?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Stillbirth+in+a+Tertiary+Care+Referral+Hospital+in+North+Bengal+-+A+Review+of+Causes%2C+Risk+Factors+and+Prevention+Strategies&rft.creator=Bhattacharya%2C+Shritanu&rft.creator=Mukhopadhyay%2C+Gautam&rft.creator=Mistry%2C+Pallab+Kumar&rft.creator=Pati%2C+Shyamapada&rft.creator=Saha%2C+Shyama+Prasad&rft.subject=Online+Journal+of+Health+and+Allied+Sciences&rft.description=Background+and+Aims%3A+Stillbirth+is+one+of+the+most+common+adverse+outcomes+of+pregnancy%2C+accounting+for+half+of+all+perinatal+mortality.+Each+year+approximately+4+million+stillbirths+are+reported%2C+with+97%25+occurring+in+developing+countries.+The+objective+of+the+present+study+was+to+evaluate+the+stillbirth+rate%2C+exploring+the+risk+factors+and+causes+of+stillbirth+and+suggest+policies+to+reduce+it.+Settings+and+Design%3A+A+retrospective+study+of+stillbirth+among+all+deliveries+over+5+years+at+North+Bengal+Medical+College%2C+a+referral+tertiary+care+teaching+hospital+in+a+rural+background.+The+stillbirth+rate+and+its+trend+were+defined+and+the+probable+causes+and+risk+factors+were+identified.+Results%3A+Stillbirth+rate+is+59.76%2F1000+live+births%2C+and+Perinatal+Mortality+98.65%2F1000+births.+Of+the+still+births%2C+59.72%25+were+fresh+and+40.27%25+were+macerated.+Among+the+causes+of+stillbirths%2C+poor+antenatal+attendance+and+low+socioeconomic+status+were+important%3B+other+risk+factors+included+prematurity%2C+PIH%2C+birth+asphyxia%2C+poor+intrapartum+care+including+prolonged+and+obstructed+labour.++In+23%25+cases%2C+the+cause+remained+unexplained.+Conclusion%3A+In+addition+to+poor+antenatal+care%2C+low+socioeconomic+condition%2C+poor+referral+service%2C+suboptimal+intrapartum+care+in+health+facilities+including+tertiary+centre+were+mainly+responsible+for+majority+of+still+births+which+could+have+been+prevented.+We+speculate+that+upgrading+the+existing+health+system+performance%2C+particularly+high+quality+intrapartum+care+by+skilled+health+personnel%2C+will+reduce+stillbirths+substantially+in+our+institute&rft.publisher=BS+Kakkilaya&rft.contributor=Kakkilaya%2C+Dr+Srinivas&rft.date=2011-01-20&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F7246%2F1%2F2010-4-4.pdf&rft.identifier=++Bhattacharya%2C+Shritanu+and+Mukhopadhyay%2C+Gautam+and+Mistry%2C+Pallab+Kumar+and+Pati%2C+Shyamapada+and+Saha%2C+Shyama+Prasad++(2011)+Stillbirth+in+a+Tertiary+Care+Referral+Hospital+in+North+Bengal+-+A+Review+of+Causes%2C+Risk+Factors+and+Prevention+Strategies.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F7246%2F