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Perinatal mortality in urban slums in Lucknow
R K Kapoor1, A K Srivastava, P K Misra
1Department of Pediatrics, King Georges Medical College, Lucknow.
Objectives:
To determine the perinatal mortality rate (PNMR) in the urban slums of Lucknow
Design:
Cross-sectional survey.
Setting:
Twenty five Anganwadi centres of urban Lucknow, with a population of 25,901.
Methods:
Data was collected on birth and early neonatal deaths, gestational age of the neonate (determined at birth) and maternal variables like socio-economic status, maternal age, parity, and bad obstetrical history from January 1992 to March 1993.
Results:
There were 966 births with a still-birth rate of 37.2 and PNMR of 59.0 per 1000. The relative risk of perinatal mortality with lower socio-economic status was 1.87, bad obstetrical history 2.18, and gestational age < 37 weeks 1.95.
Conclusions:
Further reduction in PNMR may be possible with focussed medical services to women of low socio-economic status having bad obstetrical history and those delivering before term.