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Perinatal mortality in Bahrain.

A M el-Shafei1, A K Sandhu, J K Dhaliwal

  • 1Salmaniya Medical Centre, State of Bahrain.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|November 1, 1988
PubMed
Summary

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Perinatal mortality in Bahrain was 19.6 per 1,000 births, with congenital malformations a major cause. Most deaths were deemed unavoidable, highlighting areas for maternity service improvement.

Area of Science:

  • Perinatal health
  • Public health surveillance
  • Obstetrics and Gynecology

Background:

  • Bahrain's Ministry of Health provides maternity services, handling approximately 10,000 deliveries annually.
  • Maternal care is offered through a main hospital with a neonatal intensive care unit and peripheral facilities.
  • Analysis of perinatal deaths is crucial for evaluating and enhancing maternity service efficiency.

Purpose of the Study:

  • To identify factors influencing perinatal mortality in Bahrain.
  • To provide data for improving perinatal care services.
  • To reduce the rate of perinatal deaths in the region.

Main Methods:

  • A retrospective review of 583 perinatal deaths was conducted.
  • Data were collected from Ministry of Health hospitals in Bahrain between 1985 and 1987.
Keywords:
Arab CountriesAsiaBahrainBiologyCauses Of DeathCesarean SectionCongenital AbnormalitiesConsanguinityDeliveryDemographic FactorsDeveloping CountriesDiseasesFertilityFertility MeasurementsFetal DeathFetal ViabilityFetusGeneticsHealthInfant MortalityMaternal HealthMortalityNeonatal Diseases And AbnormalitiesObstetrical SurgeryParityPopulationPopulation DynamicsPregnancyPregnancy OutcomesReproductionSurgeryTreatmentWestern Asia

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  • Causes of death, including congenital malformations and timing (antepartum, intrapartum, neonatal), were analyzed.

    • Main Results:

    • The perinatal mortality rate was 19.6 per 1,000 total births.
    • Lethal congenital malformations accounted for 24.9% of deaths.
    • Among normally formed infants, 42.2% died antepartum, 26.3% intrapartum, and 31.5% in the early neonatal period; 82.7% of deaths were considered unavoidable.

    Conclusions:

    • Congenital malformations are a significant contributor to perinatal mortality in Bahrain.
    • A high percentage of perinatal deaths were deemed unavoidable, suggesting potential system-level issues.
    • Further investigation and targeted interventions are needed to improve perinatal outcomes and reduce mortality rates.