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ORIGINAL ARTICLE
Year : 2020  |  Volume : 17  |  Issue : 1  |  Page : 58-63

Perinatal and neonatal mortality, risk factors, and causes in Babylon teaching hospital for maternity and children during 2018


Babylon Teaching Hospital of Maternity and Children, Babylon Health Directorate, Hilla, Iraq

Correspondence Address:
Dr. Nadia Kadhim Nayyef
Babylon Teaching Hospital of Maternity and Children, Babylon Health Directorate, Hilla
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/MJBL.MJBL_93_19

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Background: The perinatal mortality rate (PMR) is referred to fetal death from the 20th weeks of gestation until 7 days after birth expressed as number of death per 1000 live birth. The risk for mortality in fetuses and neonates is very high around the time of birth. Objectives: To evaluate the neonatal and PMRs according to sex distribution, causes, and risk factors. Methods: 200 neonatal deaths (NDs) in our hospital were reviewed to assign obstetric and neonatal information, final causes and the circumstances of death. Results: the age of patients enrolled in the study range between 24 weeks. Gestational age (GA) – 28 days, mean ± standard deviation (SD) – 2.64 ± 3.38 days. PMR = 43.6/1000 birth, neonatal mortality rate = 44.4/1000 live birth. Their mothers age mean ± SD – 27.68 ± 6.52 years. Regarding gender, M: F = 2.2:1. Perinatal mortality, 189 neonate (94, 5%) 88 male preterm baby (44%), 52 female preterm neonate (26%), term ND in the 1st week, 40 male (20%) and 9 female (4.5%). Death after 1st week from 8 to 28 days about 11. Regarding GA divided into 4 categories <28 week gestation account 11, 28–33. 6/7 weeks 93 ND (58 male, 35 female), 42 ND at 34–36.6 week (28 male, 14 female), term baby 54.44 male and 10 female. Regarding causes of death: prematurity include 99 (49.5% – 64 male and 35 female), neonate include 37 (18.5% – 30 male, 7 female), antepartum death include 17 (8.5%, 9 male, 8 female), sepsis include 15 (7.5% 10 male, 5 female), intrapartum complication include 14 (7%, 11 male, 3 female), 8 ND with pneumonia (4%, 7 male and 1 female), 3 ND with meningitis (1.5% male 2, female 1), other causes 7. Conclusions: Both NMR and PMR are higher than world health organization standard rates in Babylon Teaching hospital for maternity and children.


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