Ecevit Ayse, Oguz Suna Serife, Tarcan Aylin, Yazici Canan, Dilmen Ugur
Department of Pediatrics, Division of Neonatology, Baskent University, Ankara, Turkey.
J Matern Fetal Neonatal Med. 2012 Sep;25(9):1738-41. doi: 10.3109/14767058.2012.663820. Epub 2012 Apr 6.
In this study, the perinatal mortality is presented in 2009 compared to 1998. Changing patterns of the perinatal mortality rate (PNMR), the stillbirth rate (SBR), early neonatal mortality rate (ENMR) and the causes of the perinatal mortality in Zekai Tahir Burak Women's Health Education and Research Hospital (ZTBH) were described. This is the largest maternity hospital of Ankara in the central Anatolian region of Turkey. The total deliveries were 22,777 and 18,567 in 1998 and 2009, respectively. PNMR was 27.7 per 1000, and SBR was 23.7 per 1000 total births. ENMR was 4 per 1000 in 1998. PNMR is 20.7 per 1000, and SBR was 16.3 per 1000 and ENMR was 4.6 per 1000 total births in 2009. It is important to know the causes of mortality. In this study, the causes of perinatal deaths were classified according to the Wigglesworth classification. Antepartum stillbirth (62.3%) was the most frequent cause in 1998. Perinatal asphyxia is the majority (46.6%) of the perinatal deaths in 2009. This study shows that even prenatal care is getting better, obstetric care as well as close follow-up throughout the intrapartum period and diminishing the preterm delivery rate is also important for preventing and reducing perinatal mortality.
在本研究中，呈现了2009年与1998年相比的围产期死亡率。描述了泽凯·塔希尔·布拉克妇女健康教育与研究医院（ZTBH）围产期死亡率（PNMR）、死产率（SBR）、早期新生儿死亡率（ENMR）的变化模式以及围产期死亡原因。这是土耳其安纳托利亚中部地区安卡拉最大的妇产医院。1998年和2009年的分娩总数分别为22,777例和18,567例。1998年PNMR为每1000例中有27.7例，SBR为每1000例总出生中有23.7例。1998年ENMR为每1000例中有4例。2009年PNMR为每1000例中有20.7例，SBR为每1000例中有16.3例，ENMR为每1000例总出生中有4.6例。了解死亡原因很重要。在本研究中，围产期死亡原因根据威格尔斯沃思分类法进行分类。1998年产前死产（62.3%）是最常见的原因。2009年围产期窒息是围产期死亡的主要原因（46.6%）。本研究表明，即使产前护理在改善，产科护理以及整个产程中的密切随访和降低早产率对于预防和降低围产期死亡率也很重要。
