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Results 401 - 450 of 829
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McDermott J M - - 1995
BACKGROUND: Multiple gestation is associated with increased maternal, perinatal, and infant mortality. The prevalence of multiple gestation varies widely with the highest rates reported among populations in Africa. There have been few population-based studies of the impact of multiple gestation on pregnancy outcomes in sub-Saharan Africa. METHODS: Data from a ...
Depp R - - 1995
Perinatal asphyxia, whether prenatal, intrapartum, or neonatal is thought to be a significant contributor to newborn morbidity and mortality as well as long-term neurological deficits. Development of an intrapartum tool/test that can reliably identify and discriminate between varying degrees of fetal acidemia and suggest whether it is respiratory or metabolic ...
English J D - - 1995
Relatively little information is available in the literature regarding perinatal mortality in Saudi Arabia and none concerning the value of a full fetal assessment screening program in its reduction. This study analyzes all deliveries with a birth weight of greater than 500 grams at the North West Armed Forces Hospital ...
Ward H R HR Department of Obstetrics and Gynaecology, Livingstone Hospital, Port - - 1995
To evaluate the role of the ICA (Identification, Cause, Avoidable factor) Solution method of perinatal audit in reducing perinatal mortality. Retrospective audit of 1,060 perinatal deaths between 1 January 1991 and 31 December 1992. Livingstone Hospital Maternity Service. One thousand and sixty perinatal deaths, where the gestational age exceeded 28 ...
Saller D N DN - - 1995
OBJECTIVE: To evaluate the clinical utility of the perinatal autopsy in determining the cause of a perinatal death. DESIGN: Retrospective observational survey. SETTING: University-affiliated, private, tertiary care hospital, limited to obstetrics, gynecology, and neonatology. SUBJECTS: All fetal deaths and neonatal deaths from 1990 and 1991 at Women and Infants Hospital, ...
McIntosh L J - - 1995
OBJECTIVE: To test the hypothesis that the erosion of family structure, epidemic substance abuse, and increased low birth weight (LBW) rates are interrelated. METHODS: In this cohort study, we analyzed information coded prospectively in a computerized perinatal data base. Separated, divorced, and widowed mothers were grouped as broken marriages. The ...
Walraven G E - - 1995
OBJECTIVE: To compare perinatal mortality, stratified for risk level, in home births attended by a relative or traditional birth attendant without formal training with births attended by trained personnel in a dispensary or hospital. STUDY DESIGN: A prospective community based study in five villages in Northwestern Tanzania during 1990, involving ...
Cartlidge P H - - 1995
OBJECTIVES: To evaluate the contribution that perinatal and infant necropsy makes to clinical practice and to see how this might be influenced by the quality of the investigation. DESIGN: Cohort analysis, with data from the all Wales perinatal survey, of perinatal and infant deaths during 1993 of babies born to ...
Spinillo A - - 1995
Perinatal factors were investigated in 53 low birth weight infants with minor neurodevelopmental dysfunction at 2-year follow-up and in 106 consecutive controls matched for gestational age and birth weight (within 100-gram intervals). The obstetrical history, as evaluated by the obstetrical optimality score, was significantly worse in the cases than in ...
Owa J A - - 1995
Perinatal mortality rate (PNMR) at Wesley Guild Hospital (WGH), Ilesa, Nigeria, over a ten-year period was retrospectively analysed. The main objective was to determine the trends in the utilization of obstetric care and PNMR in the face of current economic difficulties in Nigeria and to make suggestions for improvement. The ...
Synnes A R - - 1994
OBJECTIVES: To determine gestational age (GA)-specific mortality rates; the effects of GA, birth weight, sex, and multiple gestation on mortality rates; short-term morbidity for infants born at 23 to 28 weeks GA; and impairment rates at a corrected chronologic age of 18 months for those born at 23 to 25 ...
Abu-Heija A T - - 1994
This is the first study about the perinatal mortality in North Jordan. Between 1st June 1991 and 31st May 1992, 8,146 deliveries took place at Princess Basma Teaching Hospital. There were 250 perinatal deaths comprised of 124 stillbirths and 126 early neonatal deaths. The perinatal mortality rate was 30.6 per ...
