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Lardelli P - - 1993
STUDY OBJECTIVE: This study aimed to analyse the influence of social, economic, and health development on infant and perinatal mortality in Spain between 1975 and 1986, and to identify possible changes in these relationships over time. DESIGN: Study of the association between mortality and a range of variables. SETTING: 50 ...
Vázquez-Vizoso F - - 1993
After discussing the comparative effectiveness of different measures of dispersion used as indices of inequality, the Weighted Coefficient of Variation is proposed as an appropriate indicator of geographical inequality attending infant death. Furthermore, this paper proposes a methodology based on simple linear regression to be employed for the purposes of ...
Kulakov V I - - 1993
This paper reports the results of a comprehensive survey of the effects of the accidental release of radiation caused by the accident at the Chernobyl nuclear power station in April 1986. The accident and the resulting release of radiation and radioactive products into the atmosphere produced the most serious environmental ...
Popkin B M - - 1993
A prospective study of 3080 Filipino mothers and non-twin births in 33 communities is used to study the determinants of mortality in week 1 postpartum. The results show significant nonlinear birth weight effects and the importance of environmental contamination, particularly for infants born by traditional methods at home, and several ...
Grigg J - - 1993
Neither the origin of leucocytes in the premature newborn airway nor their relationship to perinatal factors has been adequately determined. In order to sample airway cells, modified bronchoalveolar lavage was performed on 74 intubated infants of < 32 weeks' gestation and < 24 hours of age. Cells were counted, stained ...
Lumley J - - 1993
A comparison of perinatal outcome in the Greek perinatal mortality survey of 1983 with the outcome of births to Greek born women who had migrated to Victoria, Australia found marked similarities in maternal age, parity, marital status and cigarette smoking. The birthweight distributions were almost identical in the two groups. ...
Grio R - - 1993
In a study carried out in 100 cases of premature birth in Section "A" of the Department of Gynecology and Obstetrics of the University of Turin, the authors report a perinatal mortality rate of 5.4%. Perinatal morbidity was found to be very high (68.2%). These findings--which are perfectly in line ...
Akpala C O - - 1993
87 perinatal deaths which occurred out of 1484 births in a rural area of Northern Nigeria over a 9 month period were reviewed. The perinatal mortality rate was 58.6 per 1000 births. Babies born to very young adolescent mothers aged between 10-14 years had the highest perinatal mortality of 375 ...
Letterie G S - - 1993
Obstetricians have increasingly petitioned courts for orders sanctioning treatment refused by pregnant patients. To speculate on the potential role of forced detention, we reviewed the clinical records of 39 obstetric patients who were discharged against medical advice (AMA) with several diagnoses: preterm labor (27), medical complications of pregnancy (9) and ...
Broekhuizen F F - - 1993
Perinatal statistics in an urban environment are analyzed over a 9-year period. Perinatal outcome parameters in 27,986 deliveries are analyzed. The number of prenatal visits, low birth weight, illicit drug use, perinatal mortality, race, and age are studied. Perinatal outcome worsened after 1986 for patients with less than five prenatal ...
Covington S N - - 1993
Women who had experienced an infant or fetal death responded to an open-ended question on the 1988 National Maternal and Infant Health Survey about their perinatal experience. A qualitative analysis of the 413 responses identified six major themes, including need for further information, problems with the mourning process, and unresolved ...
Ozumbia B C - - 1993
A retrospective analysis of 83 cases of eclampsia managed at the University of Nigeria Teaching Hospital over a ten year period was carried out. Incidence of eclampsia was 1.7/1000 deliveries. Antepartum eclampsia constituted 84% of the cases managed. The incidence of eclampsia among unbooked cases was 14.3/1000 births and of ...
Menown I B - - 1993
The relationship between perinatal outcome and antenatal care was investigated at King Edward VIII Hospital, Durban, by a case control retrospective study of pregnancy records in 165 perinatal deaths and 156 infants surviving the perinatal period. 82% of the mothers of live infants had booked for antenatal care compared with ...
