Perinatal Mortality in Rural Hospital
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 10
Abstract
Introduction: Perinatal mortality rate is a sensitive indicator of quality and quantity of maternal and neonatal health services. Perinatal mortality statistics, despite inherent limitations, provide an important form of audit, to help us evaluate the efficiency of our obstetric and neonatal services, and to make a necessary of an era in a developing country like India. Our aim was to study the causes of perinatal deaths and the trends of early neonatal deaths in NICU with respect to the causes. Material and methods: Our prospective study was carried out in labour room and N.I.C.U. of Rural Hospital, Loni for two years. We included still born babies with gestational age >28 weeks or weight >1000 grams and early neonatal deaths i.e, till 7th day of life in this study. Results: In this study we came across 156 cases with the perinatal mortality of 72.4% and early neonatal mortality was 36.18 per 1000 live births. Preterm babies and low birth weight babies contributed more to early neonatal and perinatal deaths. We found birth asphyxia as the most common cause of early neonatal deaths. Two third of all early neonatal deaths occurred in the first 72 hours of life out of which majority were in the first 24 hours of life. Deaths due to birth asphyxia, respiratory distress syndrome and congenital malformations were more in the first 4 days of life and those with septicemia occurred later Conclusion: Birth asphyxia, respiratory distress syndrome, congenital malformations and septicemia were the leading causes of early neonatal deaths. Two third of all early neonatal deaths occurred in the first 72 hours of life out of which majority were in the first 24 hours of life. Deaths due to birth asphyxia, respiratory distress syndrome and congenital malformations were more in the first 4 days of life and those with septicemia occurred later.
Authors and Affiliations
Nitin Sudhakar Mehkarkar, Vijay B. Sonawane
Keywords
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