Perinatal Mortality in Developing Countries

Zupan, Jelka

doi:10.1056/nejmp058032

Cited by 171 publications

(162 citation statements)

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“…However, numerous studies from developed as well as developing countries have consistently reported that teenage pregnancy were at increased risk for preterm birth, Yemen, like other developing countries, most women begin their childbearing life early during adolescence, before reaching their full biologic and social maturity. [24][25][26] Antenatal care plays an important role in the women's reproductive health, primarily through caring for pregnant women and monitoring pregnancy course facilitating early detection of obstetric complications. It is also addressing other reproductive health needs, such as family planning and provides contraceptive aids.…”

Section: Discussionmentioning

confidence: 99%

Interpregnancy interval and the risk of preterm birth: a case-control study of infants born at Al-sadaqa general teaching hospital, Aden, Yemen

Bukair

Al-Saqladi

Al-Sadeeq

2016

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 99%

Interpregnancy interval and the risk of preterm birth: a case-control study of infants born at Al-sadaqa general teaching hospital, Aden, Yemen

Bukair

Al-Saqladi

Al-Sadeeq

2016

Int J Reprod Contracept Obstet Gynecol

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“…5 These deaths are largely avoidable with skilled care. 6 Although services like emergency obstetric care are the most challenging and costly to provide, they also have the highest potential to save lives. 7 The term "perinatal mortality" includes deaths that are attributed to obstetric events, such as stillbirths and neonatal deaths in the first week of life.…”

Section: Introductionmentioning

confidence: 99%

Study of obstetric factors in perinatal morbidity and mortality at a tertiary centre

Tambe¹,

Thawal²,

Anand³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Safe motherhood and child survival have always been a concern for the policymakers but perinatal mortality, especially stillbirths, have not received due attention. There are 5.9 million perinatal deaths worldwide, almost all of which occur in developing countries. Stillbirths account for over half of all perinatal deaths. This study was aimed to determine perinatal mortality rate and related obstetrics risk factors. Perinatal mortality is only a tip of the iceberg, morbidity being much higher. Vital statistics obtained through this study may serve an important source of information to guide the public health policy makers and health care providers in future.Methods: Present observational study was undertaken in a tertiary center to look into various maternal factors and possible cause of perinatal death. All perinatal deaths including stillbirths (SBs) and early neonatal deaths (ENNDs) within 0-7 days of birth after 28 weeks of gestation were analysed. The data was collected through a pre-designed proforma.Results: Perinatal mortality is 66.27/1000 births in our centre, where 37% were intrauterine deaths, 34% were neonatal deaths and 29% were still births. Preterm, pregnancy induced hypertension; abruptio placentae remain the most important factors for perinatal loss.Conclusions: One of the reasons for high perinatal mortality in tertiary centres is because of poor antenatal care at peripheral centres and late referrals. Early detection of obstetric complications and aggressive treatment is one of golden rule to reduce perinatal loss.

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“…2 The percentage in Europe is 4.5-8.7%; 3 in Spain it is approximately 5%. 4 Such reduction has been caused by an improvement in population health and the health care received by mothers and newborn infants 5 and, especially, by the development of new technologies to monitor fetal well-being and neonatal care.…”

mentioning

confidence: 99%

Analysis of perinatal mortality in newborn infants with a birth weight of less than 1000 grams in Hospital San Cecilio in Granada (Spain) over the 1991-2010 period

Martinez¹

2013

Arch Argent Pediat

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Analysis of perinatal mortality in newborn infants with a birth weight of less than 1000 grams in Hospital San Cecilio in Granada (Spain) over the 1991-2010 period ABSTRACT Introduction. Perinatal mortality has significantly decreased over the last decades. Low birth weight and prematurity are amongst the strongest predictors of neonatal death. The main objective is to analyze the evolution of perinatal mortality and its causes in newborn infants with a birth weight of less than 1000 grams over the last 20 years (1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010). Population and Methods. Observational, descriptive, longitudinal and ecological study. A total of 264 infants weighing less than 1000 g out of a total of 56 024 births during the study period. Different specific perinatal mortality rates by weight were calculated. The Spearman's Rho correlation coefficient was applied to assess the relationship between mortality rates and years of study, and ANOVA and Mann-Whitney test were used to compare five-year periods and tenyear periods, respectively. Results. There were 131 perinatal deaths, 82 stillbirths and 49 early neonatal deaths; 64.1% of them occurred before 27 weeks of gestation. Only the fetal mortality rate was statistically significant, although perinatal mortality showed a downward trend, without reaching significance. The main immediate causes of death were extreme prematurity, intrauterine hypoxia and infection. The underlying causes related to death in this group of newborn infants were infection caused by premature rupture of membranes, maternal hypertension, uncontrollable preterm labor and twin pregnancy. Conclusions. The reduction in mortality rates in this group of newborn infants is undergoing a slowdown.

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Perinatal Mortality in Developing Countries

Cited by 171 publications

References 1 publication

Interpregnancy interval and the risk of preterm birth: a case-control study of infants born at Al-sadaqa general teaching hospital, Aden, Yemen

Interpregnancy interval and the risk of preterm birth: a case-control study of infants born at Al-sadaqa general teaching hospital, Aden, Yemen

Study of obstetric factors in perinatal morbidity and mortality at a tertiary centre

Analysis of perinatal mortality in newborn infants with a birth weight of less than 1000 grams in Hospital San Cecilio in Granada (Spain) over the 1991-2010 period

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