Has Modern Perinatal Practice Caused the Fall in Perinatal Mortality? The Experience of a District Maternity Hospital

1983 ◽  
Vol 28 (3) ◽  
pp. 265-269 ◽  
Author(s):  
R. C. Shepherd ◽  
W. Ridley ◽  
Jean O. Struthers
Keyword(s):  
Mortality Rate ◽  
Perinatal Mortality ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Birth Rate ◽  
Unsolved Problem ◽  
Maternity Hospital ◽  
Premature Babies ◽  
Perinatal Mortality Rate

During the first 12 years of operation the perinatal mortality rate in Paisley Maternity Hospital fell steadily from 27 per 1,000 in 1970 to 10 per 1,000 in 1981. During this period the nulliparous birth rate remained constant, but the parous birth rate fell. Improved survival of premature babies, falling numbers of babies with neural tube defects and reduction in intrapartum asphyxia are identified as responsible for this fall. Unexplained intra-uterine death remains an unsolved problem.

scholarly journals Prevalence and perinatal mortality of cord prolapse and presentation

2016 ◽  
Vol 11 (3) ◽  
Author(s):  
Aqila Fazil ◽  
Fareed Zafar ◽  
Al Asifa ◽  
Noreen Akmal ◽  
Attiya Karim
Keyword(s):  
Mortality Rate ◽  
Perinatal Mortality ◽  
Study Design ◽  
Neonatal Death ◽  
Birth Rate ◽  
Still Birth ◽  
Live Births ◽  
Perinatal Mortality Rate ◽  
Still Births ◽  
Cord Prolapse

Aims and objectives; To analyse the prevalence and perinatal mortality in cord prolapse. Study design: All cases of cord prolapse managed in gynae unit 3 at Sir Ganga Ram Hospital were identified. Period: From 20 March 2004 to 20 March 2005. Results: 23 patients of cord prolapse and presentation were identified During this time 5408 births took place giving a prevalence of I in 235 total births which comes upto 0.42%. There were 6 cases of cord presentation (0.11%) and 17 cases of cord prolapse (0.31%).19 cases were born alive(82.6%). There were 4 still births giving a still birth rate of 17.4% or 174/1000 births with cord prolapse and presentation. One neonatal death occurred among 19 live born babies giving a rate of 5.21% or 52.1/1000 live births . The uncorrected perinatal mortality was 217/1000 births or 21.7% with cord prolapse and presentation. Conclusion: : Cord prolapse and presentation occur with prevalence of 0.43% The perinatal mortality rate in this series was 21.7% of births with cord prolapse and presentation.

Perinatal mortality: epidemiological profile, causes and avoidable factors at a reference public maternity hospital in the State of Santa Catarina, Brazil, 2011–2015

2020 ◽  
Vol 48 (2) ◽  
pp. 162-167
Author(s):  
Carla Beatriz Pimentel Cesar Hoffmann ◽  
Lidiane Ferreira Schultz ◽  
Carla Gisele Vaichulonis ◽  
Iramar Baptistella do Nascimento ◽  
Caroline Gadotti João ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Perinatal Mortality ◽  
Perinatal Death ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Perinatal Mortality Rate ◽  
Avoidable Death ◽  
International Statistical Classification ◽  
Epidemiological Profile

AbstractBackgroundThis study aimed to identify the perinatal mortality coefficient, the epidemiological profile, causes and avoidable factors at a reference public maternity hospital in southern Brazil.MethodsIn this cross-sectional study, 334 medical records of postpartum women and newborns were evaluated between January 1st, 2011 and December 31st, 2015. The Expanded Wigglesworth Classification was used to assess the causes of perinatal mortality and the International Statistical Classification of Diseases and Related Health Problems (ICD-10/SEADE Foundation) was used for the preventable perinatal mortality analysis. Absolute numbers and percentages were used for data analysis. The perinatal mortality formula was used to calculate the perinatal mortality rate.ResultsThe perinatal mortality rate was 13.2/1000 total births, with a predominance of white race/color; mothers were 21–30 years of age, had experienced their first pregnancy and had completed their high school education.ConclusionThe main factors associated with perinatal death were antepartum fetal death in 182 (54.49%) cases, and avoidable death through appropriate prenatal care in 234 (70.05%) cases.

