A study of causes of perinatal mortality in tertiary center in Bundelkhand region

Shilpi Srivastava, Sanjaya Sharma, Sushila Kharkwal, Vidya Chaudhary

Abstract


Background: The distribution of causes of death in population suggests a great potential for prevention. So the aim of study is to evaluate the cause of perinatal death in tertiary center of Bundelkhand region in M.L.B. medical college Jhansi, Uttar Pradesh (India).

Methods: A retrospective study was done over a period of last one year from June 2013 to May 2014, which included total 2691 deliveries out of which 184 perinatal deaths occurred, hence perinatal mortality rate was 68.37 per 1000 birth and causes of perinatal deaths was identified and analysed.

Results: Out of 68.37% perinatal mortality, majority of perinatal deaths (54.3%) occurred due to preterm low birth weight with or without associated other factors, 8.6% due to congenital anomalies, more than 38% perinatal death due to maternal factor antepartum haemorrhage, eclampsia, obstructed labour, malpresentation, medical problem in pregnancy.

Conclusions: Early identification of mothers at risk of pregnancy complications through antenatal care screening, teaching pregnant women to recognize signs of pregnancy complications, timely access to obstetric care, monitoring of labour for fetal distress, and proper newborn resuscitation may reduce some of the categories of deaths. There should also be increased awareness among paediatrics and obstetrics about coordinated approach to bring down perinatal mortality. 


Keywords


Perinatal mortality, Still birth, Retrospective study, Prematurity

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References


World Health Organization. Neonatal and perinatal mortality. In: WHO, eds. Country, Regional and Global Estimates 2004. WHO Publications Geneva: WHO; 2007.

Di Mario S, Say L, Lincetto O. Risk factors for stillbirth in developing countries: a systematic review of the literature. Sex Transm Dis. 2007;34(7 Suppl l):S11-21.

Tanaka S, Stock SJ, Yamamoto Y, Kondejewski J, Olson DM. Understanding perinatal mortality. Obstet Gynaecol Reprod Med. 2010;20:317-22.

United Nations. The millennium development goals report 2011. In: UN, eds. UN Report. New York: United Nations; 2011A: 3-67.

Mc Clure EM, Nalubamba-Phiri M, Goldenberg RL. Stillbirth in developing countries. Int J Gynaecol Obstet. 2006;94:82-90.

Sujata, Das V, Agrawal A. A study of perinatal deaths at a tertiary care teaching hospital. J Obstet Gynaecol India. 2008;58(3):235-8.

Korde-Nayak VN, Gaikwad PR. Causes of stillbirth. Obstet Gynaecol India. 2008;58(4):314-8.

Shinde A. The study of perinatal mortality in a rural area. J Obstet Gynaecol India. 2001;51(2):77-9.

Kulkarni R, Chauhan S, Shah B, Menon G, Puri C. A descriptive observational study investigating causes of perinatal mortality by verbal autopsy in Maharashtra, India. Indian J Community Med. 2007;32(4):259-63.

Bellad MB, Srividhya K, Kangle Ranjit, Dhaded SM. Factors associated with perinatal mortality: a descriptive observational study. South Asian Federat Obstet Gynaecol. 2010 Jan-Apr;2(1):49-51.

Bangal Vidyadhar B, Chandaliya Rajiv M, Pandit Hrishikesh. A review of socio demographic factors and obstetric causes of stillbirths at tertiary care hospital. IOSR J Pharm. 2012 May-Jun;2(3):475-8.

Bhattacharya S, Mukhopadhyay G, Mistry PK, Pati S, Saha SP. Stillbirth in a tertiary care referral hospital in North Bengal. Online J Health Allied Sci (OJHAS). 2010 Oct-Dec;9(4):4.

McClure EM, Wright LL, Goldenberg RL, Goudar SS, Parida SN, Jehan I, et al. The global network: A prospective study of stillbirths in developing countries. Am J Obstet Gynaecol. 2007;197:247e1-5.

Fretts RC. Etiology and prevention of stillbirth. Am J Obstet Gynaecol. 2005;193:1923-35.