Audit of perinatal mortality in a tertiary care centre
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 7, Issue 3
Abstract
Background: Perinatal mortality was observed in less than 10 per 1000 births in developed countries, In India, 32-35 per 1000 perinatal deaths were observed. The most common cause of perinatal mortality is preterm birth, causing almost 30 percent of neonatal deaths. Aim: The aim of the study was to identify the causes of perinatal morbidity and mortality, to study the socio-demographic factors leading to PNMR and to assess the level of antepartum, intrapartum care and its effect on PNMR and the required interventions needed. Materials and Methods: This study was a hospital based retrospective observational carried out in Osmania Medical College, Hyderabad which is a tertiary care during the period of 6 months i.e. from March 2016 to August 2016. Results: Total deliveries were 7535, total number of still births were 229, out of which still birth rate were 29.4/1000, total number of perinatal deaths were 241, perinatal mortality rate was 31/1000. Still births were due to 72 women had preeclampsia and eclampsia, 46 women had abruption placenta, 28 women had IUGR, 35 women had oligo, 9 each of the women had congenital A and severe anaemia, 7 each of women had preterm and unexplained and 12 women had mechanical. The total number of deaths were 12 in early neonatal deaths (1st week of life), out of which deaths due to respiratory distress were 5, low birth weight were 5 and due to meconium aspiration syndrome were 2. Conclusion: To create awareness about antenatal health care, high risk mothers identification, in time referral, life support of preterm neonates in advance is the need of the hour to strengthen and help in reducing PMR.
Authors and Affiliations
K S S Madhavi, Suneela Kolluri
Keywords
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