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
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