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Using the Relevant Condition at Death (ReCoDe) classification system for Classifying Stillbirths in a Tertiary-Care Hospital

Author(s)
Khwaja Fawad Department of Obstetrics and Gynecology, Lady reading Hospital,Peshawar KPK,Pakistan
Shehzadi Saima Hussain Department of Obstetrics and Gynecology, Lady reading Hospital,Peshawar KPK,Pakistan
Saida Abrar Department of Obstetrics and Gynecology, Lady reading Hospital,Peshawar, KPK,Pakistan
Abstract
Objective: To find the different causes of stillbirths at our institution, using the Relevant Condition at Death (ReCoDe) classification system. Methodology: This was a cross-sectional study that included 421 cases, complicated by stillbirth after 24 weeks of pregnancy at the Department of Obstetrics and Gynecology, Lady Reading Hospital, between January to December 2021. A structured proforma was used to gather data on their age, gestation, booking status, parity, mode of delivery, fetal weight, body mass index, maternal diabetes, pre-eclampsia, thyroid dysfunction, and the information related to stillborn babies, and findings of placental and umbilical cord examination. Results: The stillbirth rate in the Obstetrics department during the study period was 53 per 1000 births. About 78.4% of cases were coded after the application of ReCoDe classification, while 21.61% of cases were labeled as unexplained. The majority of the cases were in the age group 18-35 years, 205 (48.6%), with most women having a spontaneous vaginal delivery, 321 (76.2%), un-booked status, 353 (83.8%), and a BMI >30, 251 (59.6%). The fetal causes were the most common, 144 (34.20%), with fetal growth restriction contributing to the most common fetal cause, 101 (23.99%). Maternal causes contributed to 99 (23.5%) of stillbirths, with pre-eclampsia the most associated maternal condition, 36 (8.55%). Conclusion: Classification of stillbirths using ReCoDe classification is simple and practical to use, especially in low-resource settings, with the ability to identify underlying cause in the majority of cases.
Publication Details
Page(s) 16-20
DOI DOI not available
Published Journal: BMC journal of Medical Sciences, Volume: 4, Issue: 2, Year: 2023

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Keywords
Classification, Stillbirth, ReCoDe
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