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PERINATAL AND NEONATAL MORTALITY RATES AND CAUSES OF DEATH AT MARMARA UNIVERSITY HOSPITAL

Year 2001, Volume: 14 Issue: 3, 176 - 178, 03.12.2016

Abstract

Objective: The aim of our study was to establish the stillbirth, early and late neonatal mortality and perinatal mortality rates at Marmara University Hospital and to compare the rates with those of other countries.
Methods: We evaluated the mothers who gave birth at Marmara University Hospital and their infants prospectively for two years from January 1998 to January 2000. The causes of perinatal deaths were grouped according to the modified Wigglesworth Classification. Maternal risk factors were ascertained.
Results: The stillbirth rate was 15.1%, early and late neonatal mortality rates were 3.8 % and 2.8% respectively, and the perinatal mortality rate was 18.8% in our hospital. The mean gestational age of the neonates who died perinatally in the perinatal period was 26.8±1.2 weeks. In this group, 68% of the mothers did not receive any antenatal care. Sixty percent of their mothers were primipar and 40% were multipar. The most common cause of death was hypoxia during the intrauterine period and preterm labor and delivery. The total number of deliveries in our hospital was 1060 in two years and 19% of the mothers had high risk pregnancy. The average
number of preterm delivery was 37 (7.9% of all deliveries) per year of which 13 (2.5%) had a birth weight of less than 1500 grams.
Conclusion: The perinatal mortality rate at our hospital (18.8 %) is lower than that of the world (53 %) but higher than the rate of the developed countries (10 %). The perinatal mortality rates of the other hospitals in Turkey are between 11.9- 108 %. Systematic antenatal care should be applied all around the country, high risk pregnancies should be managed at the tertiary care hospitals with intensive care units and the number of neonatal intensive care unit beds should be increased.
Key Words: Perinatal mortality rate, Neonatal mortality rate, Antenatal care.

References

  • Erdem G. Perinatal mortalité. Çocuk Sağlığı ve Hastalıkları Derg 1997; 40: 335-343.
  • Maternal Health and Safe Motherhood Programme. Perinatal Mortality: A Listing of Available Information. WHO / PPM / MSH / 96.7, Geneva, 1996.
  • Türk Heonatoloji Derneği Çok Merkezli Çalışma Grubu. Türkiye'de Perinatal Mortalité:
  • Çocuk Sağlığı ve Hastalıkları Derg 2000:43:315-320.
  • Verhoove-Vonhorick SP, Verwey PA, Ebeling MC. Mortality in very preterm and very low birthweight infants according to place of birth and level of care: Results of a national collaborative survey of preterm and VLBW infants in Hetherhands, Pediatrics 1988; 81: 404-411.
  • Dooley SL, Preels SA.Turnock BJ. Quality assessment of perinatal regionalization by multivariate analysis: (Illinois, 1991-1993). Obstet and Gynecol 1997; 89: 193-198.
  • Richardson DP, Reed P, Cutler C, et al.Perinatal regionalization versus hospital competition: The Hartford Example. Pediatrics 1995; 96: 417-423.
  • Phibbs CS, Bronstein JM, Buxton E, Phibbs RH. The effects of patient volume and level of care at the hospital of birth on neonatal mortality. JAMA 1996; 276: 1054-1059.
  • The Scottish Low Birthweight Study Group. The Scottish low birthweight study : I. Survival, growth, neuromotor and sensory impairment. Arch Dis Child 1992; 67: 675- 681.
  • Menard MP, Liu QL, Holgren EA, Sappenfield WM.Heonatal mortality for very low birthweight deliveries in South Carolina by level of hospital perinatal service. Am J Obstet Gynecol 1998; 179: 374-381.
  • Magowan BA, Bain M, Juszczak E, Mclnneny P. Heonatal mortality amongst Scottish preterm singleton births (1985-1994). Br J Obstet Gynaecol 1998; 105: 1005-1010.
Year 2001, Volume: 14 Issue: 3, 176 - 178, 03.12.2016

