Figure 3: Comparison of Trends in Kasturba Hospital in comparison to India and Karnataka
PMR continue to show overall fall when compared with last four-year KH data (25.3). The NMR has showed an increasing trend from last two year with a value of 19.04 for 2019 when internal KH data was compared Still Birth Rate continues to fall to its least in last 4 years in KH to 6.23.
Analyzing the causes for perinatal deaths: Congenital anomalies accounts for 7.9% of causes of still birth. Fetal growth restriction (FGR) accounted to more than 50% of the perinatal deaths . FGR was noted to be maximally associated to hypertensive disorders of pregnancy. However, sometimes FGR was noted to be an isolaed finding or in relation with the other maternal conditions such as autoimmune disorders as well. Maternal medical conditions were associated with up to40.6% of causes for still birth. Preterm births account to 45.3% of neonatal deaths, sepsis accounting to 20.31%. Delayed referrals for severe pre-eclampsia, eclampsia and uncontrolled hypertension were the most common. Intrapartum- deaths were mostly accounted to acute intrapartum events that eventually lead to hypoxia.