[Intrauterine fetal death syndrome: analysis of cases from 2008 to 2012 in Institute for the care of mother and child].

OBJECTIVE We made an analysis of number of intrauterine fetal deaths in our institute, it's causes, risk factors and patient's main complaints. METHODS Retrospective study of all intrauterine fetal deaths in Institute for the care of mother and child in years 2008-2012. RESULTS We had 60 cases of intrauterine fetal death from 2008 to 2012 which represented 2.4 of all deliveries (24884). The examination started in 45% of cases due to information about decreased fetal movements, 28.3% was diagnosed during regular visit, 13.3% came for contractions, 10% because of PPROM and 3.3% due to vaginal bleeding. In 58.3% we used induction of delivery, in 10% delivery started spontaneously and in 31.7% a caesarean section was performed. CONCLUSION Decrease in fetal movements was the most frequent complaint of our patients. Spontaneously delivered 68.3% patients, caesarean section was indicated in twins, due to maternal diseases or from vital indication. In 70% of cases we approved the cause of intrauterine fetal death. Mostly umbilical cord or placental abnormalities were present.