Perinatal Fetal Losses, Burden and Indentifiable Risk Factors
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 3
Abstract
Introduction: - Perinatal period is the interval between the birth of an infant- born after 20wks gestation, and the 28 completed days after that birth. When perinatal rates are based on birth weight rather than gestational age, it is recommended that the perinatal period be defined as commencing at 500gms. Death during perinatal period has become a public health problem. Perinatal mortality is high in developing countries even when infant mortality has declined. Objective:- 1. To calculate the current-perinatal mortality rate in the institution under study. 2. To find out the identifiable risk factors 3. To segregate the modifiable risk factors among the identifiable risk factors. Materials & Methods: This is a prospective observational study conducted for a period of one year from 1st July 2014-30th June 2015 on all cases of still born and early neonatal death ( from 28th week of gestation onwards upto first 7 postnatal day), in the department of Obstetrics and Gynecology, Medical College Hospital, Kottayam. Results: During the study period of 1 year there were 5,546 deliveries among which 159 perinatal death, 109 (68%) were still births and 50 (31%) cases were early neonatal death (ENND) Perinatal mortality rate- 28.66 per 1000 total births. There are various identifiable risk factors. Among that prematurity and low Birth weight are the most common cause for perinatal mortality. Prevalance of neonatal diseases like Hypertension and Diabetes are high among the population under study. Conclusion: Current perinatal mortality in the institution under study is 28. 66 deaths per 1000 total birth. There are various risk factors, including modifiable risk factors for the same. So individualize each woman not only at the time of pregnancy, from preconceptional period itself, if not possible, periconceptional screening and early detection of risk factors and timely proper intervention is a key to achieve optimal, perinatal outcome and to reduce perinatal fetal losses.
Authors and Affiliations
Dr Bindu K. M
Keywords
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