الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Stillborn or liveborn is an essential inquiry in forensic medicine and pathology, where accurately distinguishing the status of a newborn at birth has profound legal, medical, and emotional implications.
This study critically evaluated the diagnostic potential of gross and histopathological examinations of the placenta, umbilical cord, and amniotic membranes in determining whether infants were stillborn or liveborn. This inquiry is essential in forensic pathology.
The research was conducted on 50 post-delivery cases at El-Shatby Hospital, Alexandria. These cases were meticulously divided into two groups: liveborn and stillborn. The liveborn group consisted of 25 infants showing confirmed signs of life at birth, such as spontaneous movement, breathing, or heartbeat. The stillborn group comprised 25 cases diagnosed with intrauterine fetal death at a gestational age of 20 weeks or more, as confirmed by the absence of fetal heart activity on ultrasound. The study employed comprehensive gross and histopathological examinations alongside immunohistochemical techniques.
In this study, mothers in both groups had similar age profiles, with no statistically significant difference; the mean age was approximately 31 years in both cases. No significant correlation was found between the father’s occupation and the infant’s birth status. The study revealed a higher percentage of consanguinity, maternal smoking, and drug abuse in stillbirth cases, yet the differences didn’t show statistical significance. The health histories also showed no notable differences in terms of impact on liveborn versus stillborn outcomes, though past obstetrical and gynecological history showed more past miscarriages in the stillborn group, that constituted three times the incidence in liveborn group. The occurrence of endometriosis was exclusively in the stillbirth cases.