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Perinatal & neonatal mortality in a hospital
M Singh1, A K Deorari, R C Khajuria
1Department of Paediatrics, All India Institute of Medical Sciences, New Delhi.
The Indian Journal of Medical Research
|February 1, 1991
Summary
Perinatal and neonatal mortality rates were assessed in 7109 births. Key causes included hypoxia, immaturity, and congenital malformations, highlighting the need for improved antenatal and neonatal care strategies.
Area of Science:
- Obstetrics and Gynecology
- Neonatology
- Public Health
Background:
- Perinatal and neonatal mortality remain significant global health challenges.
- Understanding the leading causes of death is crucial for developing effective interventions.
Purpose of the Study:
- To assess perinatal and neonatal mortality rates and identify primary causes.
- To evaluate the impact of low birth weight and prematurity on infant survival.
Main Methods:
- A retrospective study of 7109 consecutive births over four years.
- Analysis of perinatal and neonatal mortality data, including causes of death.
- Calculation of perinatal mortality rate (PNMR) and neonatal mortality rate.
Main Results:
- The extended PNMR was 57 and conventional PNMR was 41 per 1000 total births.
- Leading causes of perinatal death were hypoxia (28.7%), immaturity (24.8%), and congenital malformations (14.6%).
- Neonatal mortality rate was 31 per 1000 live births, with 90% occurring in low birth weight (LBW) neonates.
Conclusions:
- Immaturity, birth asphyxia, infections, and congenital malformations are major contributors to perinatal and neonatal deaths.
- Reducing prematurity and LBW incidence is essential.
- Comprehensive antenatal care and optimal neonatal management can decrease mortality and improve survivor outcomes.