Data & statistics on Perinatal mortality rates in Victoria: Perinatal mortality rates for Victoria, by Indigenous status, using pooled data for the years 2000 to 2006. The perinatal mortality rate in infants born to Indigenous mothers (20.4 per 1000) is much higher than that for infants born to non-Indigenous mothers (9.7 per 1000)., Perinatal mortality rates in Victoria 1997-2006 (birthweight ≥500g), Birthweight distribution and perinatal mortality, Victoria, 2001 (excludes TOPs for maternal psycho-social indications)...

Perinatal mortality (PNM), also perinatal death, refers to the death of a fetus or neonate and is the basis to calculate the perinatal mortality rate. Variations in the precise definition of the perinatal mortality exist specifically concerning the issue of inclusion or exclusion of early fetal and late neonatal fatalities. The World Health Organization defines perinatal mortality as the number of stillbirths and deaths in the first week of life per 1,000 total births, the perinatal period commences at 22 completed weeks (154 days) of gestation and ends seven completed days after birth, but other definitions have been used. The UK figure is about 8 per 1,000 and varies markedly by social class with the highest rates seen in Asian women. Globally about 2.6 million neonates died in 2013 before the first month of age down from 4.5 million in 1990. Preterm birth is the most common cause of perinatal mortality, causing almost 30 percent of neonatal deaths. Infant respiratory distress syndrome, in ...

INTRODUCTION: Perinatal mortality rate is a sensitive indicator of quality of care provided to women in pregnancy, at and after child birth and to the newborns in the first week of life. Regular perinatal audit would help in identifying all the factors that play a role in causing perinatal deaths and thus help in appropriate interventions to reduce avoidable perinatal deaths.. AIMS AND OBJECTIVES: This study was carried out to determine perinatal mortality rate (PMR) and the factors responsible for perinatal deaths at KMCTH in the two year period from November 2003 to October 2005 (Kartik 2060 B.S. to Ashoj 2062).. METHODOLOGY: This is a prospective study of all the still births and early neonatal deaths in KMCTH during the two year period from November 2003 to October 2005. Details of each perinatal death were filled in the standard perinatal death audit forms of the Department of Pediatrics, KMCTH. Perinatal deaths were analyzed according to maternal characteristics like maternal age, parity, ...

Looking for Perinatal mortality? Find out information about Perinatal mortality. of, relating to, or occurring in the period from about three months before to one month after birth Explanation of Perinatal mortality

Introduction. The United Nations fourth and fifth Millennium Development Goals set targets for reducing child and maternal mortality by 2015.1 Child survival has shown some improvement globally, but progress has been slow for maternal, perinatal and neonatal health.2,3 Better monitoring and management of labour, delivery and the immediate postpartum period are thought to be critical to reducing rates of maternal mortality and perinatal mortality (i.e. a stillbirth or early neonatal death).2 6 Ensuring that labour and the first 24 hours postpartum are managed by a skilled care provider is one of the keys to achieving this aim.4,5. There have been few rigorous studies of the effects on maternal or perinatal mortality of various levels and configurations of skilled care or of the size of the effect on maternal or perinatal mortality that could be achieved by such care.4,7 9 Ecological studies have shown that populations with a greater per cent of births attended by a skilled professional also have ...

Perinatal mortality in Type 2 DM is significantly increased, mainly owing to an excess of late fetal death. Maternal factors such as obesity may be important contributors to the high perinatal mortality. Women diagnosed with GDM who have unrecognized Type 2 DM are also at high risk, but perinatal mo …

Published perinatal mortality rates of low risk women at planned attended homebirth and hospital birth average 0.6/1000 for vaginal births and 1.8/1000 for cesareans (22,23). Perinatal mortality rates for hospital births of low risk women are similar to outcomes of planned homebirth in general, but the maternal morbidity at planned hospital births is much higher. The most optimal perinatal mortality and maternal outcomes are reported by excellently trained, motivated homebirth midwives:. 0/1000 Poplar, East London District, UK 1950: Jennifer Worth reports having delivered well over 100 babies before qualification and several thousand after in the post WWII tenements, where there was no running water and a family of 10 lived in one room, and a family of 10 was common. I do not recall any instance of an emergency occurring, still less a disaster during delivery. Young people today simply do not believe me when I say this but I can only say ask any midwife of my generation who has had a good deal ...

