[Intrauterine death: experience at a tertiary centre of Italy].
OBJECTIVE
In order to analyse causes of stillbirths, we collected all the cases observed from January 1993 to December 2006 at the Department of Gynecological Sciences, Perinatology and Child Care, University ''La Sapienza'', Rome, Italy.


METHODS
For each case, age of the patient, parity, country of origin, gestational age at the moment of stillbirth, clinical condition before pregnancy, pathologies occurred during pregnancy, possible therapies and autopsy of the fetus, have been collected. To evaluate and classify the obtained data, both the NICE (Neonatal and Intrauterine Death Classification according to Etiology) and the ReCoDe (Relevant Condition at Death) classifications have been utilised; the first one being more suitable than the second for our case series.


RESULTS
Results showed that among 25892 labours, 186 were intrauterine deaths (7.2%). In 1999 we noticed a decrease in the number of labours of approx. 30%, due to a reduction in the number of inpatients available spaces. The number of stillbirths presented a slithering line until 2001, while after then a marked decrease has been observed.


CONCLUSIONS
A high percentage of stillbirths had to be classified as ''unknown causes'' (26.9%). Additional prospective research, in order to achieve a better classification, is needed. All the new cases, should be classified using the most appropriate parameter, drawing attention to all the possible issues, and centralizing the data acquired.
Bastianelli
C
C
Dipartimento di Scienze Ginecologiche Perinatologia e Puericultura, I Scuola di Specializzazione in Ginecologia ed Ostetricia, Università la Sapienza Roma, Roma, Italy. Carlo.bastianelli@uniroma1.it
Carrara
S
S
Filippi
V
V
Rapiti
S
S
Ripani
A E
AE
Farris
M
M
D002423:Cause of Death; D003644:Death Certificates; D005260:Female; D005313:Fetal Death / Q000453:epidemiology / Q000209:etiology; D005865:Gestational Age; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data*; D006801:Humans; D011247:Pregnancy; D012307:Risk Factors; D012384:Rome / Q000453:epidemiology; D050497:Stillbirth / Q000453:epidemiology