McCool W F - - 1994
The relation of cortisol reactivity and self-report anxiety to perinatal outcomes was examined in a sample of 38 primiparous adolescents. Maternal cortisol and anxiety levels obtained in the first half of pregnancy and in mid-third trimester were found to be related to the gestational age of newborns, with higher levels ...
Revak-Lutz R J - - 1994
This study describes paternal involvement after perinatal death in a large, mostly minority, lower socioeconomic status sample. Paternal presence at birth, holding the baby, and presence at a follow-up appointment were the indicators of paternal involvement. Perinatal death was defined as miscarriage, stillbirth, or neonatal death within 12 hours of ...
Schelonka R L - - 1994
PURPOSE: This study was designed to determine normal values for the peripheral leukocyte count and leukocyte indexes in healthy term neonates at a specific time after birth. METHODS: We prospectively enrolled 193 healthy term-gestation neonates with no identifiable perinatal risk factors for sepsis. At 4 hours of age a blood ...
Maouris P - - 1994
This paper provides accurate figures and detailed analysis of the causes of perinatal mortality in the main referral hospital in Vanuatu in 1992, and discusses possible improvements in management. The perinatal mortality rate for the Vila Central Hospital area was 30.4 per 1000 births (with a stillbirth rate of 14 ...
Wilcox A J - - 1994
OBJECTIVES: The hypothesis was tested that unfavorable social conditions are associated with poor perinatal survival through direct effects on pregnancy or, more indirectly, through effects on mothers born under such conditions. The occupation of Norway by Nazi Germany was used as a period of social hardship. METHODS: Data from Norwegian ...
Kofinas A D - - 1994
One hundred sixty-six patients underwent examination of the umbilical artery (UA) by continuous wave Doppler ultrasound one week prior to delivery. The UA compliance deficit (CD) and weight deficit (WD) were combined into an index (CWDI) by a formula based on the Pythagorean Theorem. CWDI represents the hypotenuse, and CD ...
Thompson D G - - 1994
Perinatal asphyxia occurs in 3-9 of every 1,000 births. The risk for perinatal asphyxia is present in every pregnancy. When asphyxia is diagnosed in a newborn, the effects on the infant are potentially life-threatening. Management of the asphyxia focuses on initial stabilization and support based on identified organ system dysfunction ...
Lumey L H - - 1994
During the last months of the Second World War the Western Netherlands was affected by an acute famine, known as the Hunger Winter. Food intake from all sources was reduced to extremely low levels. The effect on mortality at all ages was very large and immediate. By making use of ...
Hammerman C - - 1994
We present an epidemiological study of asphyxia-related infant mortality. Via linkage of birth and death certificates, infant mortality data were analyzed for all infants born in Israel from 1985 through 1988. During this period, there were 397,083 live births in Israel, and 4392 infants subsequently died within the first year ...
Mekbib T A - - 1994
This retrospective study was carried out to examine indications for Caesarean section (CS), foetal outcome and postoperative complications and to recommend ways of reducing maternal and neonatal deaths. In a five year period (September 1987 to August 1992), among 11,657 consecutive deliveries at Yekatit 12 Hospital, Addis Abeba, Ethiopia, there ...
Jackson D J - - 1994
Current literature on the safety and efficacy of freestanding birth centers suggests that these centers are safe and have reduced costs for delivery of low-risk women compared with hospitals. Despite these findings, birth centers continue to arouse controversy and remain limited in number. Potential inequality of birth center and hospital ...
Mahomed K - - 1994
Although the significance of meconium-stained amniotic fluid as a sign of fetal distress remains controversial, its presence remains a concern to both obstetricians and neonatologists since signs of asphyxia and meconium staining are associated with an increase in perinatal morbidity and mortality. The aim of this study was to evaluate ...
Howell E M - - 1994
International infant mortality statistics have caused concern in the United States, since the US ranking relative to other developed countries has declined since World War II. This paper suggests that there may be international differences in reporting of very-low-birthweight infants and perinatal deaths and that such reporting differences bias comparisons ...
