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Clinico-pathological study of causes of perinatal mortality in a developing country.
MedLine Citation:
PMID:  12521794     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Perinatal mortality rates are an important indicator of the overall obstetric and neonatal services available, and the socio-economic status of the community. These rates are also used to identify shortcomings in services provided. The aim of this study was to identify clinical causative factors of perinatal deaths (supported by post mortem evidence where possible). This was a prospective descriptive study. The total number of deliveries and perinatal deaths over a 6-month period were recorded and clinico-demographic data noted. Post mortem examination information, if available, was also recorded. There was a total of 7789 deliveries over the 6-month period and 460 perinatal deaths, giving a perinatal mortality rate of 59/1000 deliveries; 45% (n = 207) of the perinatal deaths had post mortem examinations. The mean age was 26 years; 84.8% were single mothers. One-third of the group were un-booked: the mean gestational age of fetal death was 31 weeks, and the mean birth weight was 1700 g. Two-thirds of the perinatal deaths were stillbirths. The leading obstetric causes of deaths were: abruptio placentae (25.3%), hypertension in pregnancy (24.9%), prematurity (17.4%), unexplained stillbirth (13.4%) and intrapartum asphyxia (9.2%). The perinatal mortality rate of 59/1000 deliveries is high. Although this is comparable with other developing countries, there is a need for improvement in organisation of obstetric and neonatal care, staffing levels and access to and effective utilisation of antenatal services. These will probably lead to a significant reduction of this relatively high perinatal mortality rate.
Authors:
S Naidu; J Moodley; M Adhikari; R Ramsaroop; N Morar; O O Dunmoye
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  21     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2005-09-19     Completed Date:  2005-10-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  443-7     Citation Subset:  -    
Affiliation:
MRC/UN Pregnancy Hypertension Research Unit and Department of Obstetrics and Gynaecology, University of Natal Medical School, Durban, South Africa.
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