Gambaran kematian perinatal di RSUP Prof. Dr. R. D. Kandou Manado tahun 2015

Abstract: Perinatal Mortality rate is an indicator to measure the level of health development level of a country and the quality of life from its society. Perinatal death occurred more than 5 million cases per year. This study aims to determine the enormity of stillbirth number, early neonatal death and causes of perinatal death in RSUP Prof. DR. R. D. Kandou Manado in 2015. The research design used is a retrospective descriptive study with cross sectional approach. The research sample is all mothers do labor and childbirth with perinatal mortality in RSUP Prof. DR. R. D. Kandou Manado in 2015. There are 1,649 live births in 2015 with case deaths perinatal period 85, 23 genesis differences case consists of stillbirth and early neonatal death of genesis 62. Conclusion. The percentage of stillbirth is 27.1%, early neonatal Mortality is 72.9% with often fence is sepsis in RSUP Prof. DR. R. D. Kandou Manado in 2015. Keywords: perinatal mortality, stillbirth, early neonatal death, perinatal mortality rate. Abstrak: Angka kematian perinatal merupakan indikator dalam menilai tingkat pembangunan kesehatan dari suatu negara serta kualitas hidup dari masyarakatnya. Kematian perinatal terjadi lebih dari 5 juta kasus per tahun. Tujuan dari penelitian ini untuk mengetahui besarnya angka lahir mati, kematian neonatal dini dan penyebab kematian perinatal di RSUP Prof. DR. R. D. Kandou Manado tahun 2015. Desain penelitian yang digunakan adalah penelitian deskriptif retrospektif dengan pendekatan potong lintang. Sampel penelitian ini adalah seluruh ibu yang melakukan persalinan dan melahirkan dengan kematian perinatal di RSUP Prof. DR. R. D. Kandou Manado tahun 2015. Terdapat 1649 kelahiran hidup pada tahun 2015 dengan jumlah kasus kematian perinatal sebanyak 85 kasus terdiri atas 23 kejadian lahir mati dan 62 kejadian kematian neonatal dini. Simpulan. Persentase kejadian lahir mati sebesar 27,1%, kematian neonatal dini sebesar 72,9% dengan penyebab kematian paling sering adalah sepsis di RSUP Prof. DR. R. D. Kandou Manado tahun 2015.Kata kunci: kematian perinatal, lahir mati, kematian neonatal dini, angka kematian perinatal.

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Status of Perinatal Mortality in Karnali Academy of Health Sciences, Jumla Nepal

Journal of Karnali Academy of Health Sciences ◽

10.3126/jkahs.v2i2.25178 ◽

2019 ◽

Vol 2 (2) ◽

pp. 120-125

Author(s):

Namrata Sindan ◽

Sandeep Shrestha ◽

Bishnu Dutta Acharya ◽

Purnima Rai ◽

Nirajana Kayastha ◽

...

Keyword(s):

Mortality Rate ◽

Perinatal Mortality ◽

Neonatal Sepsis ◽

Neonatal Death ◽

Perinatal Death ◽

Birth Asphyxia ◽

Health Sciences ◽

Early Neonatal Death ◽

Perinatal Mortality Rate

Introduction: Perinatal mortality rate is sensitive indicator of quality of obstetric and pediatric health services. It also helps us to evaluate efficiency of health care provided by a particular hospital. The aim of this study was to evaluate the cause of perinatal death in a tertiary care medical centre, which may help to reduce the incidence of perinatal death and improve the quality of care. Methods: The two-year retrospective study of perinatal deaths was done at Karnali Academy of Health Sciences (KAHS), Jumla from March 2017 to April 2019. Data was collected from monthly perinatal audit and annual mortality reviews. Registers in the maternity ward, sick Neonate Care Unit, and files of dead newborns kept in the record section of the hospital were studied and reviewed. Results: A total of 1354 deliveries were conducted in the 24 months period at KAHS with perinatal mortality rate of 36.08 per 1000 total birth and early neonatal death rate of 12.8 per 1000 live birth. The Perinatal mortality was higher in low birth weight and premature baby. The cause of stillbirth and early Neonatal death were identified. Most of the early neonatal death was due to Prematurity (41.17%) followed by Birth Asphyxia and Neonatal Sepsis. Conclusion: Prematurity and its related complication were the most common cause of early neonatal death followed by birth Asphyxia and Neonatal Sepsis. There is need to improve antenatal, early identification of high-risk pregnancy as well as Neonatal Intensive Care Unit (NICU) to further reduce deaths due to prematurity and birth asphyxia.

