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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >Clinico-pathological study of causes of perinatal mortality in a developing country.
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Clinico-pathological study of causes of perinatal mortality in a developing country.

机译：发展中国家围产期死亡率的临床病理研究。

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Perinatal mortality rates are an important indicator of the overall obstetric and neonatal services available, and the socio-economic status of the community. These rates are also used to identify shortcomings in services provided. The aim of this study was to identify clinical causative factors of perinatal deaths (supported by post mortem evidence where possible). This was a prospective descriptive study. The total number of deliveries and perinatal deaths over a 6-month period were recorded and clinico-demographic data noted. Post mortem examination information, if available, was also recorded. There was a total of 7789 deliveries over the 6-month period and 460 perinatal deaths, giving a perinatal mortality rate of 59/1000 deliveries; 45% (n = 207) of the perinatal deaths had post mortem examinations. The mean age was 26 years; 84.8% were single mothers. One-third of the group were un-booked: the mean gestational age of fetal death was 31 weeks, and the mean birth weight was 1700 g. Two-thirds of the perinatal deaths were stillbirths. The leading obstetric causes of deaths were: abruptio placentae (25.3%), hypertension in pregnancy (24.9%), prematurity (17.4%), unexplained stillbirth (13.4%) and intrapartum asphyxia (9.2%). The perinatal mortality rate of 59/1000 deliveries is high. Although this is comparable with other developing countries, there is a need for improvement in organisation of obstetric and neonatal care, staffing levels and access to and effective utilisation of antenatal services. These will probably lead to a significant reduction of this relatively high perinatal mortality rate.
机译：围产期死亡率是可用的整体产科和新生儿服务的重要指标，以及社会的社会经济地位。这些利率也用于确定所提供服务的缺点。本研究的目的是确定围产期死亡的临床致病因素（可能在可能的验尸证据的支持下）。这是一个潜在的描述性研究。记录了6个月内的递送和围产期死亡总数，并注意到临床人口统计数据。验证后的验尸检查信息还记录。 6个月期间共有7789个递送和460例围产期死亡，围产期死亡率为59/1000分娩;围产期死亡的45％（n = 207）患有验尸检查。平均年龄为26岁; 84.8％是单身母亲。本集团的三分之一是未预订的：胎儿死亡的平均妊娠期为31周，平均出生体重为1700克。围产期死亡的三分之二是死税。死亡的主要产科原因是：孕妇（25.3％），妊娠高血压（24.9％），早产儿（17.4％），未解释的死产（13.4％）和窒息（9.2％）。围产期死亡率为59/1000分娩。虽然这与其他发展中国家相当，但需要改善产科和新生儿护理，人员配置水平和获取和有效利用产前服务。这些可能导致这种相对较高的围产期死亡率的显着降低。

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