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Perinatal mortality in South Australia.

L W Cox, J E McIntosh, A Seglenieks

    The Medical Journal of Australia
    |October 1, 1977
    PubMed
    Summary

    Perinatal mortality in South Australia (1970-1973) was 22.16 per 1,000 births, with higher rates in rural areas and for mothers under 20 or over 35. Key causes included prematurity and placental insufficiency.

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    Area of Science:

    • Obstetrics and Gynecology
    • Public Health
    • Epidemiology

    Background:

    • Perinatal mortality remains a significant public health concern globally.
    • Understanding regional and demographic variations in perinatal mortality is crucial for targeted interventions.
    • Accurate data collection and analysis are essential for identifying trends and causes.

    Purpose of the Study:

    • To analyze the recorded causes of perinatal mortality in South Australia between 1970 and 1973.
    • To identify demographic and geographic factors associated with higher perinatal mortality rates.
    • To determine the leading causes of perinatal death during the study period.

    Main Methods:

    • Retrospective analysis of recorded perinatal mortality data from South Australia.
    • Data collection covered the years 1970 to 1973.
    • Statistical review of mortality rates based on maternal residency, age, marital status, and identified causes.

    Main Results:

    • The overall perinatal mortality rate was 22.16 per 1,000 births.
    • Higher mortality rates were observed in babies born to mothers residing outside metropolitan areas.
    • Increased mortality was noted for mothers under 20 and over 35 years of age, and those not currently married.
    • The primary causes of perinatal mortality were prematurity, placental insufficiency, congenital anomalies, maternal disorders, and hemorrhage.
    • Multiple pregnancies exhibited a high perinatal mortality rate.

    Conclusions:

    • Perinatal mortality rates in South Australia during 1970-1973 were influenced by maternal age, residency, and marital status.
    • Prematurity and placental insufficiency were the leading contributors to perinatal deaths.
    • Improved recording systems and record linkage are recommended to enhance data accuracy and future studies.

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