Fetal and neonatal mortality rates in low-income countries are at least 10-fold greater than in high-income countries. These differences have been related to poor access to and poor quality of obstetric and neonatal care. This trial tested the hypothesis that teams of health care providers, administrators and local residents can address the problem of limited access to quality obstetric and neonatal care and lead to a reduction in perinatal mortality in intervention compared to control locations. In seven geographic areas in five low-income and one middle-income country, most with high perinatal mortality rates and substantial numbers of home deliveries, we performed a cluster randomized non-masked trial of a package of interventions that included community mobilization focusing on birth planning and hospital transport, community birth attendant training in problem recognition, and facility staff training in the management of obstetric and neonatal emergencies. The primary outcome was perinatal

GNPRH sites were surveyed to assess birth-weight and gestational age specific neonatal mortality rates. Results indicate that sites use discrepant criteria for recording neonatal deaths with the most pronounced differences occurring between developed and developing centers. Inconsistent neonatal death reporting has implications for across site evaluation of interventions designed to reduce neonatal mortality. Therefore, the GNPRH is working to implement consistent guidelines for accurate collection of neonatal death information and will use the web based information exchange system to be developed through this proposal, to achieve this goal. Incomplete and inconsistent data collection procedures also complicates accurate evaluation of factors contributing to the high perinatal mortality rates, and underscored the need for improvement in the area of data quality. As part of this initiative, participating sites were also surveyed to assess the rate of use of various clinical interventions shown to ...

Infants of women who smoke during pregnancy have lower birthweights and have been observed to have higher rates of perinatal mortality than infants of non-smokers. It is not clear whether this increased risk of mortality is due to an excess of small births among smokers, or to an independent effect of smoking. Although infants of smokers have...

Perinatal mortality Perinatal mortality (PNM), also perinatal death, refers to the death of a fetus or neonate and is the basis to calculate the perinatal

Consultation between the clinicians and epidemiologists responsible for the Perinatal Mortality Surveys in Scotland and in the Northern Regional Health Authority in England showed that the classification of perinatal death introduced more than 30 years ago by Sir Dugald Baird still retained its util …

Old French conjugation varies significantly by date and by region. No differences in perinatal mortality were demonstrated, although there was considerable heterogeneity and the number of participants remains too small to detect small but potentially significant changes in perinatal outcome.

This population-based cross-sectional study by Mori et al. presents routinely collected national data from England and Wales to provide estimates of intrapartum-related perinatal mortality rates for booked home births. Intrapartum-related perinatal mortality is a narrowing of the definition of perinatal mortality to exclude deaths from causes other than intrapartum asphyxia, anoxia, or trauma. Although rates of perinatal mortality are more commonly used in studies, the authors use IPPM as a way to reflect the safety of home birth as the location for intrapartum events.. ...

Despite several efforts globally, the problem of perinatal mortality remained an unsolved agenda. As a result, it continued to be an essential part of the third sustainable development goals to end preventable child deaths by 2030. With a rate of 33 per 1000 births, Ethiopia has the highest level of perinatal mortality in the world. Thus, determining the magnitude and identifying the determinants are very crucial for evidence-based interventions. A community-based longitudinal study was conducted in Southwest Ethiopia among 3474 pregnant women to estimate the magnitude of perinatal mortality. Then, a case-control study among 120 cases and 360 controls was conducted to identify the determinants of perinatal mortality. Data were collected by using an interviewer-administered questionnaire and analyzed by using SPSS version 20. Multivariate logistic regression analysis was used to identify variables having a significant association with perinatal mortality at |span class=inline_break||svg xmlns:xlink=

