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Objectives <p>The aim of the study was to describe the incidence of Feto-maternal hemorrhage (FMH)-related stillbirths over an eleven-year study period. The objectives of the study were to evaluate the maternal and fetal characteristics of FMH-related stillbirths and to study the risk factors for FMH.</p> Methodology <p>Study was conducted at Fernandez Hospital, a tertiary care perinatal center with an annual birth of 9000, with a study duration of 11&#xa0;years from January 2013 to December 2023.</p> Results <p>Of the 917 total stillbirths, 20 (2.18%) were attributed to FMH. KB test positive stillbirths were 20 out of 322 (6.21% of all KB tests done). This 11-year retrospective study underscores the important role of FMH as a potential cause of stillbirth, accounting for 2.18% of all antepartum losses in our center. Most FMH-related stillbirths occurred in the late preterm and term period, with a high proportion showing evidence of massive hemorrhage.</p> Conclusion <p>Given the often silent and undetected nature of FMH, this study reinforces the need for routine evaluation using Kleihauer–Betke testing or flow cytometry in all unexplained stillbirths and highlights the importance of vigilant monitoring in high-risk pregnancies. Early recognition and intervention may offer a crucial window to prevent fetal loss and improve perinatal outcomes.</p>

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Feto-Maternal Hemorrhage and Stillbirths- Study at a Tertiary Care Center

  • 期刊论文

  • 发表日期：

    2026年6月19日

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  • Anju K. Nair,
  • Pallavi Chandra Ravula,
  • Nuzhat Aziz

摘要

Objectives

The aim of the study was to describe the incidence of Feto-maternal hemorrhage (FMH)-related stillbirths over an eleven-year study period. The objectives of the study were to evaluate the maternal and fetal characteristics of FMH-related stillbirths and to study the risk factors for FMH.

Methodology

Study was conducted at Fernandez Hospital, a tertiary care perinatal center with an annual birth of 9000, with a study duration of 11 years from January 2013 to December 2023.

Results

Of the 917 total stillbirths, 20 (2.18%) were attributed to FMH. KB test positive stillbirths were 20 out of 322 (6.21% of all KB tests done). This 11-year retrospective study underscores the important role of FMH as a potential cause of stillbirth, accounting for 2.18% of all antepartum losses in our center. Most FMH-related stillbirths occurred in the late preterm and term period, with a high proportion showing evidence of massive hemorrhage.

Conclusion

Given the often silent and undetected nature of FMH, this study reinforces the need for routine evaluation using Kleihauer–Betke testing or flow cytometry in all unexplained stillbirths and highlights the importance of vigilant monitoring in high-risk pregnancies. Early recognition and intervention may offer a crucial window to prevent fetal loss and improve perinatal outcomes.