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

Journal of Perinatal Medicine ◽

10.1515/jpm-2018-0353 ◽

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.

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

Gomal Journal of Medical Sciences ◽

10.46903/gjms/16.01.1637 ◽

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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Early neonatal mortality rate and the risk factors in Wangaya hospital

Paediatrica Indonesiana ◽

10.14238/pi48.5.2008.306-11 ◽

2016 ◽

Vol 48 (5) ◽

pp. 306

Author(s):

Made Lndah Nastiti Utami Budha ◽

Wayan Retayasa ◽

Made Kardana

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Mortality Rate ◽

Neonatal Mortality ◽

Gestational Age ◽

Neonatal Death ◽

Early Neonatal Death ◽

Neonatal Mortality Rate ◽

Early Neonatal Mortality ◽

Early Neonatal Mortality Rate

Background The first week of life of a neonate is a critical period.In Asia, early neonatal mortality rate remains high.Objective To investigate early neonatal mortality rate and the riskfactors in Wangaya Hospital.Methods A cross sectional study was carried out retrospectivelyon neonates registered at Perinatology Unit, Wangaya HospitalDenpasar, Bali since January 2006. The study was done fromOctober to November 2007. Data was obtained from medicalrecord, analyzed as univariate using chi-square test or Fisher'sexact test and multivariate logistic regression analysis model.Results Early neonatal mortality rate in Wangaya Hospital was 38.7per 1000 livebirths. Univariate analyses showed that there werefive significant risk factors of early neonatal death, i.e., respiratorydistress, asphyxia, birth weight less than 2500 grams, sepsis, andgestational age less than 3 7 weeks. Multivariate analysis showedthat those five variables were significant as risk factors of earlyneonatal death i.e., OR (95% confidence interval) for respiratorydistress: 16.8 (3.7 to 76.6)], asphyxia: 13.5 (6.1 to 29.9)], birthweight <2500 grams: 8.1 (3.3 to 19.9)], sepsis: 7.3 (3.1 to 17.1),and gestational age <37 weeks: 3.5 (1.6 to 7.8)].Conclusions Early neonatal mortality rate in Wangaya Hospitalremains high. Respiratory distress, asphyxia, birth weight <2500gram, sepsis, and gestational age <37 weeks were independent riskfactors of early neonatal death.

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KEMATIAN PERINATAL DI BLU RSU PROF. DR. R. D. KANDOU MANADO

Jurnal e-Biomedik ◽

10.35790/ebm.1.1.2013.4585 ◽

2013 ◽

Vol 1 (1) ◽

Author(s):

Mercy Tumundo ◽

Hermie Tendean ◽

Eddy Suparman

Keyword(s):

