Document Detail


Demographic survey of the level and determinants of perinatal mortality in Karachi, Pakistan.
MedLine Citation:
PMID:  8746434     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A demographic survey was used to estimate the level and determinants of perinatal mortality in eight lower socio-economic squatter settlements of Karachi, Pakistan. The perinatal mortality rate was 54.1 per 1000 births, with a stillbirth to early neonatal mortality ratio of 1:1. About 65% of neonatal deaths occurred in the early neonatal period, and early neonatal mortality contributed 32% of all infant deaths. Risk factor assessment was conducted on 375 perinatal deaths and 6070 current survivors. Poorer socio-economic status variables such as maternal and paternal illiteracy, maternal work outside the home and fewer household assets were significantly associated with perinatal mortality as were biological factors of higher parental age, short birth intervals and poor obstetric history. Multivariable logistic analysis indicated that some socio-economic factors retained their significance after adjusting for the more proximate biological factors. Population attributable risk estimates suggest that public health measures for screening of high-risk women and use of family planning to space births will not improve perinatal mortality substantially without improvement of socio-economic conditions, particularly maternal education. The results of this study indicate that an evaluation of perinatal mortality can be conducted using pregnancy histories derived from demographic surveys.
A demographic survey was used to estimate the level and determinants of perinatal mortality in eight lower socioeconomic squatter settlements of Karachi, Pakistan. The perinatal mortality rate was 54.1/1000 births, with a stillbirth to early neonatal mortality ratio of 1:1. About 65% of neonatal deaths occurred in the early neonatal period, and early neonatal mortality contributed 32% of all infant deaths. Risk factor assessment was conducted on 375 perinatal deaths and 6070 current survivors. Lower socioeconomic status variables such as maternal and paternal illiteracy, maternal work outside the home, and fewer household assets were significantly associated with perinatal mortality, as were biological factors such as higher parental age, short birth intervals, and poor obstetric history. Multivariable logistic analysis indicated that some socioeconomic factors retained their significance after adjusting for the more proximate biological factors. Population attributable risk estimates suggest that public health measures for screening of high-risk women and use of family planning to space births will not improve perinatal mortality substantially without improvement of socioeconomic conditions, particularly maternal education. The results of this study indicate that an evaluation of perinatal mortality can be conducted using pregnancy histories derived from demographic surveys.
Authors:
F F Fikree; R H Gray
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Paediatric and perinatal epidemiology     Volume:  10     ISSN:  0269-5022     ISO Abbreviation:  Paediatr Perinat Epidemiol     Publication Date:  1996 Jan 
Date Detail:
Created Date:  1996-11-21     Completed Date:  1996-11-21     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8709766     Medline TA:  Paediatr Perinat Epidemiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  86-96     Citation Subset:  IM; J    
Affiliation:
Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Delivery, Obstetric
Female
Humans
Infant Mortality*
Infant, Newborn
Logistic Models
Male
Middle Aged
Odds Ratio
Pakistan / epidemiology
Paternal Age
Poverty*
Pregnancy
Reproductive History
Risk Factors
Grant Support
ID/Acronym/Agency:
SFCP08-024N/CP/NCI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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