Objective. To identify factors associated with perinatal mortality in northeastern Tanzania. Design. Prospective cohort study. Setting. Northeastern Tanzania. Population. 872 mothers and their newborns. Methods. Pregnant women were screened for factors possibly associated with perinatal mortality, including preeclampsia, small-for-gestational age, preterm delivery, anemia, and health-seeking behavior. Fetal growth was monitored using ultrasound. Finally, the specific causes of the perinatal deaths were evaluated. Main outcome measure. Perinatal mortality. Results. Forty-six deaths occurred. Key factors associated with perinatal mortality were preterm delivery (adjusted odds ratio (OR) 14.47, 95% confidence interval (CI) 3.2364.86, p , 0.001), small-for-gestational age (adjusted OR 3.54, 95%CI 1.1810.61, p = 0.02), and maternal anemia (adjusted OR 10.34, 95%CI 1.8956.52, p = 0.007). Adherence to the antenatal care program (adjusted OR 0.027, 95%CI 0.0030.26, p = 0.002) protected against perinatal ...

This large, controlled, multicenter study conducted in clinics caring for women with low-risk pregnancies in Zambia demonstrated that ENC training could reduce 7-day neonatal mortality rates. The reductions in rates of deaths attributable to asphyxia and infections may be the result of improvements in general care, resuscitation techniques, management of birth asphyxia, infection prevention, thermal protection, and breastfeeding, as recommended in the ENC course. Training in the initial steps of resuscitation includes stimulation, which may reduce the need for the inappropriate use of more-advanced resuscitation techniques such as medications and oxygen without ventilation, as observed in this study. The beneficial effects on 7-day neonatal mortality rates were most prominent for male infants and infants whose mothers had only primary education or less. The results may indicate that this vulnerable population may benefit preferentially from the intervention.. The strengths of this study are the ...

Perinatal mortality reflects maternal health as well as antenatal, intrapartum and newborn care, and is an important health indicator. This study aimed at classifying causes of perinatal death in order to identify categories of potentially preventabl

Pregnant women and neonates remain the most vulnerable group in any population and many risk factors during pregnancy affect the birth outcome. Crowded and unhygienic living conditions and lack of...

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No significant differences were identified between northern and southern-based sites, with social status being the primary determinant of child health. Lower status groups demonstrated the highest perinatal mortality rates, lowest growth values, some of the highest rates of pathology, and intrauterine onset of deficiency diseases, indicating a heightened exposure to poor maternal health and detrimental exogenous influences associated with poverty. However, the high status group from Chelsea Old Church, London, also showed significant deficiencies in growth values and a high rate of metabolic disease, suggestive of fashionable child-care practices. A potential association between the presence of non-specific indicators of stress and an earlier age-at-death was identified in adults, suggestive of a reduction in longevity associated with early life stress. Life in the city came with significant health risks for children, and the use of multiple growth parameters and indicators of stress proved an ...

Analysis of long- and short- term trends in infant mortality in the United States by age at death, cause of death, sex of child, color, and geographic areas; fetal and perinatal mortality trends; role of various risk factors including birth weight, a ...

In the present study, there was 100% control of seizures in both the groups. No recurrence of seizures were seen in 57 (95%) of cases in group II (low-dose regimen) and 3 (5%) cases showed recurrence, which were controlled by giving additional doses. In group II, loss of patellar reflexes was seen in 6 (10%), reduced urine output was seen in 3 (5%) of cases, mild PPH was observed in 3 (5%) cases and perinatal mortality in 18 (30%) cases, which were lower than that of group I (Pritchards regimen ...

As multiple pregnancies show a higher incidence of complications than singletons and carry a higher perinatal risk, the calculation of birth weight - and gestational age (GA)-specific perinatal mortality rates (PMR) for multiple births is necessary in order to estimate the lowest PMR for these groups. Details of all reported twins (192,987 live births, 5,539 stillbirths and 1,830 early neonatal deaths) in Japan between 1990 and 1999 were analyzed and compared with singletons (10,021,275 live births, 63,972 fetal deaths and 16,862 early neonatal deaths) in the annual report of vital statistics of Japan. The fetal death rate (FDR) and PMR were calculated for each category of birth weight at 500-gram intervals and GA at four-week intervals. The FDR according to birth weight and GA category was calculated as fetal deaths/(fetal deaths + live births) × 1000. The perinatal mortality rate (PMR) according to birth weight and GA category, was calculated as (fetal deaths + early neonatal deaths)/(fetal deaths +

