Özet:

The aim is to evaluate the demographic data of cases of intrauterine fetal deaths in pregnancies after the 24th week, perinatal results, to investigate risk factors related to perinatal mortality and to study the ethological factors contributing to literature. Tools-Methods 2019 January - January 2022 Third Stage Training Research Hospital has planned to conduct a retrospective cohort analysis of infants with intrauterine abrupt death syndrome (24 to 43 weeks) coming from birth. The hospital database and pathological, clinical and biochemical data were reviewed for all cases. The demographic data of patients, the week of pregnancy, the weight and gender of the newborn, the forms of birth, the presence of fetal anomalies, the number of observations in pregnancy, the period between the previous pregnancy, were assessed. The causes of intrauterine death were grouped as specific and unexplicable intrauterine death. Categorical data were analyzed using Fisher's accurate test and the 5% level was considered meaningful. The findings were in total 4962 births in our hospital between January 2019 and 2022. During this period, 35 patients who came and were born with an intrauterine sudden baby death (AIDS) were included in the study. The incidence of intrauterine fetal death in these patients is 7.05 per 1000 pregnancies. The number of deaths was 14 in 2020. In 54.2% of cases, the cause of dead births was uncovered, in the second majority plasental/cord factors (22.8%), and in the third majority, Meconyum aspiration syndrome (MAS) was responsible for 14.2% of the cause. The mother’s age, pregnancy week, fetal weight (kg) were found at 29.49, 32.69 and 1897.03 respectively. Approximately 91% of dead births were late-registered or unfollowed pregnancies. 74.3 percent of untold births were TC citizens and 25.7 percent were immigrants (Syria, Iraq and Arabs). 57.1 per cent of the dead were girls and 54.3 per cent of the patients were caesarine-born. The average time between the mother's previous pregnancy and the deceased baby was 74.45 (month) and the average number of observations in the pregnancy was 3.60. The majority of the fetus present in the amnion fluid was lost from the syndrome of the amnion aspiration. The result in our study was the most unclear cause of dead births. Early diagnosis of high-risk pregnancies and early taking of measures, determining the connection between HIV and pregnancy process, can ensure that we predict pregnancies at risk for intrauterine death and take the necessary measures for the fetus and mother. To minimize the unexplicable death incidence, more research is needed, especially in the term dead birth cases.

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