Taha T E - - 1994
OBJECTIVES: To determine levels and risk factors for perinatal mortality in Central Sudan. METHODS: Hospital and community based studies were conducted during the period 1989-1990. Of 5328 births registered in the hospital, 197 stillborns and 812 live-born infants were included in a nested case-control study. In the community, a follow-up ...
Allahbadia G - - 1994
Three hundred and seventeen cases of elderly primigravidae were studied from January 1987 to December 1990 at Lokmanya Tilak Municipal General Hospital, Bombay. The aim was to study the complications of pregnancy, complications of labour, perinatal mortality and maternal mortality in an urban, socio-economic backward class of elderly primigravidae and ...
Golding J - - 1994
Social and environmental factors in Jamaica were compared between 9919 mothers delivering in a 2-month period a singleton who survived the early neonatal period and 1847 mothers who were delivered of a singleton perinatal death in a contiguous 12-month period. Logistic regression showed independent positive statistically significant increased odds of ...
Crosby W M - - 1994
OBJECTIVE: To identify areas of need in Oklahoma's perinatal care system by analysis of trends in perinatal mortality from 1939 through 1991. DATA: Derived from birth certificates and annual tabulation published by the Maternal Child Health Division, Oklahoma State Department of Health. RESULTS: Every measure of perinatal mortality has declined ...
Njokanma O F - - 1994
A study of perinatal mortality at the Ogun State University Teaching Hospital during the first 30 months (March 1989 to August, 1991) of the establishment of a separate neonatal unit was made. One-hundred-and-sixty-two (87.5/1000) of the 1852 deliveries were stillborn and 60 (35.5/1000) of the 1690 live births died in ...
Verloove-Vanhorick S P - - 1994
OBJECTIVE: The objective of this study was to examine the relationship between sex and disabilities or handicaps at 5 years of age in infants born at less than 32 weeks gestation. DESIGN: From the nationwide collaborative survey starting in 1983, including perinatal data obtained during routine perinatal care and follow-up ...
Escoffery C - - 1994
The Jamaican Perinatal Mortality Survey compared all 2069 perinatal deaths occurring during the 12 months between 1 September 1986 and 31 August 1987 with 10,086 survivors born in the 2 months of September and October 1986. The Wigglesworth classification identified 44% of the deaths as attributable to intrapartum asphyxia (IPA), ...
Ashley D - - 1994
The Jamaican Perinatal Mortality Survey was designed to identify the true perinatal mortality rate, and assess the factors which could contribute towards a reduction in perinatal mortality on the island. All births in a 2-month period (n = 10527) were compared with all perinatal deaths occurring over a 12-month period ...
Klufio C A - - 1994
A survey of 673 consecutive Papua New Guinea parturients carried out at the Port Moresby General Hospital between May and June 1990 showed that socioeconomic and educational factors played a part in predicting perinatal death. Mothers who have previously experienced a perinatal death are more likely to experience a second ...
Iffy L - - 1994
A comparison of relevant statistics from National Maternity Hospital, Dublin, Ireland and University Hospital, Newark, New Jersey, USA, for the years 1983-1989, revealed that after removal of major confounding factors, such as a fourfold difference in < 2500 gram births and an about tenfold discrepancy in the frequency of lethal ...
Barton J R - - 1994
OBJECTIVE: Our purpose was to test the hypothesis that monitored outpatient management of mild gestational hypertension remote from term reduces maternal hospitalization without adversely affecting maternal and perinatal outcome. STUDY DESIGN: Five hundred ninety-two patients at 24 to 36 weeks' gestation with mild gestational hypertension were monitored on an outpatient ...
Jana N - - 1994
OBJECTIVES: To assess the perinatal outcome of pregnancies complicated by active pulmonary tuberculosis. METHODS: The perinatal outcome of 79 gravidas with pulmonary tuberculosis was compared with that of 316 normal gravidas of similar age, parity and socioeconomic status. RESULTS: The mean birthweight of infants (2649 g) born to tuberculous mothers ...
