study of perinatal mortality in lahore general hospital

ABSTRACT

This study was conducted at Obs/Gyae department of Lahore General Hospital, Lahore from 1[st] January 2004 to 31[st] December 2004. The aim of this study was to calculate the perinatal mortality rate and find out the various demographic and maternal risk factors leading to it. According to the results of the study the perinatal mortality rate was 91.9/1000 births [394 perinatal deaths /4287 total births]. Stillbirths accounted for 64% of perinatal deaths and 36% were early neonatal deaths. As a result of this study, major determinants of perinatal deaths are found to be increased maternal age, poor socioeconomic class, lack of antenatal care and complications arising from hypertensive disorder of pregnancy, mechanical factors [like obstructed labour and malpresentations] ante partum haemorrhage, bad obstetric history, induction of labour and operative delivery. Many of these factors are avoidable. Efforts must be oriented towards primary measures to improve the conditions at community level