Mortality Rate ◽

Perinatal Mortality ◽

Perinatal Death ◽

Developed Countries ◽

Perinatal Deaths ◽

Neonatal Deaths ◽

Normal Birth ◽

Perinatal Mortality Rate ◽

Still Births ◽

Early Neonatal Deaths

Abstract: Perinatal death is a big problem especially in a developing country. Some of the hospitals in Indonesia have declared that the number of perinatal death in developing countries is higher than in developed countries. The purpose of this research is to determine the incidence of the factors that affecting perinatal mortality at Prof. DR. R. D. Kandou General Hospital Manado. This research used retrospective descriptive method through medical records of perinatal deaths patients. There were 164 cases of perinatal deaths found where 109 cases still births and 55 cases were early neonatal deaths in 2011, so the number of perinatal mortality rate was 40.17 per mil. The highest number of perinatal death was from multigravide mother, mother with age ≥ 35 years old, spontaneous parturition. There were unknown caused of still births cases (77,06%) and sepsis in early neonatal deaths. The normal birth weight is also with most include of perinatal deaths. Keywords: still birth, early neonatal death, perinatal deaths, perinatal mortality rate. Abstrak: Kematian perinatal merupakan masalah besar khususnya di negara sedang berkembang. Beberapa rumah sakit pendidikan di Indonesia melaporkan angka kematian perinatal yang tinggi dibandingkan dengan laporan angka kematian perinatal di negara – negara maju yang jumlahnya rendah. Tujuan penelitian untuk mengetahui angka kejadian kematian perinatal serta faktor – faktor yang mempengaruhinya. Penelitian ini menggunakan metode deskriptif retrospektif dengan menggunakan data catatan medik pasien. Hasil penelitian yaitu jumlah kematian perinatal pada tahun 2011 sebanyak 164 kasus dengan 109 kasus lahir mati dan 55 kasus kematian neonatal dini sehingga angka kematian perinatal pada tahun 2011 yaitu 40.17 per mil. Kematian perinatal paling banyak pada ibu multigravida, ibu dengan kelompok usia ≥ 35 tahun, menggunakan jenis persalinan spontan. Pada lahir mati 77.06 % penyebab kematiannya tidak diketahui sedangkan sepsis paling banyak menyebabkan kematian neonatal dini. Berat badan lahir normal juga menjadi salah satu faktor terjadinya kematian perinatal. Kata kunci: lahir mati, kematian neonatal dini, kematian perinatal, angka kematian perinatal.

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Study of cases with perinatal mortality

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20191515 ◽

2019 ◽

Vol 8 (5) ◽

pp. 1719

Author(s):

Nidhi Pancholi

Keyword(s):

Mortality Rate ◽

Antenatal Care ◽

Perinatal Mortality ◽

Perinatal Loss ◽

Pediatric Care ◽

Entire Family ◽

Important Indicator ◽

Perinatal Deaths ◽

Perinatal Mortality Rate

Background: Perinatal loss is one of the most traumatic life events. It is indeed a great psychological and emotional shock to not only the mother and father but the entire family and society as a whole. The perinatal mortality rate (PMR) is an important indicator of the quality of obstetric care during pregnancy. Perinatal deaths result largely from obstetric complications that can be prevented with proper antenatal care and quality neonatal services. The study was aims to study the factors related with perinatal loss and its prevention in future pregnancy.Methods: It was a prospective analytical study. All patients with IUFD, stillbirths and early neonatal loss were studied. Postpartum both mother and father were counselled. Detailed history and thorough physical examination were conducted. Data was recorded and tabulated, observation made and compared with results of various studies.Results: The results showed that the incidence of IUFD was 3.7% and early neonatal death was 10.8% per total admissions. The perinatal mortality rate was 63.62 per 1000 live births. Perinatal mortality rate was inversely related to the number of antenatal visits taken by the patient. Lack of antenatal care results in perinatal deaths probably due to failure of early identification and management of maternal problems that impact negatively on perinatal outcome. Even in advanced economies with sophisticated diagnostic and monitoring equipment, lack of antenatal care categorizes a pregnant woman as a high-risk pregnancy.Conclusions: There is a need for awareness regarding importance of antenatal care and institutional delivery. Perinatal mortality is an important indicator of maternal care, health and nutrition. It also reflects the quality of Obstetric and Pediatric care available. Every effort must be made to reduce perinatal mortality.

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Perinatal outcomes in pregnant patients presenting with antepartum hemorrhage: Our experiences at a teaching hospital in Central Punjab.

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.10.3152 ◽

2019 ◽

Vol 26 (10) ◽

pp. 1645-1650

Author(s):

Rabia Mushtaq ◽

Afroza Abbas ◽

Waqas Ahmed

Keyword(s):

