Still Birth classification: Application of Relevant Condition at Death (ReCoDe) classification system in a tertiary care hospital of Pakistan

Urooj Kashif; Shelina Bhamani; Asma Patel; Zaheena Shamsul Islam

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Still Birth classification: Application of Relevant Condition at Death (ReCoDe) classification system in a tertiary care hospital of Pakistan

Author(s)

Urooj Kashif Department of Gynecology/Obstetrics, Aga Khan University Hospital, Karachi, Pakistan.

Shelina Bhamani Department of Gynecology/Obstetrics, Aga Khan University Hospital, Karachi, Pakistan.

Asma Patel Department of Gynecology/Obstetrics, Aga Khan University Hospital, Karachi, Pakistan.

Zaheena Shamsul Islam Department of Gynecology/Obstetrics, Aga Khan University Hospital, Karachi, Pakistan.

Abstract

Objectives: To determine the cause of stillbirth after application of relevant condition at death (ReCoDe) classification system. Methods: This was a retrospective cross sectional study of 207 women diagnosed with stillbirth after 24 completed weeks of pregnancy at the Aga Khan University Hospital (AKUH), Karachi between 1st January 2015 and 31st December 2019. The primary objective was to find the cause of stillbirth according to the new classification of relevant condition at death (ReCoDe). Results: There were a total of 32413 live births and 207 stillbirths during the study period thus stillbirth rate of 6 per 1000 live births. In this study, 80% of women were in the age group of 20-35 years, 16% had advanced maternal age while 3.8% of women accounted for less than 20 years. Among the maternal factors; 54.5% cases were booked and the remaining were were un-booked cases. Pre-eclampsia was the most common associated maternal condition (14.9%). Fetal cause accounted for 34.7% of stillbirths and the fetal growth restriction (FGR) was the most common; 23.6%. After application of ReCoDe classification, in 81% of stillbirth cases associated condition were found and only 18.8% of cases were categorized unexplained. Conclusion: Application of ReCoDe classification is easy to understand and applicable, especially in low resource settings with associated causes identified in vast majority of cases.

Publication Details

Page(s) 133-137

DOI DOI not available

Published Journal: Pakistan Journal of Medical Sciences, Volume: 38, Issue: 1, Year: 2022

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Keywords

Stillbirth, Intrauterine demise, Developing world, ReCoDe

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