Prevalence of Perinatal Deaths in A Tertiary Care Hospital of Nepal

Dwa, Yam Prasad; Bhandari, Sunita

doi:10.31729/jnma.4431

Cited by 4 publications

(9 citation statements)

References 7 publications

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“…The contrast finding was found in a study conducted in one Medical College and Teaching Hospital, Kathmandu that is 81.25% were preterm births while 18.75% were term. 2 Another study conducted by Rai et al showed perinatal deaths more at gestational age <34 weeks and at >40 weeks, 9 which has different findings with this study. About the sex of the baby; 102 (54.5%) were male and 85 (45.5%) were female.…”

Section: Discussioncontrasting

confidence: 72%

“…This research was conducted after getting ethical approval from the institutional review committee (2076/2077/05) of the Karnali Academy of Health Sciences. The sample size was calculated using the following formula: n= Z 2 x p x q / e 2 = (1.96) 2 x 0.5 x (1-0.5) / (0.02) 2 = 2401 Where, n= minimum required sample size Z= 1.96 at 95% Confidence Interval (CI) p= 50%, for maximum sample size calculation q= 1-p e= margin of error, 5%…”

Section: Methodsmentioning

confidence: 99%

“…1 Stillbirth and prematurity contributed significantly to perinatal mortality. 2 Although neonatal mortality is declining in Nepal, it will take another 50 years for the poorest group to attain 2030 every newborn action plan target. Reducing the disparities for maternal and neonatal care will reduce mortality among the poorest families.…”

Section: Introductionmentioning

confidence: 99%

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Perinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study

et al. 2021

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Introduction: Perinatal mortality comprises the number of stillbirths and death of newborns within seven days of life which is the main contributor to infant and maternal mortality. The aim of this study was to find out the prevalence of perinatal mortality among all the deliveries in a tertiary care center of a remote part of Nepal. Methods: This was a descriptive cross-sectional study conducted in a tertiary care center located in Jumla among 3798 deliveries (childbirth) from August 2014 to April 2020. Ethical approval was taken from the institutional review committee (2076/2077/05) of the same institution. A convenience sampling technique was used and the data were collected from the medical record section and then entered and analyzed in Statistical Package for Social Sciences version 16. Point estimate at 95% Confidence Interval was calculated along with frequencies and percentages for binary data. Results: The prevalence of perinatal mortality was 187 (4.92%) (4.23-4.60% at 95% Confidence Interval) among 3798 deliveries. Regarding the primary causes; the highest proportion was intrapartum hypoxia 62 (33.3%), spontaneous preterm labor 40 (21.5%), and congenital anomalies 38 (20.4%). Similarly, about the final cause; the highest proportion was birth asphyxia 64 (34.2%), intrauterine fetal death 51 (27.3%), congenital anomalies 35 (18.7%), and complication of prematurity 32 (17.1%). Conclusions: The perinatal mortality was quite high in this study with respect to similar studies done in other countries. The finding of this study showed that quality antenatal care with rural ultrasound service is essential to reduce the causes of perinatal mortality.

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Section: Discussioncontrasting

confidence: 72%

Section: Methodsmentioning

confidence: 99%

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Perinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study

et al. 2021

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“…This study demonstrated the PMR of 16.24 per 1000 births with a Stillbirth rate of 9.65 per 1000 births and an Early neonatal mortality rate of 6.49 per 1000 live births during the period 2018-19 at KISTMCTH.Two previous studies of perinatal mortality rate at KISTMCTH from 2016-17 and 2017-18 showed a perinatal mortality rate of 16.27 and 14.53/1000 total births respectively. 7,8 The perinatal mortality rate has been static over the last 3 years at KISTMCTH. However, the perinatal mortality rate was 12.3 per thousand birth in the study conducted at Bharatpur Hospital, Nepal with the increasing trend of PMR over the two years.…”

Section: Discussionmentioning

confidence: 99%

An Analysis of Causes and Avoidable Factors of Perinatal Deaths at Tertiary Care Hospital

Bhandari¹,

Dwa²,

Sharma³

2021

Nep. Med. J.

