Document Detail

Changes of perinatal statistics in a semiurban setup between two time periods in Malaysia.
MedLine Citation:
PMID:  8135673     Owner:  NLM     Status:  MEDLINE    
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 urban community. A comparison between the year 1989 and 1991 showed marked improvement of perinatal mortality rate from 41.32 to 24.88, which is significantly better than the improvement achieved from 1987 to 1989 (46.0 to 41.32). This was possible due to a marked fall in the early neonatal mortality rate from 10.02 in 1989 to 5.45 in 1991 and fall in the stillbirth rate from 31.61 to 19.53.
In Malaysia, obstetricians compared 1989 and 1991 perinatal deaths at the Hospital University Sains Malaysia in Kelantan State, the state referral hospital and the only hospital in the state with a neonatal intensive care unit (NICU). There were 46.98% more deliveries in 1991 than in 1989 (7114 vs. 4840). Almost all neonatal deaths took place in the NICU. The perinatal mortality rate fell considerably from 41.32 to 24.88/1000 births, largely due to the declines in the early neonatal mortality rate (10.02-5.45) and the stillbirth rate (31.61-19.53). The rate of very low birth weight (VLBW) infants born increased 11.44% (6.82 vs. 7.5/1000 live births). Their survival rate increased only slightly (54.54-59.37%). Ventilation for VLBW infants suffering from birth asphyxia and meconium aspiration contributed greatly to improvements in survival (31.7% vs. 61.5%). A greater proportion of VLBW infants survived beyond 5 days in 1991 than in 1989 (61.4% vs. 80.2%). In 1991, sepsis was the most frequent cause of death (31.15%). Prematurity also contributed considerably to neonatal mortality. The cause of fetal death was unknown in most cases (51.08%). These findings suggest that better obstetrical management and better ventilatory management of meconium aspiration and birth asphyxia contributed largely to the marked improvement in neonatal survival.
S A al-Mohdzar; E Haque; W A Abdullah
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asia-Oceania journal of obstetrics and gynaecology / AOFOG     Volume:  19     ISSN:  0389-2328     ISO Abbreviation:  Asia Oceania J Obstet Gynaecol     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1994-04-21     Completed Date:  1994-04-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8102781     Medline TA:  Asia Oceania J Obstet Gynaecol     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  401-5     Citation Subset:  IM; J    
Department of Obstetrics and Gynaecology, University Sains Malaysia.
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MeSH Terms
Fetal Death / epidemiology*
Infant Mortality / trends*
Infant, Newborn
Malaysia / epidemiology

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