Dwa Yam Prasad, Bhandari Sunita
Department of Obstetrics & Gynecology, KIST Medical College & Teaching Hospital, Imadol, Lalitpur, Nepal.
JNMA J Nepal Med Assoc. 2019 May-Jun;57(217):164-167. doi: 10.31729/jnma.4431.
Perinatal mortality indicates quality of maternal and neonatal care and is high in Nepal. This study was conducted to find out the prevalence of perinatal deaths in a tertiary care center.
This descriptive cross-sectional study was conducted from July 2017 to June 2018 at KIST Medical College and Teaching Hospital. Details of each perinatal death were filled in predesigned proforma from hospital in-patient records within 24 hours of perinatal death. The total of 1088 cases were selected for the study and convenience sampling was done. Statistical analysis was done with Statistical Package for Social Sciences version 17.0.
Prevalence of perinatal death is 16 (1.46%) out of 1095 births. In the same way, perinatal mortality rate, stillbirth rate and early neonatal mortality rate were calculated and found to be 14.61 per 1000 births, 8.21 per 1000 births and 6.44 per 1000 live births respectively. Preterm neonates constituted of 71.4% of early neonatal deaths.
Perinatal mortality rate was 50% lower than that of national survey, however comparable with study at another tertiary care center at Kathmandu. Stillbirth and prematurity contributed significantly to perinatal mortality. Provision of good antenatal surveillance, identification of high risk pregnancies and good neonatal care to preterm neonates would be required to reduce perinatal mortality.
围产期死亡率是孕产妇和新生儿护理质量的指标，在尼泊尔该死亡率较高。本研究旨在查明一家三级护理中心围产期死亡的发生率。
这项描述性横断面研究于2017年7月至2018年6月在KIST医学院及教学医院开展。在围产期死亡24小时内，从医院住院记录中将每例围产期死亡的详细信息填入预先设计的表格。本研究共选取1088例病例，采用方便抽样法。使用社会科学统计软件包第17.0版进行统计分析。
在1095例出生中，围产期死亡发生率为16例（1.46%）。同样计算得出围产期死亡率、死产率和早期新生儿死亡率分别为每1000例出生14.61例、每1000例出生8.21例和每1000例活产6.44例。早产新生儿占早期新生儿死亡的71.4%。
围产期死亡率比全国调查结果低50%，不过与加德满都另一家三级护理中心的研究结果相当。死产和早产是围产期死亡的重要原因。需要提供良好的产前监测、识别高危妊娠并为早产新生儿提供良好的新生儿护理，以降低围产期死亡率。
