Documentation and Reporting of Perinatal Deaths in Two Districts of Karnataka, India: A Situational Analysis

H N Harsha Kumar1, Shantaram Baliga2, Pralhad Kushtagi3

  • 1Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education (MAHE), Karnataka, India. Correspondence to: Dr HN Harsha Kumar, Former Associate Professor, Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education (MAHE), 575 001, Karnataka, India. drhnhk@rediffmail.com.

Indian Pediatrics
|June 14, 2020
PubMed

Insights

Perinatal mortality in Karnataka is high, similar to infant mortality. This study identified poor documentation and staff apprehension as key barriers to implementing perinatal death audits in two districts.

Area of Science:

  • Public Health
  • Maternal and Child Health

Background:

  • Perinatal mortality rates in Karnataka are comparable to infant mortality rates.
  • Addressing perinatal mortality is a critical public health concern.

Purpose of the Study:

  • To investigate challenges in establishing a perinatal death audit system in two districts of Karnataka.
  • To assess current documentation, reporting, and audit practices in healthcare facilities.

Main Methods:

  • A preliminary study was conducted in 94 hospitals across Dakshina Kannada and Koppal Districts.
  • Data collection focused on documentation systems, healthcare personnel roles, and existing audit procedures.

Main Results:

  • Documentation and reporting systems were found to be poor in Koppal District and inadequate in Dakshina Kannada District.
  • Healthcare personnel expressed apprehension regarding the implementation of a perinatal death audit.

Conclusions:

  • Significant challenges, including inadequate documentation and staff concerns, must be resolved before initiating a perinatal death audit.
  • Systemic improvements are necessary to effectively implement perinatal death audits and reduce perinatal mortality.
Abstract

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