HEALTH OF WOMAN. 2019.6(142): 34–36; doi 10.15574/HW.2019.142.34

N.M. Hychka, V.O. Benyuk, A.S. Kotenok
Bogomolets National Medical University, Kiev

In this work, cases of antenatal fetal death in the Kyiv City Maternity Hospital No. 3 for 2014-2018 are analyzed. It is established, by means of a retrospective study, of high-risk groups in pregnant women in the antenatal period.
The objective: on the basis of the analysis of cases of antenatal fetal death in the KСMH number 3 for 2014–2018, to determine the high-risk group of pregnant women in the occurrence of this pathology.
Materials and methods. To achieve the goal, an analysis of medical records (exchange births, birth histories, results of the pathologic-anatomical conclusion, reviews) of cases of antenatal fetal death in the KCMH № 3 for 2014–2018 was conducted.
Results. 68 cases of antenatal fetal death over the past 5 years in the Kyiv City Maternity Hospital No. 3 have been analyzed. The average frequency of antenatal death per 5 years per 1000 genera is 4‰. The greatest proportion of antenatal fetal death occurs during pregnancy up to 37 weeks. The causes of stillbirth in this period were mainly premature detachment of the placenta against the background of late gestosis, fetal malformations, and fetoplacental insufficiency. The largest number of cases of antenatal fetal death occurred at the age of 30 – 34 years. All women in this age group have obsessive-gynecological history – involuntary miscarriage or stopped pregnancy. Pregnant women of this group began to be registered in pregnancy after 12 weeks (n=17), which indicates the lack of preconceptual preparation and lifestyle correction in the early stages of pregnancy.
Conclusions. Thus, we have established an average index of the frequency of antenatal fetal death in the KCMH № 3 for 2014–2018, which is 4 ‰, indicating timely, adequate provision of medical care.It is necessary to perform a comprehensive examination of women in the pregraviderm period, pregnant women, to evaluate the fetus’s fetal condition, to use pregnancy counseling by related specialists.
Key words: population growth, antenatal mortality, stillbirth, critical periods of pregnancy.

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