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  • Title: A study of perinatal mortality and associated maternal profile in a medical college hospital.
    Author: Dasgupta S, Saha I, Lahiri A, Mandal AK.
    Journal: J Indian Med Assoc; 1997 Mar; 95(3):78-9. PubMed ID: 9212575.
    Abstract:
    Study of perinatal mortality in a Medical College Hospital revealed stillbirth rate as 38.4, early neonatal death rate as 29.3 and overall perinatal morality rate as 67.7 per 1000 live births. More than half (53.6%) of the perinatal deaths were in primipara and another 22.8% in mothers of parity more than 3. Most mothers (85.9%) did not receive adequate antenatal care services. On admission 35.1% mothers presented with some risk factors. The major risk factors identified were toxaemia of pregnancy (14.8%), severe anaemia (13%) and antepartum haemorrhage (2.6%). A study conducted at the NRS Medical College in Calcutta, India, reviewed all perinatal deaths recorded in 1993. There were 575 such deaths in 8488 live births, for a perinatal mortality rate of 67.7 per 1000 live births. This is substantially higher than the all-India perinatal mortality ratio of 42.3, because the Calcutta hospital serves as a major referral center for complicated pregnancies. There were 326 stillbirths (38.4 per 1000 live births) and 249 early neonatal deaths (29.3 per 1000 live births). 53.6% of the perinatal deaths involved primiparas and 22.8% involved mothers of parities above 3. 35.1% of mothers in perinatal mortality cases presented with pregnancy-related risk factors, including toxemia (14.8%), severe anemia (13%), and antepartum hemorrhage (2.6%). In 494 (85.9%) of the 575 deaths, antenatal care was absent or inadequate. Improved antenatal coverage is essential to the early detection and treatment of risk factors for perinatal mortality.
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