Mortality Rate ◽

Perinatal Mortality ◽

Low Birthweight ◽

Placenta Previa ◽

Mode Of Delivery ◽

Perinatal Outcomes ◽

Cross Sectional Study ◽

Adverse Outcomes ◽

Cross Sectional ◽

Perinatal Mortality Rate

Objectives: Antepartum Hemorrhage is bleeding from or into the genital tract from the period of viability of fetus (28 weeks) till the end of second stage of labor. Antepartum hemorrhage is associated with a very high perinatal mortality rate. We present our experience of perinatal outcomes in cases of antepartum hemorrhage with the aim of highlighting the cause of antepartum hemorrhage and the adverse outcomes. Study Design: Descriptive Cross sectional study. Setting: Department of Gynecology & Obstetrics, Sargodha Medical College, Sargodha. Period: Jan 2018 to Jun 2018. Material and Methods: Ninety six pregnant patients between ages of 15-45 years diagnosed as cases of antepartum hemorrhage were enrolled. Patients with coagulation disorders, twin pregnancies, abnormal lie or presentation, previous scar and any known congenital anomaly. Cause of antepartum hemorrhage and mode of delivery was recorded. Perinatal outcomes were determined in terms of frequencies of perinatal mortality, stillbirth and low birthweight babies. Results: The etiology of antepartum hemorrhage in our setup was placenta previa (43.75%); placental abruption (37.5%); Toxemia (10.41%) and unclassified causes in 8.33% patients. The perinatal mortality rate was 43.75% in our study. The overall frequency of low birthweight babies and stillbirth was 62.5% and 27.08% respectively. Conclusion: Antepartum hemorrhage is a major cause of perinatal mortality in our country. A prompt diagnosis of the cause followed by early cesarean section can help reduce the overall mortality.

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Prevalence and perinatal mortality of cord prolapse and presentation

Annals of King Edward Medical University ◽

10.21649/akemu.v11i3.1026 ◽

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.

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Studi Kualitatif Penyebab Kematian Perinatal

Oksitosin : Jurnal Ilmiah Kebidanan ◽

10.35316/oksitosin.v6i2.494 ◽

2019 ◽

Vol 6 (2) ◽

pp. 84-91

Author(s):

Deni Maryani

Keyword(s):

Mortality Rate ◽

Perinatal Mortality ◽

Causes Of Death ◽

Perinatal Death ◽

Infant Mortality Rate ◽

Depth Information ◽

High Infant Mortality ◽

Referral Hospitals ◽

Depth Interviews

The ability to administer a nation's health services is measured by determining the high and low maternal and perinatal mortality rates. The perinatal mortality rate is the largest contributor to the high infant mortality rate. WHO estimated that more than 9 million babies die each year before birth and that during the first week of life the 2/3 causes of death originate from preventable causes. The purpose of this study was to study the causes of perinatal death. The type of research used was qualitative research, to obtain in-depth information about how to analyze the causes of perinatal death in Bandung Regency. Data was collected through in-depth interviews, and data reduction, data presentation with source triangulation and method triangulation. Data were analyzed using content analysis, namely comparing the results of research with the theories in the library. The informants in this study were 12 informants. The results showed that the causes of perinatal death were strongly related to the initial place of service not to health facilities, trust in traditional medicine, late referrals, quality of referrals, and facilities for referral hospitals. Keywords: Death, Perinatal, Qualitative ABSTRAK Kemampuan penyelenggaraan pelayanan kesehatan suatu bangsa diukur dengan menentukan tinggi rendahnya angka kematian ibu dan perinatal. Angka kematian perinatal merupakan penyumbang terbesar tingginya angka kematian bayi. Badan kesehatan dunia memperkirakan lebih dari 9 juta bayi setiap tahun meninggal sebelum lahir dan pada minggu pertama kehidupanya dengan penyebab kematian 2/3 nya berasal dari penyebab yang dapat dicegah. Tujuan penelitian ini adalah untuk mengetahui penyebab kematian perinatal. Jenis penelitian yang digunakan adalah penelitian kualitatif, untuk mendapatkan informasi yang mendalam tentang bagaimana menganalisis penyebab kematian perinatal di Kabupaten Bandung. Data dikumpulkan melalui wawancara mendalam, dan melakukan reduksi data, penyajian data dengan trianggulasi sumber dan trianggulasi metode. Data dianalisis dengan menggunakan analisis isi yaitu membandingkan hasil penelitian dengan teori-teori yang ada dikepustakaan. Informan dalam penelitian ini sebanyak 11 informan. Hasil penelitian menunjukkan penyebab kematian perinatal sangat berkaitan dengan tempat pelayanan awal bukan di fasilitas kesehatan, kepercayaan pada pengobatan tradisional, keterlambatan rujukan, kualitas rujukan, dan fasilitas RS tempat rujukan. Kata kunci: Kematian, Perinatal, Kualitatif

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