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Related Experiment Videos

Perinatal mortality: a hospital based study

C Kameswaran1, B D Bhatia, B V Bhat

  • 1Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry.

Indian Pediatrics
|August 1, 1993
PubMed
Summary
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Perinatal mortality rates were higher for preterm and unbooked deliveries. Improvements in early neonatal death rates, not stillbirth rates, reduced overall perinatal mortality, highlighting a need for better maternal care.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatology
  • Public Health

Background:

  • Perinatal mortality remains a significant global health challenge.
  • Understanding factors influencing perinatal, stillbirth, and early neonatal death rates is crucial for improving maternal and child health outcomes.
  • Historical data indicates trends in mortality rates that necessitate ongoing evaluation of healthcare interventions.

Purpose of the Study:

  • To analyze perinatal mortality rates (PNMR), stillbirth rates (SBR), and early neonatal death rates (ENDR) in a large cohort of deliveries.
  • To identify key risk factors associated with perinatal mortality, including prematurity, birth weight, and booking status.
  • To compare current mortality rates with historical data and assess the impact of healthcare services.

Main Methods:

Related Experiment Videos

  • Retrospective analysis of 3,702 deliveries between January and December 1990.
  • Calculation and comparison of PNMR, SBR, and ENDR based on gestational age, birth weight, and booking status.
  • Comparative analysis with data from a decade prior to assess trends.

Main Results:

  • Overall PNMR was 57/1000, SBR was 35.1/1000, and ENDR was 22.7/1000.
  • Preterm infants and unbooked deliveries exhibited significantly higher PNMR, SBR, and ENDR compared to term infants and booked deliveries, respectively.
  • Mortality decreased with increasing birth weight in both preterm and term infants.
  • A reduction in PNMR was primarily attributed to a decrease in ENDR, while SBR remained unchanged, suggesting MCH (Maternal and Child Health) program deficiencies.
  • Approximately 92% of ENDR occurred within the first 72 hours of life.

Conclusions:

  • Prematurity, low birth weight, and lack of antenatal booking are critical risk factors for perinatal mortality.
  • The stagnation of SBR despite a fall in PNMR indicates a failure in existing Maternal and Child Health services.
  • Strengthening intensive care facilities and ensuring timely referral of high-risk mothers are essential to reduce early neonatal deaths.