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Towards improved perinatal care--perinatal audit

A Biswas1, S Chew, R Joseph

  • 1Department of Obstetrics & Gynaecology, National University of Singapore.

Annals of the Academy of Medicine, Singapore
|March 1, 1995
PubMed
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Perinatal audit revealed a significant decline in perinatal mortality rate (PNMR) from 14.6/1000 to 8.9/1000, with improvements attributed to better antenatal care and neonatal support.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Medicine
  • Public Health

Background:

  • Perinatal audit is crucial for assessing and improving the quality of maternal and infant healthcare.
  • Understanding perinatal mortality trends informs resource allocation for better outcomes.

Purpose of the Study:

  • To analyze perinatal mortality data from 1986-1992 and compare it with 1982 data.
  • To identify key causes of perinatal mortality and assess potential areas for care improvement.

Main Methods:

  • Retrospective analysis of perinatal mortality data at National University Hospital.
  • Comparison of mortality rates between different time periods and ethnic groups.
  • Categorization of mortality causes, including lethal congenital malformations, prematurity, and asphyxia.

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Main Results:

  • Perinatal mortality rate (PNMR) decreased from 14.6/1000 in 1982 to 8.9/1000 (1986-1992).
  • Excluding lethal congenital malformations, PNMR dropped to 5.7/1000.
  • Major causes of death were lethal congenital malformations (35.7%), prematurity complications (17.9%), and asphyxia (15.3%).
  • Care improvement was possible in approximately one-third of cases.

Conclusions:

  • Improved antenatal care, fetal surveillance, and neonatal care contributed to reduced PNMR.
  • Lethal congenital malformations remain a significant factor in perinatal mortality.
  • Further reduction in perinatal mortality is achievable through enhanced quality of care.