Omtzigt A M - - 1994
OBJECTIVE: Our aim was to assess the clinical value of umbilical Doppler velocimetry with regard to maternal hospitalization policy, obstetric management, and perinatal outcome. STUDY DESIGN: We conducted a randomized controlled trial in a university hospital population. A total of 1598 women participated, of whom 809 were allocated to the ...
Acheson L S - - 1994
The Old Order Amish are a distinct ethnic group with a very high birth rate and patterns of perinatal risk factors quite different from those of the general population. This study reports marital fertility and perinatal, infant, and child death rates for an entire Amish settlement of approximately 10,000 individuals, ...
Garner P - - 1994
Current global recommendations for routine malaria chemoprophylaxis in pregnant women living in endemic malarious areas are not clear. To assist in policy formulation, the evidence from randomized controlled trials was reviewed. The literature was extensively searched, and studies identified were systematically analysed in relation to outcomes in the mother and ...
Chaudhuri N - - 1994
Fifty-nine babies were born to eclamptic mothers among 7500 deliveries giving incidence of occurrence of 0.77 percent. The perinatal mortality in eclamptic babies was 32.7%, whereas the total perinatal mortality rate amongst all the deliveries was 10.5%. The mothers were treated within Group I--diazepam, Group II i chlorpromazine (largactil), phenargan ...
Chongsuvivatwong V - - 1993
The objective was to obtain the incidence rate of neonatal tetanus, perinatal mortality rate, and the coverage of health care utilization in the rural Muslim in the lower part of southern Thailand. In a retrospective field study, the rural populations of Narathiwat, Yala and Pattani provinces were studied by cluster ...
Matsumura M - - 1993
By means of the recent sophisticated technology regarding prenatal diagnosis, congenital mesoblastic nephroma (CMN) has become detectable before birth, or at a younger age than previously. Recently we treated an infant with a huge CMN in whom fetal asphyxia and tumor rupture occurred during the perinatal observation period after prenatal ...
al-Mohdzar S A - - 1993
Hospital University Sains Malaysia (HUSM) functions as the state referral centre and the only hospital for the state of Kelantan that can offer neonatal intensive care service. The deliveries in HUSM with grand multiparity, late booking and problems of late referrals resembles a hospital serving a semiurban rather than an ...
Fikree F F - - 1993
Crowding is known to be associated with an increased risk of infant and child morbidity and mortality particularly due to infections. We examined the association of crowding with perinatal mortality. Our results indicated a paradoxical relationship with the least crowded households showing the highest perinatal mortality (7.7% as compared to ...
Lim M L - - 1993
Perinatal mortality is usually calculated according to the World Health Organisation as stillbirth and first week mortality at a specified week of gestation divided by all births at that same gestational week. This is not a meaningful indicator of the risk of future perinatal death for a living fetus. We ...
Anate M - - 1993
In a prospective study of perinatal mortality (PNM) rates associated with abnormal (ABN) presentations at the University of Ilorin Teaching Hospital, Ilorin, Nigeria over a four-year period, 1987-1990, it was found that out of 6,000-7,000 yearly deliveries, there was an abnormal presentation in about 4.5% of them. Compared with developed ...
Ewigman B G - - 1993
BACKGROUND: Many clinicians advocate routine ultrasound screening during pregnancy to detect congenital anomalies, multiple-gestation pregnancies, fetal growth disorders, placental abnormalities, and errors in the estimation of gestational age. However, it is not known whether the detection of these conditions through screening leads to interventions that improve perinatal outcome. METHODS: We ...
Cloete S W - - 1993
Perinatal lamb deaths were investigated in Dormer (n = 290) and SA Mutton Merino (n = 306) progeny born to 166 and 147 ewes respectively. Causes of mortality were investigated by autopsy in 30 Dormer and 61 SA Mutton Merino lambs that died during the perinatal period. Perinatal lamb deaths ...
Jalil F - - 1993
In Pakistan there are a number of acute problems related to maternal and infant health in the perinatal period. There is also lack of reliable data needed for the formulation of action strategies. To provide a database 1490 women have been followed from the 5th month of pregnancy in four ...
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