Perinatal and neonatal mortality, risk factors, and causes in Babylon teaching hospital for maternity and children during 2018

Abstract EN

Background : The perinatal mortality rate (PMR) is referred to fetal death from the 20th weeks of gestation until 7 days after birth expressed as number of death per 1000 live birth.

The risk for mortality in fetuses and neonates is very high around the time of birth.

Objectives : To evaluate the neonatal and PMRs according to sex distribution, causes, and risk factors.

Methods : 200 neonatal deaths (NDs) in our hospital were reviewed to assign obstetric and neonatal information, final causes and the circumstances of death.

Results : the age of patients enrolled in the study range between 24 weeks.

Gestational age (GA) – 28 days, mean ± standard deviation (SD)-2.

64 ± 3.

38 days.

PMR = 43.

6 / 1000birth, neonatal mortality rate = 44.

4 / 1000 live birth.

Their mothers age mean ± SD-27.

68 ± 6.

52 years.

Regarding gender, M : F = 2.

2 : 1.

Perinatal mortality, 189 neonate (94, 5 %) 88 male preterm baby (44 %), 52 female preterm neonate (26 %), term ND in the 1st week, 40 male (20 %) and 9 female (4.

5 %).

Death after 1st week from 8 to 28 days about 11.

Regarding GA divided into 4 categories < 28 week gestation account 11, 28–33.

6/7 weeks 93 ND (58 male, 35 female), 42 ND at 34–36.

6 week (28 male, 14 female), term baby 54.

44 male and 10 female.

Regarding causes of death: prematurity include 99 (49.

5 % - 64 male and 35 female), neonate include 37 (18.

5 % -30 male, 7 female), antepartum death include 17 (8.

5%, 9 male, 8 female), sepsis include 15 (7.

5 % 10 male, 5 female), intrapartum complication include 14 (7 %, 11 male, 3 female), 8 ND with pneumonia (4 %, 7 male and 1 female), 3 ND with meningitis (1.

5 % male 2, female 1), other causes 7.

Conclusions : Both NMR and PMR are higher than world health organization standard rates in Babylon Teaching hospital for maternity and children.