BACKGROUND: Birth weight- and gestational age-specific perinatal mortality curves intersect when compared across categories of maternal smoking, plurality, race and other factors. No simple explanation exists for this paradoxical observation. METHODS: We used data on all live births, stillbirths and infant deaths in Canada (1991-1997) to compare perinatal mortality rates among singleton and twi...

There are two markers in the evaluation of perinatal medicine, i.e. they are the maternal mortality rate (maternal death rate per 100,000 births) (X) and perinatal mortality rate (still births and early neonatal death within 1 week in 1,000 births) (Y). The maternal mortality is discussed before perinatal mortality in this paper, because the perinatal mortality closely correlated to maternal mo...

OBJECTIVES To assess reducing travel time to perinatal care centers, and to examine whether reducing travel time influences the neonatal mortality rate (NMR). METHODS The travel time from a population centroid in each municipality to the nearest perinatal care center was measured using the Geographic Information System at two time points, 2002 and 2006. Areas with and without reductions in tr...

BACKGROUND Perinatal mortality is reported to be five times higher in developing than in developed nations. Little is known about the commonly associated risk factors for perinatal mortality in Southern Nations National Regional State of Ethiopia. METHODS A case control study for perinatal mortality was conducted in University hospital between 2008 and 2010. Cases were stillbirths and early n...

one hundred and sixty preterm deliveries were done at our center in (1996-97). classification according to etiology shows that 30% of these deliveries were due to prom, and 13.75% had to be induced secondary to underling fetal or maternal indication, in 35.6% there were maternal or fetal pathology, and in 20.6% there were no recognized reason (idiopathic). the various etiologic factors were eva...

Antepartum hemorrhage (APH) is a grave obstetrical emergency. It is leading cause of perinatal death . Aims of the present study were to study perinatal outcome in patients with antepartum hemorrhage. It is a prospective study carried out over a period of one year (2011-12) on 100 women admitted with the diagnosis of APH at Pt. B.D Sharma medical college, Rohtak, Haryana, India, a tertiary care...

This study aimed to assess the perinatal morbidity and mortality in breech deliveries, to study the correlation of parity and birth weight with perinatal mortality by mode of delivery. Of 210 women in labour in Basra maternity and child hospital, 97 underwent vaginal breech deliveries and 113 delivered by caesarean section. Birth trauma was restricted to vaginal deliveries. The perinatal mortal...

BACKGROUND In high-income countries, national mortality audits are associated with improved quality of care, but there has been no previous systematic review of perinatal audit in low- and middle-income settings. OBJECTIVES To present a systematic review of facility-based perinatal mortality audit in low- and middle-income countries, and review information regarding community audit. RESULTS...

BACKGROUND: Neonatal mortality rates among black infants are lower than neonatal mortality rates among white infants at birth weights <3000 g, whereas white infants have a survival advantage at higher birth weights. This finding is also observed when birth weight-specific neonatal mortality rates are compared between infants of smokers and non-smokers. We provide a parsimonious explanation for ...

OBJECTIVE To evaluate perinatal mortality rates as a method of auditing obstetric and neonatal care after account had been taken of transfer between hospitals during pregnancy and case mix. DESIGN Case-control study of perinatal deaths. SETTING Leicestershire health district. SUBJECTS 1179 singleton perinatal deaths and their selected live born controls among 114,362 singleton births to w...