Perinatal mortality-incidence and effect of various maternal factors,part 1

Of 12,716 consecutive briths, over a period of eleven years, perinatal mortality rate was 80.7, still birth rate 41.4 and early neonatal death rate 39.3. Perinatal mortality was very high in association with previous pregnancy wastages, obstetrical complications like toxemia and antepartum hemorrhage, acute infection and chronic illnesses during pregnancy, abnormal presentation, prolonged sedation and anesthesia. Teenage and elderly mothers, primi and grandmultipara, mothers with anemia and A or O blood group and consangunity also had high perinatal losses. Alcoholism and smoking tend to have adverse effects on fetus but require further studies to be conclusive. A low perinatal mortality rate of 29/1000 in properly booked cases is another highlight of this study.