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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >A retrospective analysis of the risk factors leading to perinatal mortality at a tertiary care hospital of Sikkim, India
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A retrospective analysis of the risk factors leading to perinatal mortality at a tertiary care hospital of Sikkim, India

机译：印度锡金一家三级护理医院中导致围产期死亡的危险因素的回顾性分析

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Background: This study helps to assess the burden of perinatal mortality at a tertiary referral hospital in Sikkim known for its hilly terrain which makes health services difficult to access. The aims and objectives were to determine the various causes and risk factors leading to perinatal mortality in order to formulate preventive strategies Methods: All perinatal deaths over a year between August 2016-2017 were included and analysed in our study. Results: A stillbirth rate of 14 per 1000 total births and early neonatal death rate of 8 per 1000 live births was found in 1855 total births. Complications related to pregnancy like pre-eclampsia (16%), eclampsia (8%), ante-partum haemorrhage (15%) and medical disorders (13%) were major contributors to stillbirths while pre-maturity (53.3%), sepsis (20%), birth asphyxia due to meconium aspiration (13.3%) were notable factors leading to early neonatal deaths. In majority of the cases, factors like poor literacy, low socio-economic status, increased basal metabolic index and inadequate ante-natal care caused increased perinatal losses. Conclusions: Perinatal grief continues to surround women who have suffered perinatal deaths and serious efforts should be made to bring down the mortality rates by improving health , nutrition of all expecting mothers and increase their awareness to seek ante-natal health services in order to avoid any catastrophe in terms of maternal and fetal loss.
机译：背景：这项研究有助于评估锡金（Sikkim）一家三级转诊医院的围产期死亡负担，该医院以其丘陵地带而闻名，这使得医疗服务难以获得。目的和目的是确定导致围产期死亡的各种原因和风险因素，以便制定预防策略。方法：纳入并分析了2016年8月至2017年一年中所有围产期死亡。结果：在1855年的总出生中，死产率为1000/14，新生儿的死亡率为1000/8。与妊娠相关的并发症，如先兆子痫（16％），子痫（8％），产前出血（15％）和内科疾病（13％）是死产的主要原因，而早产（53.3％），败血症（ 20％），胎粪吸入引起的出生窒息（13.3％）是导致新生儿早期死亡的显着因素。在大多数情况下，诸如识字能力差，社会经济地位低下，基础代谢指数增加和产前护理不足等因素导致围产期损失增加。结论：围产期妇女继续遭受围产期痛苦，并应通过改善所有准妈妈的健康状况，营养并提高她们寻求产前保健服务的意识来努力降低死亡率，以免发生任何疾病。母婴损失方面的巨灾。

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