The perinatal mortality rates of mothers who delivered at St. Thomass Hospital from 1969 to 1976 have been examined. The rate in the West Indian population was significant higher than in the United Kingdom white population. The increased West Indian mortality was confined to infants with a birth weight of more than 2.0 kg and a gestational age of more than 37 weeks. The relative risk of perinatal death for West Indian mothers compared with UK white mothers was 1.4 at birth weights of 2.5 kg to 2.9 kg, rising to 4.3 at 4.0 + kg. West Indian perinatal mortality in term babies of normal birth weight was higher in all maternal age and parity groups except parity 3, but the difference was greatest in women aged 30 or over. The African perinatal mortality rate was not significantly greater than the UK white rate although it followed the West Indian trends. Pre-eclampsia and forceps delivery were associated with a greatly increased perinatal mortality in West Indian babies. The excess West Indian ...

Background: In low-income countries, the majority of neonatal deaths occur during the perinatal period. The fourth millennium development goal of reducing child mortality cannot therefore be met without substantial reduction in perinatal deaths. Objective: To investigate the risk factors for perinatal mortality in Arua regional referral hospital, West Nile region. Methods We conducted a facility based unmatched case-control study at Arua Regional Referral hospital during January- March 2006. A total of 60 new cases of perinatal deaths and 120 controls were selected over a 3 months period. A case was defined as any baby born after 28 weeks of gestation either as a still birth or born alive but died within 7 days post delivery. A control was any baby born after 28 weeks of gestation and survived the first seven days of life. Control mothers were followed at home after one week to check if any perinatal death occurred. Logistic regression analysis was used to determine the risk factors for ...

title:Study of Congenital Malformations in Central Nervous System & Gastro- Intestinal Tract. Author:Saiyad SS, Jadav Hrishikesh R. Keywords:Congenital, Malformations, Central Nervous System, Gastro Intestinal Track, Still birth. Type:Original Article. Abstract:Introduction: Congenital malformations comprise 8% of the perinatal mortality in India. They rank fifth as a cause of perinatal mortality, after asphyxia, respiratory problems, infections and cerebral trauma. However, the pattern is changing rapidly with improvement in health care and living standards. Material & Method: In the present study, authors have tried to study the cases of congenital malformations specially related to Central nervous system and Gastro-intestinal system. 5240 cases of newborn babies were studied and results were analyzed and classified in to various categories. Findings: The results show that malformations are more common in still birth, more in female babies and more in central nervous system In live born babies ...

Safer Births is a research and development collaboration to establish new knowledge and new innovative products to better equip and increase competence of health workers for safer births and increased newborn survival worldwide.. The main objectives are:. To randomize different devices for fetal heart rate assessments. To assess if a novel Newborn Resuscitation Monitor will facilitate newborn resuscitation in a low-resource setting. To determine bag mask ventilation treatment and devices beneficial for neonatal outcome. ...

For research papers The BMJ has fully open peer review. This means that accepted research papers submitted from September 2014 onwards usually have their prepublication history posted alongside them on thebmj.com.. This prepublication history comprises all previous versions of the manuscript, the study protocol (submitting the protocol is mandatory for all clinical trials and encouraged for all other studies at The BMJ), the report from the manuscript committee meeting, the reviewers comments, and the authors responses to all the comments from reviewers and editors.. In rare instances we determine after careful consideration that we should not make certain portions of the prepublication record publicly available. For example, in cases of stigmatised illnesses we seek to protect the confidentiality of reviewers who have these illnesses. In other instances there may be legal or regulatory considerations that make it inadvisable or impermissible to make available certain parts of the ...

PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.

Kozuki N, Guenther T, Vaz L, Moran A, Soofi SB, Kayemba CN, Peterson SS, Bhutta ZA, Khanal S, Tielsch JM, Doherty T, Nsibande D, Lawn JE, Wall S. A systematic review of community-to-facility neonatal referral completion rates in Africa and Asia. BMC Public Health. 2015 Sep 30; 15:989 ...

