Abstract

Background: In developing countries most deliveries take place at home or peripheral settings, therefore, information on causes of still birth remain insufficient. ReCoDe (Relevant condition at death) is a classification system that helps to understand causes of still births in low resource settings. Aims: Present study was conducted to identify various clinical conditions that could lead to still births and to classify the still births according to Re.Co.De system. Materials and Methods: An observational study was conducted for six months and records of all the deliveries including still births were reviewed. The causes were classified according to the ReCoDe classification. Any association between maternal factors and still births was analysed. Results: During study period 11,748 births occurred and 283 of them were still births. Still birth rate was 2.41% (24.1/1000 births). 9.5% (27) of still births were intrapartum and 90.5% (256) were ante partum. 9.4% of still births occurred in women having antepartum haemorrhage and 8.1% with fetalgrowth restriction. This was followed by multiple pregnancy, hypertensive disorders of pregnancy and obstructed labour. When classified as per ReCoDe cause of still birth could not be explained in 9.4% cases.

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