An overview of perinatal mortality in tertiary care centre Gauhati Medical College and Hospital, Guwahati, Assam, India – A 7 years review
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Background: Perinatal mortality is taken as an index of the efficacy of the health Care delivery system and also reflects Socio-economic condition and literacy status of the population. Pertaining to a high perinatal mortality in our Institution the present study was under taken. Objectives: 1) To find out the incidence of perinatal mortality in our Institution. 2) Proper evaluation of casual factors, to keep the perinatal mortality to its minimum. 3) Synchronization of health care delivery system and its beneficiaries. 4) To initiate protocols for better management of antenatal cases. Arrangement for early referral system to keep a hold on the growing PMR. Materials and Methods: A hospital based descriptive observational study was done from January’ 2010 to December, 2016. All Perinatal deaths, during the period (January 2010- Dec., 2016) was included in the study. There was 105632deliveries and a total of 5604 perinatal deaths during the period. As per IAP (Indian Academy of Paediatrics) 2014, the current perinatal mortality in India is 28/1000 births. Results: Perinatal mortality rate was found to the 53.052 per 1000 births. Still birth rate (Macerated IUD + Fresh still born) was found to be 31.31 per 1000 births. Macerated IUD Rate was 30.84 per 1000 births. Fresh Still Born rate was 0.473 per 1000 births. Early Neonatal death rate (NICU Death < 7 days of birth) was 21.41/1000 births. Cot death rate was 0.921 per 1000 birth. Factors responsible for such high PMR was antepartum hemorrhage PIH, severe pre-eclampsia, preterm labour, IUGR, malpresentation u8terine rupture etc. Conclusion: Holding mass awareness programs for the need of quality antenatal check ups by specialist, availability of early referral system by identifying the at risks cases, provisions of NICU Facilities at all FRU’s are prerequisites to bring down the perinatal mortality rate.
Authors and Affiliations
Meghna Das, Jyandip Nath
Keywords
Related Articles
- EP ID EP490643
- DOI -
- Views 98
- Downloads 0
A rare case of lymphangioliomyomatosis with recurrent pneumothoracis
We are reporting a rare and an interesting case of lymphangioliomyomatosis in a middle aged woman with past history of bilateral pneumothacis, who presented with complaints of right sided chest pain and suden onset of br...
Results of ACL reconstruction in skeletally immature patients
We report on the clinical and radiographic outcomes of arthroscopically-assisted ACL reconstruction in a cohort of patients 13 years of age and younger. A retrospective chart review of skeletally immature patients, aged...
Association of glycemic control and duration of diabetes with rheumatological manifestations
Background: Many rheumatological diseases occur more frequently in patients with diabetes than in the general population. All these diseases have a severe clinical course and unfavorable prognosis in the diabetic patient...
Quorum Sensing
Quorum sensing is the regulation of gene expression in response to fluctuations in cell population density. Quorum sensing bacteria produce and release chemical signal molecules called autoinducers that increase in conce...
A comparative double blinded study of levobupivacaine and ropivacaine in USG guided supraclavicular brachial plexus block
Introduction: Existing local anaesthetics are known for its wide and unpredictable latency of nerve block, as well as its propensity for neuro and cardiotoxicity. Ropivacaine has a potential clinical advantage during neu...