatal Death Classification guidelines. Maternal, fetal, and placental characteristics were examined.<bold>Results: </bold>Between December 8, 2008, and January 9, 2009, there were 4694 live births and 122 stillbirths at the facility. In total, 107 (87.7%) cases were included in the study. Low education level was associated with a lack of prenatal care; induced abortion accounted for 34.6% of fetal deaths (gender selection was not the reason); 35.5% of infants were born at 22-28 weeks of gestation; 31.8% of stillbirths were small for gestational age; histologic evidence of chorioamnionitis was present in 40.2% of cases. Calcium supplements were less likely to have been taken in cases in which death from hypertension occurred. alpha-Thalassemia was the main cause of fetal hydrops (6.2%).<bold>Conclusion: </bold>Improving access to prenatal care and prenatal calcium and iron supplementation, and screening for congenital abnormalities and alpha-thalassemia may help to reduce rates of perinatal death in Vietnam.
- Subjects
VIETNAM; STILLBIRTH; EPIDEMIOLOGY; FETAL death; CROSS-sectional method; GYNECOLOGIC pathology; PRENATAL care; PREVENTION; ABORTION statistics; BIRTH size; FETAL diseases; GESTATIONAL age; PERINATAL death; RURAL population; CITY dwellers; SPECIALTY hospitals; DISEASE incidence
- Publication
International Journal of Gynecology & Obstetrics, 2010, Vol 110, Issue 2, p109
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/j.ijgo.2010.03.028