There have been many studies on perinatal and postnatal mortality in calves, but most are limited to small numbers of breeds or herds. The goal of this study was to determine the perinatal (first 24 h) and postnatal mortality rates during the first four months in 22 breeds and cross-breeds commonly occurring in Switzerland and to identify possible risk factors. From 2005 to 2007, 2,122,184 calvings were analysed, which yielded an overall perinatal mortality rate of 2.4%. There was a significant yearly increase in the mortality rate. The postnatal mortality rates from days 2 to 7, 8 to 28 and 29 to 120 were 0.5%, 1.3% and 0.7%, respectively. Dystocia was associated with a relative risk of perinatal mortality of 12.2, and significantly affected the postnatal mortality rates in all time periods investigated. The overall dystocia rate associated with bull calves was more than twice that of heifers, but there was no sex-related difference in Dexter, Hereford, Highland cattle, Hinterwälder, Jersey ...

During pregnancy, both low and high diastolic blood pressures in women are associated with small for gestational age babies and high perinatal mortality. Blood pressure in women without pre-existing hypertension or pre-eclampsia falls slightly during the first half of pregnancy, but then rises from around 34 weeks onwards, suggesting a physiological mechanism.31-34 Our analysis was based on a single blood pressure measurement for women at booking for antenatal care. The findings are similar to longitudinal observations on women followed through pregnancy, but with smaller datasets.35 We adjusted for multiple potential confounders since booking late for antenatal care is associated with adverse socioeconomic factors that might influence blood pressure.. From 34 weeks gestation onwards, birth weight was maximal when the highest recorded blood pressure during pregnancy was between 70 and 90 mm Hg diastolic. The relation was an inverted U shape, so that both higher and lower blood pressures were ...

Antenatal (prenatal) care is an agelong preventive public health intervention designed to promote maternal and infant health worldwide. Various studies have examined the effectiveness of antenatal care in promoting positive birth outcomes.1,-,3 There had been recommendations both for and against reducing the number of antenatal visits among low-risk women.4 This analysis of interventions on alternative packages of antenatal care provides additional evidence-based information to guide health professionals and policy makers in making decisions on whether to make changes in their prenatal programs.. ...

Antenatal (prenatal) care is an agelong preventive public health intervention designed to promote maternal and infant health worldwide. Various studies have examined the effectiveness of antenatal care in promoting positive birth outcomes.1,-,3 There had been recommendations both for and against reducing the number of antenatal visits among low-risk women.4 This analysis of interventions on alternative packages of antenatal care provides additional evidence-based information to guide health professionals and policy makers in making decisions on whether to make changes in their prenatal programs.. ...

STUDY OBJECTIVE: The objective was to test the hypothesis that easy access to sophisticated hospitals is associated with a reduction in perinatal mortality. DESIGN: The study was a nationwide questionnaire survey of a birth cohort. SUBJECTS: All deliveries greater than 500g weight of singleton live births and stillbirths occurring throughout Greece during April 1983 were included. Completed questionnaires were returned for 10,953 deliveries (8% of total annual registered births in Greece), and data on 10,790 singleton births were analysed, including 127 stillbirths and 137 early neonatal deaths. MEASUREMENTS AND MAIN RESULTS: The questionnaires contained information on demographic characteristics of each parent, mothers reproductive history, and clinical course of pregnancy, labour and perinatal period. Mothers living in big urban centres were compared with the rest of the country. Overall mortality rates were similar but births in the big urban centres were of significantly lower weight due to ...

PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.

Hypoglycaemia, liver necrosis and perinatal death in mice lacking all isoforms of phosphoinositide 3-kinase p85α Academic Article ...

Poor fetal growth, also known as intrauterine growth restriction (IUGR), is a worldwide health concern. IUGR is commonly associated with both an increased risk in perinatal mortality and a higher prevalence of developing chronic metabolic diseases later in life. Obesity, type 2 diabetes or metabolic syndrome could result from noxious

SUMMARY INTRODUCTION Maternal mortality (MM) is still high in low- and middle-income countries; severe lifethreatening maternal morbidity, that also called maternal near miss (MNM) leads to MM and is a maker for quality ...