USE OF REFINED PERINATAL MORTALITY RATE TRENDS TO EVALUATE THE EFFECT OF A CONFIDENTIAL INQUIRY

The Lancet ◽  
1985 ◽  
Vol 326 (8448) ◽  
pp. 197-199 ◽  
Author(s):  
Joyce Thomas ◽  
Joan Edwards ◽  
Peter Bowen-Simpkins ◽  
DewiR. Evans ◽  
StuartP. Jenkins ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Perinatal Mortality ◽  
Perinatal Mortality Rate

Risk factors for perinatal mortality: a case control study from Thiruvananthapuram, Kerala, India

2017 ◽  
Vol 6 (6) ◽  
pp. 2452 ◽  
Author(s):  
Mayadevi Brahmanandan ◽  
Lekshmi Murukesan ◽  
Bindu Nambisan ◽  
Shaila Salmabeevi
Keyword(s):  
Risk Factors ◽  
Mortality Rate ◽  
Perinatal Mortality ◽  
Case Control Study ◽  
Gestational Hypertension ◽  
Significant Risk ◽  
Case Control ◽  
Maternal Risk ◽  
Perinatal Mortality Rate ◽  
Control Study

Background: The greatest risks to life are in its very beginning. Although a good start in life begins well before birth, it is just before, during, and in the very first hours and days after birth that life is most at risk. This prospective case control study was designed on maternal risk factors for perinatal mortality.Methods: This was a case control study conducted in the Department of Obstetrics and Gynecology and Department of Paediatrics, Medical College Trivandrum for one year period in 2004-2005. The cases were all the fresh and macerated still births and early neonatal death cases during the study period. The controls were chosen as the next delivery entry in the OR register.Results: During this period, the total number of deliveries was 14,796 and there were 431 perinatal deaths. The perinatal mortality rate was 29.12. This was much higher compared to Kerala’s perinatal mortality rate of 10, the reason being that the study is conducted in a tertiary referral hospital with one of the best new born care nurseries and a large number of referrals. The most significant risk factors for perinatal mortality were low socio-economic status, referrals, late registration, prematurity, low birth weight, intra-uterine growth restriction, maternal diseases like gestational hypertension and gestational diabetes and intrapartum complications like abruption.Conclusions: Perinatal mortality rate serves as the most sensitive index of maternal and neonatal care. Good antenatal care and prevention of preterm birth may play a key role in further reduction of PMR.

scholarly journals Perinatal Mortality Analysis in Espírito Santo, Brazil, 2008 to 2017

2021 ◽  
Vol 18 (21) ◽  
pp. 11671
Author(s):  
Italla Maria Pinheiro Bezerra ◽  
José Lucas Souza Ramos ◽  
Micael Colodetti Pianissola ◽  
Fernando Adami ◽  
João Batista Francalino da Rocha ◽  
...  
Keyword(s):  
Time Series ◽  
Information System ◽  
Mortality Rate ◽  
Perinatal Mortality ◽  
Birth Asphyxia ◽  
Strong Positive Correlation ◽  
Significance Level ◽  
Espírito Santo ◽  
Perinatal Mortality Rate ◽  
Espirito Santo

This is an ecological and time-series study using secondary data on perinatal mortality and its components from 2008 to 2017 in Espírito Santo, Brazil. The data were collected from the Mortality Information System (SIM) and Live Births Information System (SINASC) of the Unified Health System Informatics Department (DATASUS) in June 2019. The perinatal mortality rate (×1000 total births) was calculated. Time series were constructed from the perinatal mortality rate for the regions and Espírito Santo. To analyze the trend, the Prais–Winsten model was used. From 2008 to 2017 there were 8132 perinatal deaths (4939 fetal and 3193 early neonatal) out of a total of 542,802 births, a perinatal mortality rate of 15.0/1000 total births. The fetal/early neonatal ratio was 1.5:1, with a strong positive correlation early neonatal mortality rate, perinatal mortality rate, r (9) = 0.8893, with a significance level of p = 0.000574. The presence of differences in trends by health region was observed. Risk factors that stood out were as follows: mother’s age ranging between 10 and 19 or 40 and 49 years old, with no education, a gestational age between 22 and 36 weeks, triple and double pregnancy, and a birth weight below 2499 g. Among the causes of death, 49.70% of deaths were concentrated in category of the tenth edition of the International Classification of Diseases, fetuses and newborns affected by maternal factors and complications of pregnancy, labor, and delivery (P00–P04), and 11.03% were in the category of intrauterine hypoxia and birth asphyxia (P20–P21), both related to proper care during pregnancy and childbirth. We observed a slow reduction in the perinatal mortality rate in the state of Espírito Santo from 2008 to 2017.

