Perinatal Mortality in Udonthani Provine in 1996
Abstract
Background: Perinatal mortality rate indicates maternal and fetal health status. The perinatal mortality rate in Thailand in 1995 was 11.24 per 1,000 births but there was nostudy about the perinatal mortality rate in Udonthani province yet. So this study was performed to collect the data for using in the future use.
Objective : To find out the perinatal mortality rate, causes, associated factors and their strength of association with the risk of perinatal deaths.
Design : Descriptive, provincial and private hospitals and public health centers in Udonthani.
Subjects : Information of the cases were obtained from history, physical examinations, labor records and perinatal death reports between January 1, 1996 and December 31, 1996. Controls were selected by matched sampling from mothers deliveried at the same hospitals just before and after of the study cases.
Measurements : Programs SPSS/CP + and EPI INFO were used. Data was analysed by using rate per 1,000 total births, percentages and compared associated factors births, percentages and logistic regression analysis.
Results : There were 25,273 births with a total of 286 perinatal deaths. The perinatal mortality rate was 11.32 per 1,000 births. The main cause of death was macerated stillbirths which accounted for 29.7% Other causes of death were prematurity (28.4%), asphyxia (18.5), congenital malformation (13.6%) and some specific conditions (9.8%). Factors significantly associated with perinatal death and listed according to their strength of association were low birthweight, complications during pregnancy, complications during labor, non-vertex presentation, parity ≥ 4, preterm labor, birthweight ≤ 3,500 g. and weight gain during pregnancy < 10 kg.
Conclusins : From this study, the perinatal mortality rate in Udonthani in 1996 was 11.32 per 1,000 births. The main cause of death was macerated stillbirths and the factor
