Audit of Neonatal Outcome in Tertiary Care Hospital.

Abstract

Background: Every year, 2.7 million stillbirths occur worldwide, mostly in developing countries. The United Nations Sustainable Development Goals (SDGs) include reducing childhood mortality under five years of age. Perinatal death audit is an intervention to reduce preventable neonatal mortality. The aim of this study was to determine the Perinatal Mortality Rate (PMR) and the factors responsible for perinatal deaths at a Tertiary Care Hospital in Karachi-Pakistan. Methodology: This was a prospective study of all the stillbirths and early neonatal deaths in Abbasi Shaheed Hospital Karachi, Gynecology Unit I. Details of each perinatal death were filled in the standard form. We used Aberdeen Obstetric classification to classify causes of perinatal deaths. Results: There were 1627 deliveries and 43 perinatal deaths during the study period. Our study's perinatal mortality rate was 27.14/1000 births, and the stillbirth rate was 13.25/1000 births. Antepartum hemorrhage (APH), pregnancy-induced hypertension (PIH) and anemia were the common causes of perinatal deaths. Conclusion: Antepartum hemorrhage, pregnancy-induced hypertension and anemia are the leading causes of perinatal deaths. Most of these complications can be reduced by educating women and providing effective antenatal care.

The frequency of deranged coagulation profile in newborns with birth asphyxia.

“…Birth asphyxia is the third leading cause of neonatal mortality, accounting for ~24% of neonatal deaths after preterm births and life-threatening infections 4,5 . Further, the effects are not limited to death; BA is also responsible for various short-term and detrimental long-term severe neurological squeals, for instance, motor and cognitive disabilities, cerebral palsy, epilepsy, mental retardation, and neurodevelopmental disorders in the survivors, which are more often untreatable 6,7 .…”