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Perinatal mortality in rural Punjab--a population-based study
1Department of Community Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Journal of Tropical Pediatrics
|March 24, 2000
Summary
Prematurity and short birth intervals significantly increase perinatal mortality in rural Punjab. Interventions targeting these factors are crucial for reducing infant deaths.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Epidemiology
Background:
- Perinatal mortality remains a significant public health challenge in rural settings.
- Understanding risk factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To identify and analyze factors contributing to perinatal mortality in rural Punjab.
- To quantify the risk associated with various maternal and infant characteristics.
Main Methods:
- Population-based case-control study design.
- Analysis of 91 perinatal deaths among 2424 registered pregnancies (1991-1996).
- Univariate and multiple logistic regression analyses to determine significant risk factors.
Main Results:
- Univariate analysis identified maternal weight, height, BMI, illiteracy, birth-conception interval, prematurity, late registration, and home delivery as significant risk factors.
- Multiple logistic regression indicated prematurity and short birth intervals as the most significant predictors.
- Prematurity accounted for the highest population attributable risk (35.16%).
Conclusions:
- Prematurity and short birth intervals are key modifiable risk factors for perinatal mortality in this population.
- Targeted interventions focusing on prematurity prevention and optimizing birth spacing are essential.