Document Detail


Perinatal mortality in Turkey.
MedLine Citation:
PMID:  12562468     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A prospective study was conducted to investigate perinatal mortality rate, stillbirth rate and early neonatal mortality rate in 29 centres throughout Turkey between 1 January 1999 and 31 December 1999. The most frequent causes of mortality were determined according to the modified Wigglesworth classification, and the results were evaluated with respect to the differences between the centres and the regions. The total number of births from all centres was 92 587. Perinatal mortality rate was 34.9 per 1000, stillbirth rate 18 and early neonatal death rate 17.2 per 1000. Perinatal mortality rates were highest with 71.9 and 62.9 per 1000 in the regions that have low socio-economic status and are predominantly rural and semi-urban. The rate was lowest (27.3 per 1000) in the region that is economically more developed. In 23 out of 29 centres, the causes of death were clearly determined. The most important causes of death according to the modified Wigglesworth classification were antepartum stillbirths (42.7%), prematurity (26.0%) and lethal congenital malformations (13.2%). In conclusion, reduction in the perinatal mortality rate in Turkey is likely to be possible only with the co-ordination of the government, universities, obstetricians and neonatologists and improvement of prenatal, delivery and postnatal care and prevention of prematurity. Perinatal mortality studies should be extended and better organised regionally in Turkey.
Authors:
Gulsen Erdem
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Paediatric and perinatal epidemiology     Volume:  17     ISSN:  0269-5022     ISO Abbreviation:  Paediatr Perinat Epidemiol     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-02-03     Completed Date:  2003-06-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8709766     Medline TA:  Paediatr Perinat Epidemiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  17-21     Citation Subset:  IM    
Affiliation:
Universitesi Tip Fakültesi, Neonatoloji Bölümü, Samanpazari 06100, Ankara, Turkey. myur@gen.hun.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Congenital Abnormalities / mortality
Female
Fetal Death / epidemiology
Humans
Infant Mortality*
Infant, Newborn
Infant, Premature
Pregnancy
Prospective Studies
Rural Population
Socioeconomic Factors
Turkey / epidemiology
Urban Population

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


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