Document Detail


Perinatal morbidity and mortality in a regional perinatal network.
MedLine Citation:
PMID:  3656298     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A study of pregnancy outcome was performed using a 1982-1985 regional network database of 60,456 infants. The perinatal mortality rate was 15.6 deaths per 1,000 births (total, 942), while the antepartum, intrapartum and neonatal mortality rates were 5.3, 1.6 and 8.7, respectively. Seven hundred forty-three multiple gestation pregnancies (1.2%) and 1,632 major congenital anomalies (2.7%) were identified. The corrected perinatal mortality rate was 13.8 deaths per 1,000 births. This study revealed that prematurity, postdatism, congenital anomalies, low Apgar scores and neonatal complications, including respiratory distress syndrome, pneumothorax, persistent fetal circulation, intracerebral hemorrhage and seizure activity, were major factors contributing to mortality. This analysis suggests that a further reduction in mortality should follow a reduction in preterm deliveries and their sequelae and the early identification and management of maternal and fetal antenatal complications.
Authors:
R D Eden; L S Seifert; A Winegar; D Vidyasagar; W N Spellacy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  32     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1987 Aug 
Date Detail:
Created Date:  1987-11-16     Completed Date:  1987-11-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  583-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Illinois College of Medicine, Chicago.
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Illinois
Infant Mortality*
Infant, Newborn
Information Systems
Outcome and Process Assessment (Health Care)
Pregnancy
Pregnancy Outcome*
Regional Medical Programs / standards*

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


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