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  • Title: Low birthweight and perinatal mortality in Lagos.
    Author: Abudu OO.
    Journal: J Obstet Gynaecol East Cent Africa; 1988; 7(2):68-70. PubMed ID: 12342409.
    Abstract:
    A detailed retrospective analysis was made of the records of 693 singleton low birthweight babies who accounted for 5.2% of all births during 1973-77. The corrected perinatal mortality (PNM) in low birthweight was 339/1000 total singleton births, 43.5% of all perinatal deaths. The clinical cause of LBW was unknown in 66% of the cases. 60.5% of the LBW babies were premature while 39.5% were intrauterine growth retarded (IUGR) babies. The corrected PNM in the IUGR group was 62/1000 while in the preterm group, it was 520/1000. 1/2 of all preterm deliveries were due to unknown causes. Antepartum hemorrhage (21.7%) was the main cause of preterm delivery followed by the pregnancy induced hypertension (17.7%). There were statistically significant differences in the stillbirth rates and early neonatal mortality rates of the premature (unknown cause) and premature (known clinical causes). Preterm births accounted for 98.6% of the early neonatal deaths in LBW. Survival rates were poorest in premature breech deliveries.
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