Perinatal Mortality At Kathmandu Model Hospital

Abstract

Total number of 410 deliveries were performed at Kathmandu Model Hospital (KMH)during 33 months (April 96 -Dec 98 ). Among 410 deliveries 107 (26.09%) cases weredone by Lower Segment Caesarean Section (LSCS), 54 cases (13.37%) by forcepsdelivery, 188 (45.85%) cases normal vaginal delivery with epigiotomy and 61 (14.87%)normal vaginal delivery with or without tear.During this period, 6 twin delivery cases were observed. There were 14 cases of perinataldeaths (still birth -10 and neonatal-death - 4). Hence, perinatal mortality rateduring this peroid in this hospital was 34.15.Perinatal mortality was mostly due to severe prematurity, birth asphyxia, ante-partumhaemorrhage (APH), intrauterine growth retardation (IUGR), congenital abnormalitiesand sepsis.KEY WORDS: Neonatal death, Still birth, Perinatal mortality, Antepartum haemorrhage (APH), Sepsis.

General practitioner and obstetric service in rural Nepal: A way forward

“…6 The perinatal mortality rate in OCH was quite high compared with the rate in the urban areas of Nepal, where it ranged from 20 to 40 per 1000 births. [7][8][9][10] Prematurity is undoubtedly the most important cause of the early neonatal death and is consistent with other perinatal death audits done in other parts of the country. 7,10 Among the cases of still birth, in 37.5% of cases possible cause could not be identified.…”

“…[7][8][9][10] Prematurity is undoubtedly the most important cause of the early neonatal death and is consistent with other perinatal death audits done in other parts of the country. 7,10 Among the cases of still birth, in 37.5% of cases possible cause could not be identified. Unidentifiable causes for still birth were noted by other studies done in Nepal and India to be 40% and 32.6% respectively.…”