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...

Background and aims: Despite substantial advances in the etiology of autism spectrum disorder (ASD),the environmental risk factors have not yet been well understood. The present study investigated theassociation between ASD, and maternal and perinatal risk factors.Methods: This matched, case-control study was conducted in Hamadan, the west of Iran, fromNovember 2015 to M...

background: neonatal deaths mostly occur within the first one week and first 24 hours of life from a variety of conditions. objective: to examine the role of significant hypothermia and hypoglycaemia, in addition to some other factors, in neonatal mortality occurring within the first 24 hours of admission.methods: a prospective study of newborn infants hospitalized within the first 24 hours of ...

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...

letter to the editor does not have abstract.

OBJECTIVE To examine whether problematic perinatal pain is associated with postpartum depression (PPD) symptoms in a large nationally representative sample of Canadian mothers. METHODS We conducted a secondary data analysis using the 2006 Canadian Maternity Experiences Survey data (n=5,614). The main exposures of interest were the presence of problematic perinatal pain at three months postpar...

In view of the importance of anticipating the occurrence of critical situations in medicine, we propose the use of a fuzzy expert system to predict the need for advanced neonatal resuscitation efforts in the delivery room. This system relates the maternal medical, obstetric and neonatal characteristics to the clinical conditions of the newborn, providing a risk measurement of need of advanced n...

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. Ninety-percent of perinatal hepatitis B virus (HBV) infection results in chronic HBV which usually is asymptomatic, but carries a 25% risk of premature death from progressive liver injury, cirrhosis, and liver cancer. In 1990, the Centers for Disease Control and Prevention (CDC) funded the Perinatal Hepatitis B Prevention Program (PHBPP) to accelerate elimination of perinatal HBV tr...

AIMS To evaluate the relevance of systematic screening for neonatal metabolic acidosis at birth as part of perinatal audit. METHODS For every baby, born in Ziekenhuis Oost Limburg, Genk Belgium between 1/1/2010 and 31/12/2010, cord blood was analysed to diagnose metabolic acidosis, defined as arterial or venous pH ≤ 7.05 or 7.17 respectively, in association with base excess of ≤ -10 mmol/L. T...