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Related Concept Videos

Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...

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Related Experiment Video

Updated: May 31, 2026

A Piglet Perinatal Asphyxia Model to Study Cardiac Injury and Hemodynamics after Cardiac Arrest, Resuscitation, and the Return of Spontaneous Circulation
10:55

A Piglet Perinatal Asphyxia Model to Study Cardiac Injury and Hemodynamics after Cardiac Arrest, Resuscitation, and the Return of Spontaneous Circulation

Published on: January 13, 2023

Perinatal mortality audit.

S Shrestha1, A Sharma, S Upadhyay

  • 1Department of Pediatrics, Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal. sabinajoshi1234@hotmail.com

Nepal Medical College Journal : NMCJ
|July 13, 2011
PubMed
Summary
This summary is machine-generated.

Perinatal mortality, a key indicator of healthcare quality, remains high due to factors like low birth weight and preterm birth. Improving neonatal care and antenatal checkups is crucial for reducing these preventable deaths.

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Transcutaneous Microcirculatory Imaging in Preterm Neonates
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Published on: December 31, 2015

Area of Science:

  • Obstetrics and Gynecology
  • Neonatalogy
  • Public Health

Background:

  • Perinatal mortality rate serves as a critical indicator of maternal and neonatal healthcare quality.
  • Regular perinatal audits are essential for identifying factors contributing to perinatal deaths and implementing targeted interventions.
  • Previous studies indicate varying rates of perinatal mortality, necessitating ongoing research and quality improvement initiatives.

Purpose of the Study:

  • To analyze perinatal mortality indices in a tertiary care hospital in Nepal.
  • To identify common causes and risk factors associated with perinatal deaths.
  • To provide recommendations for reducing avoidable perinatal mortality.

Main Methods:

  • A retrospective study design was employed, analyzing data from 816 births over a one-year period (April 2007-March 2008).
  • Perinatal indices, including stillbirths and early neonatal deaths, were collected and analyzed.
  • Causes of death were categorized using Wigglesworth's classification, and risk factors such as birth weight and gestational age were examined.

Main Results:

  • The overall perinatal mortality rate was 26.9 per 1000 births.
  • Common causes included breech presentation with a stuck head and respiratory distress syndrome in preterm infants.
  • Low birth weight (<2500g) and preterm birth (<37 weeks gestation) were significant risk factors, accounting for 76.5% of perinatal deaths and 82% of early neonatal deaths.

Conclusions:

  • While the perinatal mortality rate is comparable to other studies, significant proportions of deaths are linked to low birth weight and preterm births.
  • There is a critical need to enhance neonatal care services and promote regular antenatal checkups to reduce preventable perinatal and neonatal mortality.
  • Targeted interventions focusing on high-risk pregnancies and improved neonatal support are essential for improving outcomes.