Results:
Table1: The deaths noted in the perinatal period were a total of 101 (37+64). The perinatal mortality rate calculated as Number of perinatal deaths (still births + early neonatal deaths) / total number of births (still births + live births) x 1000 = 101/4226 x 1000=23.9 %. Amongst the still-borns, 14 (37.8%) were fresh still born while 23(62.2%) were macerated. Out of the 101 perinatal deaths, 40 (39.6%) were from the booked cases while 61(60.4%) were of the mothers referred from other hospitals.
PMR (Booked Cases)- 9.46 per 1000
PMR (Un-booked Cases)-14.4 per 1000
FIGURE1: the lowest PMR was noted in the month of Februrary 2019 and highest in July 2019. This was in spite of any significant difference in the total birth rate.
FIGURE 2 shows a slow and steady decline in the trend of still birth rate between the year 2016 and 2020. (KH)
Table2 : The leading cause for antepartum fetal deaths was noted be due to disorders related to fetal growth . There was also significant relationship between the period of gestation, fetal weight, and the chances of fetal survival. A change in the pattern of antepartum deaths was seen, as congenital malformations and infections had taken a backseat as the causes of perinatal deaths. His could be attributed to the more effective diagnosis of the anomalies by ultrasonography and biochemical screening with an effective prevention and treatment of infections associated with perinatal mortality.
Acute intrapartum insults were noted to be the most significant causative factor responsible for deaths during this period contributing 70% to the total mortality. Birth asphyxia correlated the maximum with these deaths.
The most important cause of neonatal deaths was noted due to low birth weight and pre-maturity mostly secondary to deliveries done for maternal medical and surgical conditions.
TABLE 3: PPROM has significantly come down as a cause of neonatal death while prematurity and low birth weight remain the leading cause of early neonatal deaths as well. Maternal hypertensive diseases had significant effect on the Still birth rate (52.47%) in the above study. However, Diabetes contributed only 14.85% unlike the major contributor around the globe for stillbirth. IUGR was significantly linked to the cause of stillborns 66.67%