Abstract

References

  • Erdem G. Perinatal mortalité. Çocuk Sağlığı ve Hastalıkları Derg 1997; 40: 335-343.
  • Maternal Health and Safe Motherhood Programme. Perinatal Mortality: A Listing of Available Information. WHO / PPM / MSH / 96.7, Geneva, 1996.
  • Türk Heonatoloji Derneği Çok Merkezli Çalışma Grubu. Türkiye'de Perinatal Mortalité:
  • Çocuk Sağlığı ve Hastalıkları Derg 2000:43:315-320.
  • Verhoove-Vonhorick SP, Verwey PA, Ebeling MC. Mortality in very preterm and very low birthweight infants according to place of birth and level of care: Results of a national collaborative survey of preterm and VLBW infants in Hetherhands, Pediatrics 1988; 81: 404-411.
  • Dooley SL, Preels SA.Turnock BJ. Quality assessment of perinatal regionalization by multivariate analysis: (Illinois, 1991-1993). Obstet and Gynecol 1997; 89: 193-198.
  • Richardson DP, Reed P, Cutler C, et al.Perinatal regionalization versus hospital competition: The Hartford Example. Pediatrics 1995; 96: 417-423.
  • Phibbs CS, Bronstein JM, Buxton E, Phibbs RH. The effects of patient volume and level of care at the hospital of birth on neonatal mortality. JAMA 1996; 276: 1054-1059.
  • The Scottish Low Birthweight Study Group. The Scottish low birthweight study : I. Survival, growth, neuromotor and sensory impairment. Arch Dis Child 1992; 67: 675- 681.
  • Menard MP, Liu QL, Holgren EA, Sappenfield WM.Heonatal mortality for very low birthweight deliveries in South Carolina by level of hospital perinatal service. Am J Obstet Gynecol 1998; 179: 374-381.
  • Magowan BA, Bain M, Juszczak E, Mclnneny P. Heonatal mortality amongst Scottish preterm singleton births (1985-1994). Br J Obstet Gynaecol 1998; 105: 1005-1010.
There are 11 citations in total.

Details

Journal Section Case Reports
Authors

Fuat Yüksel This is me

Fatih Peker This is me

Publication Date December 3, 2016
Published in Issue Year 2001 Volume: 14 Issue: 3

Cite

APA Yüksel, F., & Peker, F. (2016). PERINATAL AND NEONATAL MORTALITY RATES AND CAUSES OF DEATH AT MARMARA UNIVERSITY HOSPITAL. Marmara Medical Journal, 14(3), 176-178.
AMA Yüksel F, Peker F. PERINATAL AND NEONATAL MORTALITY RATES AND CAUSES OF DEATH AT MARMARA UNIVERSITY HOSPITAL. Marmara Med J. June 2016;14(3):176-178.
Chicago Yüksel, Fuat, and Fatih Peker. “PERINATAL AND NEONATAL MORTALITY RATES AND CAUSES OF DEATH AT MARMARA UNIVERSITY HOSPITAL”. Marmara Medical Journal 14, no. 3 (June 2016): 176-78.
EndNote Yüksel F, Peker F (June 1, 2016) PERINATAL AND NEONATAL MORTALITY RATES AND CAUSES OF DEATH AT MARMARA UNIVERSITY HOSPITAL. Marmara Medical Journal 14 3 176–178.
IEEE F. Yüksel and F. Peker, “PERINATAL AND NEONATAL MORTALITY RATES AND CAUSES OF DEATH AT MARMARA UNIVERSITY HOSPITAL”, Marmara Med J, vol. 14, no. 3, pp. 176–178, 2016.
ISNAD Yüksel, Fuat - Peker, Fatih. “PERINATAL AND NEONATAL MORTALITY RATES AND CAUSES OF DEATH AT MARMARA UNIVERSITY HOSPITAL”. Marmara Medical Journal 14/3 (June 2016), 176-178.
JAMA Yüksel F, Peker F. PERINATAL AND NEONATAL MORTALITY RATES AND CAUSES OF DEATH AT MARMARA UNIVERSITY HOSPITAL. Marmara Med J. 2016;14:176–178.
MLA Yüksel, Fuat and Fatih Peker. “PERINATAL AND NEONATAL MORTALITY RATES AND CAUSES OF DEATH AT MARMARA UNIVERSITY HOSPITAL”. Marmara Medical Journal, vol. 14, no. 3, 2016, pp. 176-8.
Vancouver Yüksel F, Peker F. PERINATAL AND NEONATAL MORTALITY RATES AND CAUSES OF DEATH AT MARMARA UNIVERSITY HOSPITAL. Marmara Med J. 2016;14(3):176-8.