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To study the association between peri-conceptional A1C and serious adverse pregnancy outcome (congenital malformations and perinatal mortality ...

Earlier this week, the Lancet published international estimates of stillbirth rates. The conclusion of the authors was that progress in reducing stillbirth is slow. This is especially true in my home country of the United States where stillbirth is now more prevalent than infant death.. I dont want to minimize the reality of the numbers; but I do want to acknowledge the importance of actually calculating these numbers. Why? Because the deaths must be counted before action is taken. It happened this way with neonatal mortality - it was ignored because there was an assumption that you couldnt really count it. Some brave advocates refused to accept this and progress accelerated for improved neonatal survival. It happened this way with maternal mortality. So for me, the fact that fetal survival is being counted means fetal survival will finally be addressed.. Ive built fetal mortality into my dissertation examining obstetrical levels of care. Why? First, because I believe hospitals that are ...

A DROP in stillbirth rates in the UK has given experts hope that a reduction in stillbirths can occur in Australia and New Zealand. Stillbirth rates in the UK have dropped for the first time since 2000 - from 5.7 per 1000 births in 2002-2004, to 5.2 per 1000 births in 2007. However, a lack of improvement in Australias stillbirth rates in 20 years is of grave concern, International Stillbirth Alliance (ISA) chair Vicki Flenady said in a statement on Saturday. ... In one third of those deaths, stillbirths occur unexpectedly in what is an otherwise healthy mother and baby and no cause of death is determined. ...

Design - Comparative study of pregnancy outcome for parturients who had stayed in an antenatal village and for those admitted directly from the community. Setting - A rural hospital in Zimbabwe. Outcome measures - Birthweight, perinatal mortality and degree of obstetrical intervention. Results - Women who stayed in the antenatal village experienced better pregnancy outcome than women admitted directly from the community. Birthweight was greater, perinatal mortality lower, and obstetrical intervention less often required in the antenatal village group. Conclusions - Lack of randomisation, differences between the two groups in antenatal risk factors, and lack of information relating to socio-economic status suggest that generalisations beyond the specific case be made cautiously.

Dr A. de Jonge (Amsterdam University Medical Centers), Prof. A. Franx (Utrecht University Medical Center), Prof. V. Jaddoe (Erasmus Medical University Center), Prof. H. van der Horst (Amsterdam University Medical Centers) and Dr J. Henrichs (Amsterdam University Medical Centers). ...

The National Maternity and Perinatal Audit (NMPA) clinical report 2019 was published last week and it makes for intriguing reading. For us at Birthrights, the report starts to provide some answers to questions we have been interested in for some time, for instance - is the focus on reducing the stillbirth rate driving up intervention rates, and how do women feel about this? It goes without saying that we have no view on any correct rate of birth interventions per se - and interventions can and do save lives - but we are very interested in how far women are making informed choices about the interventions they have.. Downe et als systematic review (2018)[1], looking at what women want from childbirth, confirmed that most women want a physiological birth whilst being prepared to accept intervention if necessary. One of the most surprising stats in the NMPA report is that intervention appears to be necessary in up to 90% of cases. Only around 1 in 5 women (23.5% on average) across the country are ...

Since 1996, several increasingly credible trials and observational studies have been conducted in European settings where systems for evaluation of maternity care delivery across birth settings are in place. Critics noted that although no apparent differences in morbidity or mortality were found between home and hospital births for well-matched low-risk women, the conclusions from these investigations were made on the basis of small sample sizes or homogenous groups and were influenced by regional differences in available infrastructure. Because of the low rate of adverse events in the developed world, it has been difficult to assess significant differences between birth settings with respect to perinatal mortality and serious complications.. In 2009, 3 new reports, including 2 in North America, have addressed the methodologic flaws of previous trials on home birth.[1-3] De Jonge and colleagues[3] conducted the largest cohort study to date (N = 529,688), which evaluated obstetric outcomes of ...

The aim of the study was to develop and implement the most accurate methods for evaluating perinatal losses in women with extracorporal fertilization.

Rapid induction of labour for pregnant women aged 35 years or over may reduce the risk of perinatal death, British researchers say today.