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[Perinatal mortality]

C de la Garza Quintanilla1, M V González Salinas

  • 1Hospital de Gineco Obstetricia de Garza García, N.L.

Ginecologia Y Obstetricia De Mexico
|May 1, 1995
PubMed
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Perinatal mortality rates were analyzed, revealing that placental failure and fetal immaturity were primary causes. Improved prenatal care and delivery monitoring can significantly reduce fetal deaths.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Public Health

Background:

  • Perinatal mortality presents a significant challenge in maternal and child health.
  • Understanding the specific causes and risk factors is crucial for developing effective interventions.
  • Previous reports indicate varying rates and causes of perinatal mortality.

Purpose of the Study:

  • To review and analyze cases of perinatal mortality at a specific hospital.
  • To identify the incidence, characteristics, and primary causes of perinatal deaths.
  • To evaluate the impact of prenatal care and delivery surveillance on fetal mortality.

Main Methods:

  • Retrospective review of 86 perinatal mortality cases.
  • Data collected from January 1992 to December 1993 at Hospital de Ginecoobstetricia, Garza García, N.L.
Keywords:
AmericasBiologyDemographic FactorsDeveloping CountriesFetal DeathInfant MortalityLatin AmericaMexicoMortalityNeonatal MortalityNorth AmericaPopulationPopulation DynamicsProspective StudiesResearch MethodologyResearch ReportRisk FactorsStudies

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  • Analysis of patient demographics, pregnancy characteristics, fetal weight, timing of death, and causes.

    • Main Results:

    • Perinatal mortality rate was 12.0 per 1,000 births.
    • Highest incidence observed in young mothers (20-29 years) and those with parity of 1-3.
    • Leading causes identified as placental failure (27.9%) and fetal immaturity (24.4%).
    • Fetal death predominantly occurred during the pre-partum period (55.8%).

    Conclusions:

    • Adequate prenatal care and vigilant delivery surveillance are essential for reducing fetal mortality.
    • Targeted interventions for young mothers and improved management of placental function may decrease perinatal deaths.
    • Further research into the specific mechanisms of placental failure and fetal immaturity is warranted.