Hovatta O, Lipasti A, Rapola J, Karjalainen O
Br J Obstet Gynaecol. 1983 Aug;90(8):691-6. doi: 10.1111/j.1471-0528.1983.tb09296.x.
The clinical and autopsy findings in all stillbirths during the years 1974-1979 at the Helsinki University Central Hospital were analysed. There were 243 stillborn infants of whom 200 died before labour. According to the autopsy findings asphyxia accounted for 38% and major malformations for 17% of the deaths, but because of fetal maceration no diagnosis could be made at autopsy in 43%. The cause of death suggested by the clinical findings was placental failure in 57%, cord complication in 12% and major malformations in 17%. The cause of death remained unsolved in 9%. The importance of routine ultrasound and alpha-fetoprotein screening for the detection of unrecognized risk patients is emphasized.
对1974年至1979年期间赫尔辛基大学中心医院所有死产病例的临床和尸检结果进行了分析。共有243例死产婴儿，其中200例在分娩前死亡。根据尸检结果，窒息占死亡病例的38%，严重畸形占17%，但由于胎儿浸软，43%的病例在尸检时无法做出诊断。临床检查结果提示的死因中，胎盘功能不全占57%，脐带并发症占12%，严重畸形占17%。9%的病例死因不明。强调了常规超声检查和甲胎蛋白筛查对发现未被识别的高危患者的重要性。
