Sandoval Alicia, Winston David
From the College of Medicine, University of Arizona College of Medicine, Tucson.
Am J Forensic Med Pathol. 2022 Jun 1;43(2):153-156. doi: 10.1097/PAF.0000000000000726. Epub 2021 Nov 5.
This article is a review of the fetal deaths reported to the Pima County Office of the Medical Examiner in Tucson, Arizona, from January 2000 to May 2020. The 115 cases included in this study were analyzed for the decedent's estimated gestational age, sex, maternal drug use, toxicology results, and cause of death. The male/female ratio was 0.95:1.0. The average gestational age of nonterm infants older than 20 weeks was 27.2 weeks. Nearly half of the cases had suspected or known maternal drug use. In these cases, cocaine and methamphetamine were most often detected in postmortem testing of the fetus. The most common causes of death in descending frequency were intrauterine fetal demise of unknown etiology, drugs, infection, and prematurity. Other notable causes of death included trauma and placental abruption. Congenital malformations were detected in only 3.5% of cases.
本文是对2000年1月至2020年5月期间向亚利桑那州图森市皮马县法医办公室报告的死胎情况的综述。本研究纳入的115例病例分析了死者的估计孕周、性别、母亲药物使用情况、毒理学结果及死因。男女比例为0.95:1.0。孕周超过20周的非足月婴儿平均孕周为27.2周。近一半病例存在疑似或已知的母亲药物使用情况。在这些病例中，胎儿尸检检测最常发现可卡因和甲基苯丙胺。按发生频率从高到低排列，最常见的死因依次为病因不明的宫内胎儿死亡、药物、感染和早产。其他值得注意的死因包括外伤和胎盘早剥。仅3.5%的病例检测出先天性畸形。
