Bari W, Chowdhury R I, Islam M A, Chakraborty N, Akhter H A H
Department of Statistics, Dhaka University, Dhaka, Bangladesh.
Eur J Contracept Reprod Health Care. 2002 Dec;7(4):216-22.
In Bangladesh, the perinatal mortality is very high. This study examined the differentials and determinants of perinatal mortality in rural Bangladesh.
The study was based on the prospective data on maternal morbidity collected by the Bangladesh Institute of Research for Promotion of Essential and Reproductive Health and Technologies (BIRPERHT). This prospective study was conducted during the period November 1992 to December 1993. In this study, the factors associated with perinatal deaths were examined, employing differential and multivariate analyses.
It was found that assisted delivery caused higher risks of stillbirth and death among live births during the first week of life. It was also observed that five or more pregnancies, prior to the index pregnancy, were positively associated with perinatal death.
If the delivery is assisted or there are complications in delivery, then it is likely that the incidence of perinatal mortality will increase sharply. If the newborn baby was given colostrum, then perinatal mortality decreased to a great extent.
在孟加拉国，围产期死亡率非常高。本研究调查了孟加拉国农村地区围产期死亡率的差异及决定因素。
该研究基于孟加拉国促进基本和生殖健康与技术研究所（BIRPERHT）收集的孕产妇发病情况前瞻性数据。这项前瞻性研究于1992年11月至1993年12月期间进行。在本研究中，采用差异分析和多变量分析研究了与围产期死亡相关的因素。
研究发现，助产会导致死产风险增加以及活产儿在出生后第一周内死亡风险增加。还观察到，在本次索引妊娠之前有五次或更多次妊娠与围产期死亡呈正相关。
如果分娩得到助产或分娩过程中出现并发症，那么围产期死亡率很可能会急剧上升。如果给新生儿喂初乳，那么围产期死亡率会大幅下降。