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Introduction: Perinatal deaths are potentially preventable and reflect the quality of care provided in the prenatal period, during labor, and to a newborn. The purpose of this study was to assess the causes and avoidable factors contributing to perinatal deaths in the year 2018-19 and compare these with the previous two years at Tertiary Care Hospital.Materials and Methods: This study was conducted from a retrospective analysis of all stillbirths and early neonatal deaths in the year July 2018 to July 2019. The Perinatal Mortality Rate, causes, and avoidable factors leading to perinatal deaths were analysed during this year and were compared with that of the previous two years at KIST Medical College and Teaching hospital.Results: PMR was 16.09 per 1000 births in the year 2018-19. Previous two studies at this hospital in the year 2017-18 and 2016-17 showed a Perinatal Mortality Rate of 14.61 and 16.27/1000 births respectively. The commonest primary cause of perinatal deaths was intrapartum hypoxia 6 (30%), preterm delivery 5 (31.25%), and congenital anomalies4 (19%) during the year 2018-19, 2017-18, and 2016-17 respectively. The most common avoidable factors identified were a maternal delay to seek health care, inadequate antenatal checkups, and inadequate antenatal counseling of danger signs by a service provider over the last three years.Conclusions: Maternal delay to seek health care and lack of maternal knowledge of danger signs during pregnancy were the common avoidable factors identified. More efforts should be made to raise awareness of pregnant women during antenatal care visits regarding early healthcare-seeking behavior when needed.

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“…The department of Family Health Division of the Ministry of Health and Population of Nepal investigates perinatal deaths under the program, Maternal and Perinatal Death Surveillance and Response (MPDSR) System [ 6 ]. Perinatal mortality is significantly contributed by stillbirths and prematurity in Nepal, and it can be minimized by provisions for antenatal surveillance and monitoring, timely referral of high-risk pregnancies and good neonatal care to preterm neonates [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Causes of perinatal mortality and associated maternal factors in a tertiary referral hospital of Gandaki province of Nepal: a cross-sectional study from a hospital-based surveillance

Subedi¹,

Kandel

Ghale³

et al. 2022

BMC Pregnancy Childbirth

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Background Perinatal and neonatal death rates have decreased recently but it still poses a major challenge to the health system of Nepal. The study was conducted to explore the pattern and causes of perinatal deaths. Methods This was a descriptive cross-sectional study conducted from September 2020 to June 2021 using the data of perinatal mortality of three years from June 15, 2017, to June 14, 2020. The demographic parameters of the mother consisted of maternal age, place of residence, ethnicity, antenatal care, the number of antenatal visits, gravida, gestational weeks, and the mode of delivery. The causes of death were categorized into fetal and early neonatal deaths. Fetal deaths were further classified as macerated stillbirth and fresh stillbirth. The attribution of the causes of deaths to fetal/neonatal and maternal conditions was done as per the guidelines of the WHO application of ICD-10 to deaths during the perinatal period. Results There were a total of 145 perinatal deaths from 144 mothers among which 92 (63.5%) were males. Ten mothers (6.9%) had not sought even single antenatal care, whereas 32 (22.9%) had visited for antenatal care one to three times. At least one cause of death was identified in 114 (78.6%) and remained unknown in 31(21.4%) cases. Among the 28 cases of macerated stillbirths, the cause of death was not identified in 14 (50%), whereas preterm labor was attributed to the cause of death in four (14.3%). In 53 of the fresh stillbirths, intrapartum hypoxia was identified as the cause of death in 20 (37.7%) cases, preterm labor in nine (17%), and was left unknown in 15 (28.3%) cases. Among the 64 early neonatal deaths, prematurity was attributed as the cause of death in 32 (50%) cases, birth asphyxia, and infections each in 11 (17.2%). Conclusions The perinatal mortality surveillance system identified the causes of death in most of the cases in our observation. Prematurity was identified as the commonest cause of early neonatal deaths and preterm labor was the commonest cause responsible for perinatal deaths overall. The perinatal deaths should be investigated to establish exact causes of deaths which can be useful to develop prevention strategies.

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Prevalence of Perinatal Deaths in A Tertiary Care Hospital of Nepal

Cited by 4 publications

References 7 publications

Perinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study

Perinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study

An Analysis of Causes and Avoidable Factors of Perinatal Deaths at Tertiary Care Hospital

Causes of perinatal mortality and associated maternal factors in a tertiary referral hospital of Gandaki province of Nepal: a cross-sectional study from a hospital-based surveillance

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