Morales W J - - 1993
OBJECTIVE: A retrospective study was conducted to establish the perinatal and long-term neonatal outcome at 1 year of life (corrected) of pregnancies complicated by premature rupture of membranes before fetal viability. STUDY DESIGN: The outcome of 94 singleton pregnancies admitted from June 1982 to June 1991 with premature rupture of ...
Appleton R - - 1993
OBJECTIVE: To illustrate and emphasise the role of the Bereavement Officer in the management of perinatal death, as recommended and envisaged by a report of the Royal College of Obstetricians and Gynaecologists in 1985. DESIGN: A description of the training and responsibilities of the officer and an account of her ...
Bugalho A - - 1993
A decade of perinatal audit in the Maputo Central Hospital is reviewed with the objective of addressing the potential value of the audit process in monitoring the different constituents of morbidity and mortality in the perinatal period. The perinatal mortality showed a significant but transient change during the observation period ...
MacArthur B - - 1993
Thanks to improved medical technology, babies born very prematurely now have a much greater chance of surviving than they used to. A research team from the University of Auckland and National Women's Hospital is examining the long-term effects of perinatal difficulties on children weighing under 1500g at birth. One major ...
Bakketeig L S - - 1993
This study demonstrates that socioeconomic differences do exist in all three Scandinavian countries, and these differences have implications for perinatal and infant survival. Using parental education as a proxy for socioeconomic conditions, the association with perinatal survival seems to be stronger in Denmark and Norway than in Sweden. For postneonatal ...
Langer J C - - 1993
OBJECTIVE: To determine which sonographic findings predict intestinal damage in fetuses with gastroschisis, and to develop objective criteria that may be useful in selecting candidates for preterm delivery. METHODS: Twenty-four consecutive fetuses at two perinatal centers were assessed retrospectively or prospectively. Maternal, perinatal, and sonographic data were recorded and correlated ...
Dietz U - - 1993
The aim of this study was to assess the influence of common perinatal risk factors on the disappearance of the anterior vascular capsule of the lens (AVCL). Direct ophthalmologic examinations were performed on 75 neonates (27 to 35 weeks gestational age) in the first 24 hours after birth, using the ...
Nyberg K - - 1992
Two possible risk factors for drug addiction were weighed against each other: (1) perinatal factors associated with obstetric medication at time of birth; and (2) factors associated with familial socio-economic conditions at time of birth. The subjects comprised 200 amphetamine addicts and 200 opiate addicts born in Stockholm 1945-1966. In ...
Boo N Y - - 1992
A 2-month prospective study was carried out in a Kuala Lumpur maternity hospital to determine the antenatal and intrapartum factors associated with perinatal asphyxia in the Malaysian neonates. The incidence of perinatal asphyxia was 18.7 per 1000 livebirths. Of the 75 asphyxiated neonates born during this period, 70 (93.3 per ...
Fliegner J R - - 1992
At the Royal Women's Hospital, Melbourne in the 3 years 1987-1989 analysis of the records of 13,347 public patients revealed an overall perinatal wastage of 20.8 per 1,000 births. This seemingly high figure resulted from the fact that 45% of losses occurred in nonbooked and emergency admissions. Many patients were ...
Chan A - - 1992
OBJECTIVE: To assess changes in sociodemographic characteristics of mothers, their obstetric management and perinatal outcomes in the 1980s. DESIGN: A survey of data recorded in the South Australian perinatal data collection. For singleton births, we compared risks of stillbirth, neonatal death and perinatal death by year of birth, after adjusting ...
Cordero L - - 1992
Pregnancy outcome for 233 women in prison was reviewed. This group of patients presented with multiple perinatal high-risk factors: history of illicit drug use (71%), smoking (70%), and obstetrical (27%), medical (21%), nutritional (20%), and infectious complications (20%). Maternal morbidity was uncommon and the overall cesarean section rate for all ...
