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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Assessment of "fresh" versus "macerated" as accurate markers of time since intrauterine fetal demise in low-income countries
International Journal of Gynecology and Obstetrics, Volume 125, No. 3, Year 2014
Notification
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Description
Objective To compare provider assessment of fetal maceration with death-to-delivery interval to evaluate the reliability of appearance as a proxy for time of death. Methods Cohort chart abstraction was performed for all stillbirth deliveries at or above 28 weeks of gestation during a 1-year period in a teaching hospital in Ghana. Results Of 470 stillborn infants, 337 had adequate data for analysis. Of 47 fetuses alive on admission with death-to-delivery intervals estimated to be less than 8 hours (expected to be reported as fresh), 14 (30%) were actually reported as macerated. Of 94 cases in which the fetus was deceased on admission with death-to-delivery interval of more than 8 hours (expected to be macerated), 17 (18%) were described as fresh. Conclusion Provider description of fetal appearance may be an unreliable indicator for time since fetal death. The findings have significant implications for stillbirth prevention and assessment. © 2014 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Gold, Katherine J.
Unknown Affiliation
Abdul-Mumin, Abdul Razak S.
Unknown Affiliation
Boggs, Martha E.
Unknown Affiliation
Opare-Addo, Henry Sakyi
Unknown Affiliation
Lieberman, Richard W.
Unknown Affiliation
Statistics
Citations: 72
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.1016/j.ijgo.2013.12.006
ISSN:
00207292
e-ISSN:
18793479
Research Areas
Health System And Policy
Study Design
Cohort Study
Study Locations
Ghana