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Perinatal Mortality Rate and Associated Risk Factors Among Waynad Population in Tertiary Care Center

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Context: The Perinatal Mortality Rate (PMR) gives good indicator of quality of Health care available to mother and new-born. As the PMR varies from one region to another region in Kerala and across the country, there is need to study the prevalence of PMR along with causative factors to know the quality of health care system of that region. Aim: to find out the Perinatal Mortality Rate (PMR) and factors influencing the PMR among Wayanad population in tertiary care center for the past three years from 2016 to 2019. Settings and Design: This was retrospective study which was conducted in DMWIMS from 2016 to 2018 after taking Institutional Ethical Committee clearance. Methods and Material: In this study we collected the number deaths of babies between 28 weeks of gestation and 1st week after delivery from OBG and pediatrics NICU register and later we calculated the PMR from 2016, 2017, 2018 by using formula. The causes for still birth/IUD and early neonatal deaths were noted and entered in Excel sheet. Statistical Analysis Used: This risk factors were analyzed and the results was depicted in percentages and bar graphs using the SPSS software version 16. Results: In the present study the PMR was 25.17/1000 live births in 2016, 15.93/1000 live births in 2017 and 11.4/1000 live births in 2018 among the deliveries conducted in DMWIMS hospital. The prematurity, respiratory distress syndrome was most common cause of early neonatal death were as low birth weight with Abruptio placenta were the common cause of Still birth/ IUD. Conclusions: This decrease in trend of PMR across the year was due to proper antenatal care, intrapartum care and provision of critical care units like NICU from the trained and experienced staff in both Pediatrics, Obstretrics and Gynaecology Department in this Tertiary care centre in Wayanad.

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Context: The Perinatal Mortality Rate (PMR) gives good indicator of quality of Health care available to mother and new-born. As the PMR varies from one region to another region in Kerala and across the country, there is need to study the prevalence of PMR along with causative factors to know the quality of health care system of that region. Aim: to find out the Perinatal Mortality Rate (PMR) and factors influencing the PMR among Wayanad population in tertiary care center for the past three years from 2016 to 2019. Settings and Design: This was retrospective study which was conducted in DMWIMS from 2016 to 2018 after taking Institutional Ethical Committee clearance. Methods and Material: In this study we collected the number deaths of babies between 28 weeks of gestation and 1st week after delivery from OBG and pediatrics NICU register and later we calculated the PMR from 2016, 2017, 2018 by using formula. The causes for still birth/IUD and early neonatal deaths were noted and entered in Excel sheet. Statistical Analysis Used: This risk factors were analyzed and the results was depicted in percentages and bar graphs using the SPSS software version 16. Results: In the present study the PMR was 25.17/1000 live births in 2016, 15.93/1000 live births in 2017 and 11.4/1000 live births in 2018 among the deliveries conducted in DMWIMS hospital. The prematurity, respiratory distress syndrome was most common cause of early neonatal death were as low birth weight with Abruptio placenta were the common cause of Still birth/ IUD. Conclusions: This decrease in trend of PMR across the year was due to proper antenatal care, intrapartum care and provision of critical care units like NICU from the trained and experienced staff in both Pediatrics, Obstretrics and Gynaecology Department in this Tertiary care centre in Wayanad.

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This page is a summary of: Perinatal Mortality Rate and Associated Risk Factors Among Waynad Population in Tertiary Care Center, Indian Journal of Anatomy, June 2020, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ija.2320.0022.9220.1.
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