Chandola C A - - 1992
Possible pre- and perinatal risk factors for subsequent referral for hyperactivity were assessed by comparing birth records of 129 referrals with the remaining 24,656 members of a geographically defined birth cohort. Relationships between the risk factors were accounted for using logistic regression methods. The significant factors were: social class, maternal ...
LeFevre M L - - 1992
Although much has been written regarding regionalization of obstetric services and inferences made about centralization of labor and delivery, little data exist that specifically address the volume-outcome relationship for obstetrics. The purpose of this study was to determine the relationship between physician volume and perinatal outcome as measured by neonatal ...
Verma M - - 1992
Perinatal deaths occurring over a seven year period were studied in a teaching hospital in Punjab. Causes of death were analysed as per Wigglesworth's classification. We have further modified this by correlating different gestations and weight groups with causes of death. The perinatal mortality rate (PNMR) in the present study ...
Laegreid L - - 1992
The psychotropic drug use in mothers to all 73 perinatally dead infants in the city of Gothenburg, Sweden, in 1985-86, was compared to a control group of mothers to 73 surviving infants. Information regarding medication in pregnancy and pre- and perinatal data was collected retrospectively. In addition, serum samples obtained ...
Airede A I - - 1992
Ninety-nine cases of neonatal septicaemia prospectively seen over a 3-year period in a large cosmopolitan African city of high altitude is presented. An incidence of 6.5 per 1000 live births was noted. Though the most important pathogens were Klebsiella spp. and Staphylococcus aureus, Citrobacter difficile and Alkalegenes faecalis were the ...
Clinch J - - 1992
This is the 10th Annual Report of Perinatal Mortality in the Republic of Ireland, based on figures supplied to the Institute of Obstetricians and Gynaecologists by the Obstetrical staff of the Units listed on page 453. Details were available for 53,346 of the 54,815 babies born in 1988. Data is ...
Bjerregaard P - - 1992
Infant mortality and stillbirths were studied in the Inuit population of Greenland. Infant mortality rate decreased from 110 per 1000 live births in 1951 to 50 in 1970 and 20 in 1989. Statistically significant decrease was in particular seen for acute respiratory infections and certain perinatal conditions. Both perinatal and ...
Eskes T K - - 1992
The obstetrical organizational system in the Netherlands is based on the selection for risk factors. We conclude that: (i) The reporting of perinatal death is not complete. (ii) Perinatal mortality can be reduced. (iii) More iatrogenic interventions are present in low-risk deliveries in hospitals. (iv) Neurological behavior of low-risk babies ...
Aiken C G - - 1992
The causes of all perinatal deaths at Mpilo Maternity Hospital were investigated over a 12-month period, during which there were a total of 466 stillbirths and 379 neonatal deaths, with a perinatal mortality rate of 36.0/1000 births in Bulawayo, Zimbabwe. The causes of death were in order of importance; congenital ...
Vleugels A - - 1992
The Flemish Centre for the Study of Perinatal Epidemiology was formally established in 1986. Its objectives are the promotion of perinatal epidemiology and the study of maternal and perinatal mortality and morbidity. One of the means to accomplish these objectives was the creation of a databank of perinatal medicine. The ...
Ji X - - 1992
China has a birth rate of 20/1000, maternal mortality of 48.8/100,000, perinatal mortality of 15-20/1000 in cities, and 30-35/1000 in rural areas, infant mortality of 34.68/1000 and a LWB rate of 6%. Among LWBI 50-60% are SGA. As a result the prematurity rate is also quite low, 3-4%, and the ...
Fujimura M - - 1992
A significant improvement has been achieved in perinatal mortality figures during the last decade in Japan with a neonatal mortality rate of 2.6 and a stillbirth rate of 4.1 for 1989. With its unique obstetric and neonatal services, there are advantages and also disadvantages in respect of clinical and basic ...
Hull J - - 1992
OBJECTIVE: To examine trends in the incidence of hypoxic-ischaemic encephalopathy over a 13-year period. DESIGN: A retrospective analysis of medical records of all infants admitted in the years 1976-1980 and 1984-1988. SETTING: A large non-teaching district health authority in central England. SUBJECTS: Infants admitted to a district general hospital neonatal ...
