Karnali Academy of Health Sciences, Jumla, Nepal.
Karnali Academy of Health Sciences , Jumla, Nepal.
JNMA J Nepal Med Assoc. 2021 Nov 15;59(243):1075-1080. doi: 10.31729/jnma.6691.
Perinatal mortality comprises the number of stillbirths and death of newborns within seven days of life which is the main contributor to infant and maternal mortality. The aim of this study was to find out the prevalence of perinatal mortality among all the deliveries in a tertiary care center of a remote part of Nepal.
This was a descriptive cross-sectional study conducted in a tertiary care center located in Jumla among 3798 deliveries (childbirth) from August 2014 to April 2020. Ethical approval was taken from the institutional review committee (2076/2077/05) of the same institution. A convenience sampling technique was used and the data were collected from the medical record section and then entered and analyzed in Statistical Package for Social Sciences version 16. Point estimate at 95% Confidence Interval was calculated along with frequencies and percentages for binary data.
The prevalence of perinatal mortality was 187 (4.92%) (4.23-4.60% at 95% Confidence Interval) among 3798 deliveries. Regarding the primary causes; the highest proportion was intrapartum hypoxia 62 (33.3%), spontaneous preterm labor 40 (21.5%), and congenital anomalies 38 (20.4%). Similarly, about the final cause; the highest proportion was birth asphyxia 64 (34.2%), intrauterine fetal death 51 (27.3%), congenital anomalies 35 (18.7%), and complication of prematurity 32 (17.1%).
The perinatal mortality was quite high in this study with respect to similar studies done in other countries. The finding of this study showed that quality antenatal care with rural ultrasound service is essential to reduce the causes of perinatal mortality.
围产儿死亡率包括死产和新生儿在生命的头七天内死亡的数量，这是婴儿和产妇死亡的主要原因。本研究的目的是了解尼泊尔偏远地区一家三级保健中心所有分娩中的围产儿死亡率。
这是一项在位于珠穆朗玛峰的一家三级保健中心进行的描述性横断面研究，研究对象为 2014 年 8 月至 2020 年 4 月期间的 3798 例分娩（分娩）。该研究获得了同一机构的机构审查委员会（2076/2077/05）的伦理批准。采用便利抽样技术，从病历部分收集数据，然后输入并在统计软件包 16 版中进行分析。计算了 95%置信区间的点估计值以及二项数据的频率和百分比。
在 3798 例分娩中，围产儿死亡率为 187 例（4.92%）（95%置信区间为 4.23-4.60%）。关于主要原因，分娩时缺氧的比例最高，为 62 例（33.3%），自发性早产为 40 例（21.5%），先天性异常为 38 例（20.4%）。同样，关于最终原因，出生窒息的比例最高，为 64 例（34.2%），宫内胎儿死亡为 51 例（27.3%），先天性异常为 35 例（18.7%），早产并发症为 32 例（17.1%）。
与其他国家进行的类似研究相比，本研究中的围产儿死亡率相当高。本研究的结果表明，提供高质量的产前保健和农村超声服务对于降低围产儿死亡率至关重要。
