بررسي يافته هاي كالبدشكافي نوزادان مرده به دنيا آمده در بيمارستان شهيد مطهري اروميه از آبان 1380 تا شهريور 1381

DETERMINING OF AUTOPSY FINDINGS ON DETERMINING OF AUTOPSY FINDINGS ON HOSPITAL OF URMIA FROM OCTOBER 2001 TO SEPTEMBER 2002

Introduction : Perinatal death complicated 1.5% of all births. Such loss is often difficult for families to cope with understand, accept, and may provoke self-recrimination and criticism of the physician. An autopsy can provide an explanation for a loss, often relievies parents and physician, and may reveal a specific disorder for which recurrence risks or strategies for prevention may take place. Objective : Determining of autopsy findings on stillbirths in Shahid Motahaty hospital of Urmia from October 2001 to September 2002 (A ten months study). Methods : All of the stillbirths with consent for an autopsy examination were submitted for autopsy. Two pathology residents under supervision of a pathology staff performed autopsies. Results : Seventy- three fetal deaths occurred in ten months of study, consent for an autopsy examination was granted for 31 of them (42%). Abnormalities likely to be the cause of death were identified in 26 of cases (84%). Seventeen subjects (55%) did not have structural anomalies. In 6 cases (19%) autopsy revealed previously unsuspected pathology, that altered parental counseling; and in three cases (10%) no pathologic findings are seen. Fourteen cases (45%) had structural anomalies. Severe macreration was present in 2 cases. Asphyxia and CNS malformations were the most frequent causes of death in this series. Conclusion : The cause of fetal death was determined by autopsy in 84% of cases in this study. The importance of perinatal routine ultrasound screening and perinatal autopsy is emphasized.