Raghavan M - - 1992
Perinatal risk factors were studied among 50 cases of neonatal septicemia and 200 matched normal neonates during one year period. The consanguinity among parents, birth order and sex of the baby did not increase the risk for developing septicemia. There was significant increase in the risk for septicemia when the ...
Combs C A - - 1992
Forty cases of placental abruption were diagnosed by sonography after 20 weeks' gestation and managed expectantly. Tocolytics were used in 18 patients and were successful in delaying delivery for 34 +/- 24 days in 10. One-third of the patients delivered at term, after delays of 12.3 +/- 5.7 weeks. The ...
Matthias G S - - 1992
To compare perinatal deaths in Aborigines and non-Aborigines, and to identify the differences between the two groups in order to plan better prevention and bring about a reduction in perinatal deaths. A retrospective review of the records of 198 consecutive perinatal deaths (96 Aboriginal and 102 non-Aboriginal) in infants delivered ...
Buchmann E J EJ Mosvold Hospital, Department of Health, - - 1992
A questionnaire survey was undertaken among pregnant women presenting for the first time to antenatal clinics attached to Mosvold Hospital in rural northern KwaZulu. They were asked details of the outcome of their previous pregnancies and the survival of their last-born children. Of 2,388 mothers interviewed, 1,795 had given birth ...
Victora C G - - 1992
In a population-based cohort of approximately 6000 Brazilian children, the associations between maternal education and a number of child health outcomes were studied while controlling for potentially confounding variables such as family income and education of the husband. In the crude analyses, maternal education was associated with perinatal and infant ...
Newlands M - - 1992
Post-perinatal infant deaths in North and Southern Derbyshire District Health Authorities were calculated by electoral ward over a period of two years and related to Jarman scores of deprivation. The deaths were categorised into clinical-pathological groupings after full confidential enquiry. The post-perinatal death rates were significantly related to Jarman score ...
Malik S J - - 1992
The present study was undertaken to identify the preventable factors operative in high fetal and neonatal losses. Over a period of one year, of total of 1,600 consecutive deliveries, 1,107 were considered to be at-risk: there were 33 fetal and 31 early neonatal deaths with an overall perinatal mortality rate ...
Atrash H K - - 1992
Maternal and perinatal mortality are important health problems in the United States. Emerging causes of maternal deaths are embolism, cardiomyopathy, anesthesia complications, adult respiratory distress syndrome, and acquired immunodeficiency syndrome. Maternal deaths continue to be underreported. Active surveillance is needed to better identify maternal deaths and to understand their causes ...
Rowland J P - - 1992
Four shed-lambing operations in western Colorado were monitored during the 1984 spring lambing season to determine the causes and rates of perinatal lamb mortality. The number of lambing ewes per flock ranged from 513 to 1,712, and lambing percentages ranged from 131 to 180%. Overall perinatal lamb mortality ranged from ...
Milaat W A - - 1992
The objective of the study was to estimate the perinatal mortality rate and to determine the antenatal and intrapartum risk factors associated with perinatal mortality in Jeddah, Saudi Arabia. A hospital-based, case-control study was carried out in a 40-week period in 1987-1988 in Jeddah at the Maternal and Child Health ...
Laegreid L - - 1992
The effect of the maternal use of benzodiazepines (BZD) on the fetus and the newborn infant has been studied in a representative series of 17 newborn infants (BZD group). The pregnancy and the perinatal period were characterized by 20 items. On the 2nd day of life, a neurologic investigation was ...
Parazzini F - - 1992
Determinants of stillbirths, perinatal and infant mortality in Italy have been analyzed using information collected routinely by the Italian Central Institute of Statistics on more than 2,400,000 births and 33,000 infant deaths in the period 1980-1983. Individual records included data on maternal (i.e. age, education, obstetric history) and fetal characteristics ...
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