To identify the risk factors of intrapartal fetal death in a tertiary hospital
in Yaoundé. Methods: It was a case-control study comparing 53 women who
delivered with intrapartal fetal death to 106 women who delivered without
intrapartal fetal death, carried out at the Yaoundé Gyneco-Obstetric and
Pediatric Hospital, Cameroon. Results: The risk factors of intrapartal fetal
death identified at bivariate analysis were: maternal age <20 years (OR = 3.1;
CI = 1.1 - 8.3), absence of regular income (OR = 2.4; CI = 1.2 - 4.7), single
motherhood (OR = 2.9; CI = 1.5 - 5.7), illiteracy and primary level of
education (OR = 4.7; CI = 1.9 - 11.5), referral (OR = 5.0; CI = 2.5 - 9.9),
parity 0 and 1 (OR = 2.3; CI = 1.1 - 4.5), no antenatal care (OR = 9.2; CI = 2.4
- 35.6), number of antenatal visits <4 (OR = 4.2; CI = 2.1 - 8.6), antenatal
care in a health center (OR = 3.8; CI = 1.9 - 7.5), antenatal care by a midwife
(OR = 2.5; CI = 1.3 - 4.9) or a nurse (OR = 5.2; CI = 1.4 - 18.7), absence of
malaria prophylaxis (OR = 10.6; CI = 2.9 - 39.5), absence of obstetrical
ultrasound (OR = 4.7; CI = 1.9 - 10.9), prematurity (OR = 3.4; CI = 1.5 - 7.3),
abnormal presentation (OR = 2.6; CI = 1.1 - 5.9), ruptured membranes at admission
(OR = 2.7; CI = 1.3 - 5.4), ruptured membranes >12 hours at admission (OR = 5.1;
CI = 2.5 - 10.3), stained amniotic fluid (OR = 4.8; CI = 2.4 - 9.7), labor
lasting more than 12 hours (OR = 18.1; CI = 8.0 - 41.0), presence of maternal
complications (OR = 4.7; CI = 2.2 - 10.3), and presence of fetal complications
(OR = 48.6; CI = 18.3 - 129), particularly acute fetal distress (OR = 52.3; CI = (14.6 - 186), cord prolapse
(OR = 12.1; CI = 3.3 - 43.4), and birth weight <2500 g (OR = 2.8; CI = 1.2 -
6.6). Conclusion: Close attention should be offered to pregnant women, so as to
identify these risk factors and promptly provide an appropriate management.
Cite this paper
Foumane, P. , Mounton, A. , Sama, J. , Nguefack, S. , Pisoh, W. and Mboudou, E. (2014) Risk factors of intrapartal fetal death in a low-resource setting. Open Journal of Obstetrics and Gynecology
, 101-104. doi: 10.4236/ojog.2014.43018
 WHO (2006) Neonatal and perinatal mortality, country, regional and global estimates. World Health Organization, Geneva. www.who.int/making_pregnancy_safer/en/b
 Sandjong T.I.D., Tebeu, P.M., Mbu, R.E., Mboudou, E., Guegang, G.E., Nkwabong, E., et al. (2009) Intrapartum fetal death in Cameroon: An assessment in two referral hosptals in Taoundé, Cameroon. Clinics in Mother and Child Health, 6, 1123-1127.
 Wilson, R.E., Alio, A.P., Kirby, R.S. and Salihu, H.M. (2008) Young maternal age and risk of intrapartum stillbirth. Archives of Gynecology and Obstetrics, 278, 231-236. http://dx.doi.org/10.1007/s00404-007-0557-4
 Walsh, C.A., McMenamin, M.B., Foley, M.E., Daly, S.F., Robson, M.S. and Geary, M.P. (2008) Trends in intrapartum fetal death, 1979-2003. American Journal of Obstetrics and Gynecology, 198, e1-e7.
 Lawn, J.E., Lee, A.C., Kinney, M., Sibley, L., Carlo, W.A., Paul, V.K., et al. (2009) Two million intrapartumrelated stillbirths and neonatal deaths: Where, why, and what can be done? International Journal of Gynecology & Obstetrics, 107, S5-S19.
 Lawn, J.E., Kinney, M., Lee, A.C., Chopra, M., Donnay, F., Paul, V.K., et al. (2009) Reducing intrapartum-related deaths and disability: Can the health system deliver? International Journal of Gynecology & Obstetrics, 107, S123-S142. http://dx.doi.org/10.1016/j.ijgo.2009.07.021
 Brailovschi, Y., Sheiner, E., Wiznitzer, A., Shahaf, P. and Levy, A. (2012) Risk factors for intrapartum fetal death and trends over the years. Archives of Gynecology and Obstetrics, 285, 323-329.