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

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 ca...

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Autores principales:	Saraswoti Kumari Gautam Bhattarai, Roshana Ghimire, Sapana Duwadi, Rabin Khadka, Kanchan Gautam
Formato:	article
Lenguaje:	EN
Publicado:	Nepal Medical Association 2021
Materias:	cause; incidence; perinatal death; trend. Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/cd28d2586e724244a0d06fcefaa2b7f7
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spelling	oai:doaj.org-article:cd28d2586e724244a0d06fcefaa2b7f72021-11-18T19:20:08ZPerinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study10.31729/jnma.66910028-27151815-672Xhttps://doaj.org/article/cd28d2586e724244a0d06fcefaa2b7f72021-11-01T00:00:00Zhttp://www.jnma.com.np/jnma/index.php/jnma/article/view/6691https://doaj.org/toc/0028-2715https://doaj.org/toc/1815-672X 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. Saraswoti Kumari Gautam BhattaraiRoshana GhimireSapana DuwadiRabin KhadkaKanchan GautamNepal Medical Associationarticlecause; incidence; perinatal death; trend.Medicine (General)R5-920ENJournal of Nepal Medical Association, Vol 59, Iss 243 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cause; incidence; perinatal death; trend. Medicine (General) R5-920
spellingShingle	cause; incidence; perinatal death; trend. Medicine (General) R5-920 Saraswoti Kumari Gautam Bhattarai Roshana Ghimire Sapana Duwadi Rabin Khadka Kanchan Gautam Perinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study
description	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.
format	article
author	Saraswoti Kumari Gautam Bhattarai Roshana Ghimire Sapana Duwadi Rabin Khadka Kanchan Gautam
author_facet	Saraswoti Kumari Gautam Bhattarai Roshana Ghimire Sapana Duwadi Rabin Khadka Kanchan Gautam
author_sort	Saraswoti Kumari Gautam Bhattarai
title	Perinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study
title_short	Perinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study
title_full	Perinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study
title_fullStr	Perinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study
title_full_unstemmed	Perinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study
title_sort	perinatal mortality among all deliveries in a tertiary care center: a descriptive cross-sectional study
publisher	Nepal Medical Association
publishDate	2021
url	https://doaj.org/article/cd28d2586e724244a0d06fcefaa2b7f7
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Perinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study

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