scholarly journals Analysis of The Fairness of Child Health Services In China 2010-2019

2021 ◽  
Author(s):  
Ji Wu ◽  
Hao-Nan Jin ◽  
Yi-Lei Lao ◽  
Xian-Guo Qu
Keyword(s):  
Mortality Rate ◽  
Child Health ◽  
Health Service ◽  
Health Services ◽  
Perinatal Mortality ◽  
Child Health Services ◽  
Child Health Service ◽  
Care Services ◽  
Perinatal Mortality Rate ◽  
Service Projects

Abstract Background: The imbalance of child health services caused by the huge income gap between urban and rural residents and uncoordinated regional development has become increasingly prominent. This article analyzes the basic situation and equity of child care services in China from 2010 to 2019.Methods: Evaluate the equity of child health services by concentration index.Results: From 2010 to 2019, neonatal visit rate and system management rate of under-three children in Chinese child health service projects showed an upward trend, and the perinatal mortality rate decreased. The perinatal mortality rate is the highest in the western region, and the level of child health services in the central region is lower than the national average, but the gap between regions has gradually decreased. Child health services concentrate in provinces with high economic levels, and the perinatal mortality rate is the most unfair. Conclusion: The decline in the mortality rate of under-five children is related to the improvement in the child health services. We should improve the health services of perinatal infants and pay attention to the health of children aged 1 to 4 years. The fairness of child health service is affected by the two-child policy. We should rationally allocate resources and strengthen support for the central and western regions.

scholarly journals FREQUENCY AND CAUSES OF PERINATAL MORTALITY IN A TERTIARY CARE HOSPITAL IN PESHAWAR, PAKISTAN

2018 ◽  
Vol 16 (1) ◽  
pp. 15-19
Author(s):  
Maimoona Qadir ◽  
Sohail Amir ◽  
Samina Jadoon ◽  
Muhammad Marwat
Keyword(s):  
Mortality Rate ◽  
Perinatal Mortality ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Age Groups ◽  
Mortality Data ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical Disorders ◽  
Perinatal Mortality Rate

Background: Perinatal mortality rate indicates quality of care provided during pregnancy and delivery to the mother and to the neonate in its early neonatal period. The objective of this study was to determine the frequency and causes of perinatal mortality in a tertiary care hospital in Peshawar, Pakistan. Materials & Methods: This cross-sectional study was conducted at Department of Gynaecology & Obstetrics, Khyber Teaching Hospital, Peshawar, Pakistan from 1st January 2016 to 31st December 2016. The inclusion criteria was all singleton gestation with gestational age of at least 24 weeks presenting with perinatal mortality. Data was collected for the following variables; age groups (up to 20 years, 21-30 years, 31-40 years and > 40 years), booking status (yes/ no), period of gestation (24-31+6, 32-36+6, 37-39+6 and > 40 weeks), Foetal weight ( 3.5 kg) and cause of perinatal mortality. Results: Out of 4508 deliveries there were 288 perinatal deaths, including 228 stillbirths and 60 neonatal deaths, so perinatal mortality rate was 63.8/1000 births. 90.28% women were unbooked. Most common cause was hypertensive disorders of pregnancy (27.78%) followed by antepartum haemorrhage (25.71%) and then mechanical causes (13.88%). Congenital anomalies comprised 11.8% cases, neonatal problems 10.07% and maternal medical disorders for 4.16% cases. Cause of 4.16% cases remained unexplained. Conclusion: Appropriate strategies like control of identifiable causes, proper antenatal and postnatal care, healthy delivery practices and availability of emergency neonatal care facilities can bring down perinatal mortality rates.

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