Perinatal mortality rate as a quality indicator of healthcare in Al-Dakhiliyah Region, Oman
Other Title(s)
معدل وفيات ما حول الولادة كمؤشر على جودة الرعاية الصحية في محافظة الداخلية في سلطنة عمان
Joint Authors
Santosh, Asha
Zunjarwad, Geeta
al-Nabhani, Jamila Ahmad
al-Sharqawi, Baha al-Din
al-Busaidi, Ibrahim
Hamdi, Ilham
Source
Sultan Qaboos University Medical Journal
Issue
Vol. 13, Issue 4 (30 Nov. 2013), pp.545-550, 6 p.
Publisher
Sultan Qaboos University College of Medicine and Health Sciences
Publication Date
2013-11-30
Country of Publication
Oman
No. of Pages
6
Main Subjects
Abstract EN
This study aimed to provide insight into the causes of stillbirths and early neonatal deaths and identify better intervention strategies.
Methods: This was a retrospective study during a 7-year period (January 2003 to December 2009) of all stillbirths and early neonatal deaths at the Nizwa regional referral hospital in Al- Dakhiliyah region, Oman.
Results: Of a total 27,668 births, there were 244 stillbirths and 157 early neonatal deaths.
The perinatal mortality rate (PMR) was 14.49/1,000 births.
The period-specific rates were 17.23/1,000 in 2003, 18.33/1,000 in 2004, 15.20/1,000 in 2005, 12.20/1,000 in 2006, 12.46/1,000 in 2007 and 12.09/1000 in 2008.
This decline in the death rate was significant (P = <0.005).
The rate rose in 2009 to 15.63/1,000, mostly from an increase in early neonatal deaths (congenital anomalies).
The most common identifiable cause of stillbirth was congenital anomalies (18.82%), in which central nervous system anomalies were most common.
Other causes include abruptio placentae (13%), cord accidents (12%), and intrauterine growth restriction (IUGR), while the cause remained unknown in 22.59%.
Congenital anomalies accounted for 53.50% of early neonatal deaths followed by prematurity (23.56%) and birth asphyxia (5.73%).
Extremes of maternal age were related to higher PMRs.
Conclusion: An overall improvement in the stillbirths and neonatal death rates was witnessed; however, further improvement is warranted for common avoidable fetal and maternal risk factors.
Extra care needs to be provided for women who are at risk of developing complications such as gestational diabetes, pregnancy-induced hypertension, IUGR, etc.
American Psychological Association (APA)
Santosh, Asha& Zunjarwad, Geeta& Hamdi, Ilham& al-Nabhani, Jamila Ahmad& al-Sharqawi, Baha al-Din& al-Busaidi, Ibrahim. 2013. Perinatal mortality rate as a quality indicator of healthcare in Al-Dakhiliyah Region, Oman. Sultan Qaboos University Medical Journal،Vol. 13, no. 4, pp.545-550.
https://search.emarefa.net/detail/BIM-642403
Modern Language Association (MLA)
Zunjarwad, Geeta…[et al.]. Perinatal mortality rate as a quality indicator of healthcare in Al-Dakhiliyah Region, Oman. Sultan Qaboos University Medical Journal Vol. 13, no. 4 (Nov. 2013), pp.545-550.
https://search.emarefa.net/detail/BIM-642403
American Medical Association (AMA)
Santosh, Asha& Zunjarwad, Geeta& Hamdi, Ilham& al-Nabhani, Jamila Ahmad& al-Sharqawi, Baha al-Din& al-Busaidi, Ibrahim. Perinatal mortality rate as a quality indicator of healthcare in Al-Dakhiliyah Region, Oman. Sultan Qaboos University Medical Journal. 2013. Vol. 13, no. 4, pp.545-550.
https://search.emarefa.net/detail/BIM-642403
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 550
Record ID
BIM-642403