Perinatal mortality: in ICDS urban slum area
Singhal, P.K.; Mathur, G.P.; Mathur, S.; Singh, Y.D.
Indian Pediatrics 23(5): 339-343
1986
ISSN/ISBN: 0019-6061 PMID: 3744506 Document Number: 269912
Of total births over one-year-period in urban slums of Gorakhpur city, still birth rate, early neonatal death rate and perinatal mortality rate (PNMR) were 44.65, 21.81 and 66.46 per 1000, respectively. Female babies had a slightly higher PNMR. Toxemia of pregnancy (17.2%), maternal diseases (14.1%), antepartum hemorrhage (14.1%), tetanus (9.4%), congenital anomalies (9.4%), respiratory distress (6.2%), asphyxia (4.7%) and neonatal septicemia (4.7%) were the major contriuting factors. Babies of illiterate and lower social class (III and IV) accounted for 80 and 60% of all perinatal deaths, respectively. Mortality was significantly higher in mothers below 20 and above 35 years, in primipara and multipara, in gestational age < 32 weeks, in mothers receiving no antenatal care, in cases where interval between two births was less than 12 months, in mothers with bad obstetric history and in home deliveries conducted by untrained personnel.