Abstract

PERINATAL MORTALITY IN SULAYMANIA TEACHING HOSPITAL

Dr. Ansam Layth Abdulhameed* and Prof. Dr. Elham Khattab Aljammas

ABSTRACT

Introduction: Perinatal mortality outcomes (fresh late fetal death, macerated late fetal death, early neonatal death). Aim of study: The main aim of the present study is to evaluate perinatal mortality in Sulaymaniyah Obstetrics and Gynaecology Teaching Hospital Centre. Patients and methods: A prospective, cross section study, conducted over 6 month’s period from the 15th of August 2015 till the 15th of February 2016. The study include all still births and early neonatal deliveries in Obstetrics and Gynaecology Teaching Hospital Centre in Sulaymania city which included (310) cases whether normal vaginal deliveries or caesarean section deliveries after acceptance of their mothers to participate and then data analysed by excel 2010 and SPSS computer systems. Results: A total delivery in Obstetrics and Gynaecology Teaching Hospital Centre in Sulaymania city 12600 (100%) births were been recorded, the perinatal mortality rate per 1000 live births in Sulaymania city was 25, still births mortality rate was 13.7 and early neonatal mortality rate was 11.3, the mean age of mother’s 29.8±6.4 years, the mean gestational age 32.5±4.3 weeks and the fetal weight mean 2±1 Kilograms. the maximum perinatal deaths occur in 20-29 years (44.8%), early gestational age (74.8%), male gender (52.3%), low birth weight (66.5%), illiterate and primary educational level of mothers (66.7%),employed (50.3%), low and middle socioeconomic class (86.5%), no antenatal care (67.1%), no ferrous received (64.5%), no tetanus toxoid vaccine (69.7%), multigravida (72.6%), vaginal delivery (69.4%) and most common causes was premature baby (29.3%), unknown cause (19%), congenital anomaly (13.2%), eclampsia and PET (10.3%), antepartum haemorrhage (6.4%).Conclusion: The higher perinatal mortality rate in Sulaymania Obstetrics and Gynaecology Teaching Hospital Centre, suggested quality of health care was fundamental in perinatal mortality reduction, mother age 20-30 years, illiteracy, primary education and employed mothers with low and middle socioeconomic class, multigravida, no antenatal care and no anaemic prophylaxis with no tetanus toxoid vaccination were identification a risk factor of perinatal mortality, The early GA with low birth weight fetuses were up raised of PM. The prematurity, unknown causes, congenital anomalies, eclampsia and APH are the most common causes of PM.

Keywords: Perinatal mortality, Antenatal care, Sulaymania city.