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Perinatal mortality--a hospital based study

M Pradeep1, L Rajam, P Sudevan

  • 1Department of Pediatrics, Medical College, Kottayam, Kerala.

Indian Pediatrics
|October 1, 1995
PubMed
Summary
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This study analyzed 5082 deliveries, finding that low birth weight and preterm babies accounted for over 85% of perinatal deaths. Key causes included perinatal hypoxia, infections, and congenital anomalies.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatalogy
  • Public Health

Background:

  • Perinatal mortality remains a significant global health challenge.
  • Understanding the causes of perinatal mortality is crucial for developing effective interventions.

Purpose of the Study:

  • To determine the perinatal mortality rate (PMR) and identify the primary causes of perinatal deaths.
  • To analyze the contribution of low birth weight and preterm birth to perinatal mortality.

Main Methods:

  • Retrospective analysis of 5082 consecutive deliveries from August 1992 to July 1993.
  • Inclusion of autopsy findings for 72% of perinatal deaths.
  • Categorization of deaths into late fetal deaths (LFD) and early neonatal deaths (END).

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Main Results:

  • The overall PMR was 38.5 per 1000 total births.
  • Over 85% of perinatal deaths occurred in low birth weight and preterm infants.
  • Leading causes of LFD were perinatal hypoxia and congenital anomalies; END causes included perinatal hypoxia, infections, congenital anomalies, and hyaline membrane disease (HMD).

Conclusions:

  • Low birth weight and preterm birth are major risk factors for perinatal mortality.
  • Addressing perinatal hypoxia, infections, and congenital anomalies is critical for reducing perinatal deaths.
  • Improving neonatal care for preterm and low birth weight infants is essential.