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%