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Assessment of â freshâ versus â maceratedâ as accurate markers of time since intrauterine fetal demise in lowâ income countries
dc.contributor.authorGold, Katherine J.
dc.contributor.authorAbdul‐mumin, Abdul‐razak S.
dc.contributor.authorBoggs, Martha E.
dc.contributor.authorOpare‐addo, Henry S.
dc.contributor.authorLieberman, Richard W.
dc.date.accessioned2017-01-10T19:11:19Z
dc.date.available2017-01-10T19:11:19Z
dc.date.issued2014-06
dc.identifier.citationGold, Katherine J.; Abdul‐mumin, Abdul‐razak S. ; Boggs, Martha E.; Opare‐addo, Henry S. ; Lieberman, Richard W. (2014). "Assessment of â freshâ versus â maceratedâ as accurate markers of time since intrauterine fetal demise in lowâ income countries." International Journal of Gynecology & Obstetrics 125(3): 223-227.
dc.identifier.issn0020-7292
dc.identifier.issn1879-3479
dc.identifier.urihttps://hdl.handle.net/2027.42/135680
dc.description.abstractObjectiveTo compare provider assessment of fetal maceration with deathâ toâ delivery interval to evaluate the reliability of appearance as a proxy for time of death.MethodsCohort chart abstraction was performed for all stillbirth deliveries at or above 28 weeks of gestation during a 1â year period in a teaching hospital in Ghana.ResultsOf 470 stillborn infants, 337 had adequate data for analysis. Of 47 fetuses alive on admission with deathâ toâ delivery intervals estimated to be less than 8 hours (expected to be reported as fresh), 14 (30%) were actually reported as macerated. Of 94 cases in which the fetus was deceased on admission with deathâ toâ delivery interval of more than 8 hours (expected to be macerated), 17 (18%) were described as fresh.ConclusionProvider description of fetal appearance may be an unreliable indicator for time since fetal death. The findings have significant implications for stillbirth prevention and assessment.
dc.publisherMosby Elsevier
dc.publisherWiley Periodicals, Inc.
dc.subject.otherStillbirth
dc.subject.otherFetal death
dc.subject.otherFetal pathology
dc.subject.otherGhana
dc.subject.otherLowâ income country
dc.subject.otherMaceration
dc.subject.otherSubâ Saharan Africa
dc.titleAssessment of â freshâ versus â maceratedâ as accurate markers of time since intrauterine fetal demise in lowâ income countries
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelObstetrics and Gynecology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.contributor.affiliationumDepartment of Pathology, University of Michigan, Ann Arbor, USA
dc.contributor.affiliationumDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, USA
dc.contributor.affiliationumDepartment of Family Medicine, University of Michigan, Ann Arbor, USA
dc.contributor.affiliationotherDepartment of Obstetrics and Gynaecology, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Komfo Anokye Teaching Hospital, Kumasi, Ghana
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/135680/1/ijgo223.pdf
dc.identifier.doi10.1016/j.ijgo.2013.12.006
dc.identifier.sourceInternational Journal of Gynecology & Obstetrics
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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