Abstract

PERINATAL MORTALITY TYPES

Dr. Ansam Layth Abdulhameed*, Prof. Dr. Elham Khattab Aljammas,
Asst. Prof. Dr. Zhian Salah Ramzi

ABSTRACT

Perinatal health, defined as maternal and child health during pregnancy, delivery and the postpartum, it is taken as an index of efficacy of not only antinataly and intranataly care but also of the socioeconomic condition of the community. The objective of this study was to determine risk factors and causes of the perinatal mortality types. A prospective cross section study conducted over 6 month’s period. The study include (310) cases of still births and early neonatal deaths in Obstetrics and Gynaecology Teaching Hospital Centre in Sulaymania city after acceptance of their mothers to participate. The perinatal mortality rate 25 per 1000 live births, the macerated still births cases represented (46.5%) and fresh still births cases was represented as (8.1%) early neonatal deaths cases was (45.4%) of perinatal deaths. The age of mothers and gender of babies were no significantly associated with perinatal mortality types but no antenatal care mothers, no ferrous received during pregnancy, eclampsia and diabetic causes significantly correlated with macerated fetuses as P-value < 0.001 in the other hand, low fetal weight baby, early gestational age, premature and congenital anomaly causes significantly associated with early neonatal death as P-value < 0.001, caesarean section deliveries associated with early neonatal death as P-value 0.001. A higher macerated still birth babies and mostly correlated with neglected mothers in our country.

Keywords: Perinatal mortality, antenatal care, macerated still births, fresh still births, early neonatal deaths, Sulaymania city.