Verma M, Chhatwal J, Singh D
Department of Pediatrics, Christian Medical College, Ludhiana.
Indian J Pediatr. 1992 Sep-Oct;59(5):561-5. doi: 10.1007/BF02832991.
Perinatal deaths occurring over a seven year period were studied in a teaching hospital in Punjab. Causes of death were analysed as per Wigglesworth's classification. We have further modified this by correlating different gestations and weight groups with causes of death. The perinatal mortality rate (PNMR) in the present study was 74/1000 and showed a downward trend secondary to a statistically significant fall of early neonatal mortality. There was a decline in PNMR among babies of 1500-2000 g. birth weight and 33-36 weeks gestation. Asphyxia and macerated still births were found to be the two main causes of death. Macerated still births were seen more commonly among babies of lower weight at all gestations. The PNMR of babies born to booked mothers was 22/1000 as compared to 152/1000 among unbooked mothers. It was concluded that to bring down the PNMR, economic development alone is not enough. Provision of adequate antenatal care to all mothers, health education and timely referral of high risk mothers is very essential.
对旁遮普邦一家教学医院七年间发生的围产期死亡情况进行了研究。根据威格尔斯沃思分类法对死亡原因进行了分析。我们通过将不同孕周和体重组与死亡原因相关联，对其进行了进一步修改。本研究中的围产期死亡率（PNMR）为74/1000，由于早期新生儿死亡率在统计学上显著下降，呈现出下降趋势。出生体重在1500 - 2000克、孕周为33 - 36周的婴儿的围产期死亡率有所下降。窒息和浸软死产被发现是两个主要死亡原因。在所有孕周中，浸软死产在体重较低的婴儿中更为常见。已登记产妇所生婴儿的围产期死亡率为22/1000，而未登记产妇所生婴儿的围产期死亡率为152/1000。研究得出结论，仅靠经济发展不足以降低围产期死亡率。为所有母亲提供充分的产前护理、健康教育以及及时转诊高危母亲非常重要。
