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Risk factors for perinatal deaths in Pakistan

Fouzia Perveen1, Subhana Tayyab, Bader Faiyaz Zuberi

  • 1Dow University of Health Sciences, Karachi, Pakistan. perveen89rzw@yahoo.com

The Journal of Obstetrics and Gynaecology Research
|May 14, 2011
PubMed

Insights

Risk factors for perinatal deaths in Pakistan, including low birthweight and abruptio placentae, were identified. Improved prenatal and intranatal care are crucial to reduce high perinatal mortality rates.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Public Health

Background:

  • Pakistan faces a high perinatal mortality rate, necessitating identification of associated risk factors.
  • Understanding these factors is crucial for developing targeted interventions and improving maternal and infant outcomes.

Purpose of the Study:

  • To identify significant risk factors contributing to perinatal deaths in Pakistan.
  • To analyze the association between demographic, obstetric, and fetal factors and perinatal mortality.

Main Methods:

  • A prospective cohort study was conducted in Karachi, Pakistan, enrolling 1103 deliveries.
  • Data collected included demographic information, birthweight, booking status, obstetric risk factors, and causes of death.
  • Univariate logistic regression analyzed the impact of various factors on perinatal death.

Main Results:

  • 119 perinatal deaths occurred, with stillbirths comprising 68.9% and early neonatal deaths 31.1%.
  • Significant risk factors included booking status, gestational age, fetal weight, and obstetric complications like abruptio placentae (13.4%).
  • Birth asphyxia was the leading cause of death (44.5%), with a strong association between birthweight and perinatal death.

Conclusions:

  • The study highlights poor health status, inadequate prenatal/intranatal care, and service deficiencies as contributors to high perinatal death rates.
  • Improving the quality of care, identifying high-risk cases, and ensuring proper management are essential to achieve Millennium Development Goals-4.
Abstract

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