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Determinants of Perinatal Morbidity and Mortality Due to Preterm Deliveries in a Referral Hospital, in Rural India, a Cross Sectional Study | Chapter 17 | New Frontiers in Medicine and Medical Research Vol. 7

 Preterm birth is the most serious problem in modern obstetrics, and it is the primary cause of 24 percent of neonatal fatalities, according to the World Health Organization. Despite having the highest number of births and neonatal mortality in the world, there is a scarcity of data on preterm birth in India. Prematurity and its consequences are responsible for 15% of all neonatal deaths, according to current statistics. The goal of this study was to determine the perinatal morbidity and mortality associated with preterm deliveries at a rural Indian referral hospital. The amount of preterm morbidity and mortality over three years was estimated using a cross-sectional study methodology. 3843 women are expecting. There were 27 cases of twins (24 preterm twins and three term twins) and two cases of triplets in Pune (preterm). 476 (12.2 percent) of the 3874 babies were preterm after the neonates with fatal congenital defects were removed. The study looked at 448 pregnant women (24 preterm twins and 2 preterm triplets) who gave birth to 476 premature babies, excluding those with fatal congenital defects. In this study, preterm births were revealed to be the cause of 61.50 percent of perinatal deaths. Out of 476 preterm babies, there were 83 stillbirths and 120 early neonatal deaths, resulting in a perinatal mortality rate of 426.4 per thousand preterm births. RDS, septicemia, IUGR, and newborn asphyxia are among conditions that can occur during pregnancy. RDS (18.32%), septicemia (22.5%), very preterm (14.16%), and birth asphyxia were all found to be strongly associated to infant death (26 percent). This study shows that raising awareness about the importance of registering pregnant women for prenatal care will help reduce perinatal fatalities. Preterm births, stillbirths, and neonatal fatalities can all be avoided if prenatal registration is done early in the pregnancy. To make a major dent in early newborn fatalities, every teaching institute should have at least level 2 neonatal care facilities.


Author (S) Details

Mahesh Asalkar
Department of Obstetrics and Gynaecology, Postgraduate Institute and YCM Hospital, Pimpri, Pune 18, India.


View Book:-  https://stm.bookpi.org/NFMMR-V7/article/view/3230
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