DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20191515

Study of cases with perinatal mortality

Nidhi Pancholi

Abstract


Background: Perinatal loss is one of the most traumatic life events. It is indeed a great psychological and emotional shock to not only the mother and father but the entire family and society as a whole. The perinatal mortality rate (PMR) is an important indicator of the quality of obstetric care during pregnancy. Perinatal deaths result largely from obstetric complications that can be prevented with proper antenatal care and quality neonatal services. The study was aims to study the factors related with perinatal loss and its prevention in future pregnancy.

Methods: It was a prospective analytical study. All patients with IUFD, stillbirths and early neonatal loss were studied. Postpartum both mother and father were counselled. Detailed history and thorough physical examination were conducted. Data was recorded and tabulated, observation made and compared with results of various studies.

Results: The results showed that the incidence of IUFD was 3.7% and early neonatal death was 10.8% per total admissions. The perinatal mortality rate was 63.62 per 1000 live births. Perinatal mortality rate was inversely related to the number of antenatal visits taken by the patient. Lack of antenatal care results in perinatal deaths probably due to failure of early identification and management of maternal problems that impact negatively on perinatal outcome. Even in advanced economies with sophisticated diagnostic and monitoring equipment, lack of antenatal care categorizes a pregnant woman as a high-risk pregnancy.

Conclusions: There is a need for awareness regarding importance of antenatal care and institutional delivery. Perinatal mortality is an important indicator of maternal care, health and nutrition. It also reflects the quality of Obstetric and Pediatric care available. Every effort must be made to reduce perinatal mortality.


Keywords


Live birth, Late foetal death, Neonatal period, Perinatal period, Still birth

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References


Srivastava S, Sharma S, Kharkwal S, Chaudhary V. A study of causes of perinatal mortality in tertiary centre in Bundelkhand region. Int J Reprod Contracept Obstet Gynecol. 2015;4:43-6.

Richardus JH, Graafmans WC, Verloove-Vanhorick SP, Mackenbach JP. The perinatal mortality rate as an indicator of quality of care in international comparisons. Medical Care. 1998:54-66.

Richardus JH, Graafmans WC, Verloove‐Vanhorick SP, Mackenbach JP. Differences in perinatal mortality and suboptimal care between 10 European regions: results of an international audit. BJOG: Int J Obstet Gynaecol. 2003;110(2):97-105.

Sugai MK, Gilmour S, Ota E, Shibuya K. Trends in perinatal mortality and its risk factors in Japan: Analysis of vital registration data, 1979-2010. Scientific Reports. 2017;7:46681.

Neonatal and Perinatal Mortality: Country, Regional and Global Estimates 2000. Geneva: World Health Organization (2006). Accessed at: https://apps.who.int/iris/handle/10665/43444.

Suleiman MB, Mokuolu OA. Perinatal mortality in a Northwestern Nigerian City: a wakeup call. Frontiers Pediatr. 2014;2:105.

Åhman E, Zupan J, eds. Neonatal and perinatal mortality: country, regional and global estimates 2004. Geneva: World Health Organization (2007). Available at: http://www.who.int/iris/handle/10665/438001.

Estimates of mortality indicators-census of India. Available at: http://www.censusindia.gov.in/vital_statistics/SRS_Report_2015/8.Chap%204-Mortality%20Indicators-2015.pdf. Accessed on 16 May 2018.

Figures at a glance, India-2012-census of India. Available at: http://www.censusindia.gov.in/2011-common/vital%20Rates.pdf. Accessed on 16 May 2018.

Estimates of mortality indicators -census of India. Available at :http://www.censusindia.gov.in/vital_statistics/srs/Chap_4-2010.pdf. Accessed on 16 May 2018.

Ante D. Antenatal Care in developing countries. What should be done?. J Per Med. 2001;29(3):188-98.

Haftu A, Hagos H, Mehari MA. Pregnant women adherence level to antenatal care visit and its effect on perinatal outcome among mothers in Tigray Public Health institutions, 2017: cohort study. BMC Res Notes. 2018;11(1):872.

Daftary S, Sudip Chakravarti S, ed. Manual of Obstetrics, 3rd ed. Reed Elsevier India Pvt. Limited. 2011.

Wilcox AJ, Skjaerven R. Birth weight and perinatal mortality: the effect of gestational age. Am J Public Health. 1992;82(3):378-82.

Neonatal and perinatal mortality-World health Organisation. Available at: https://apps.who.int/iris/bitstream/handle/10665/43444/9241563206_eng.pdf?sequence=1. Accessed on 16 May 2018.