PERINATAL MORTALITY AND ITS RELATED OBSTETRICS RISK FACTORS
Article Sidebar
Main Article Content
Abstract
Objective: To determine the perinatal mortality rate and its related obstetric risk factors in our set up.
Material and Methods: It was a descriptive study conducted in the Obstetrics & Gynaecology Unit A of Khyber Teaching Hospital (KTH), Peshawar from January 2011 to December 2013. All perinatal deaths including still births (SB) and early neonatal deaths (ENNDS) within 7 days of birth after 24 weeks of gestation were included, while pregnancies less than 24 weeks of gestation were excluded from the study. The relevant information was collected through a proforma which contained variables including maternal age, booking status, parity and social status. Pregnancy related complications, medical disorders, labour details and fetal condition leading to perinatal deaths were also taken into account.
Results: A total number of 11260 patients were analyzed for perinatal mortality. Out of these there were 740 perinatal deaths giving a perinatal mortality rate (PNMR) of 65.7/1000 total births. There were 605 SBs and 135 ENNDS. Among these 88% of the women were unbooked. Commonest risk factor was antepartum haemorrhage (APH) (29.7%), followed by hypertensive disorders of pregnancy (PIH) (26.7%) and mechanical factors affecting labour (14.5%). Congenital abnormalities were found in 10% while maternal medical disorders were observed in 4.5% of the cases. However in 5.6% of the cases, the cause remained unknown.
Conclusion: Perinatal mortality is still high in our part of the world and is largely the result of poor maternal health, the socio economic status, lack of health awareness and inadequate care during antepartum, intrapartum and post partum period.
Article Details
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.