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Perinatal Mortality. Max Brinsmead PhD FRANZCOG February 2006. Perinatal Deaths NSW 2001-03. Congenital Malformations that Cause Perinatal Death. Prematurity as a Cause of Perinatal Death. Infections that Cause Perinatal Death. Hypertensive Causes of Perinatal Death. - PowerPoint PPT Presentation
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Max Brinsmead MB BS PhDMay 2015
DefinitionThe sum of stillbirths and neonatal deaths
(in the first week of life for infants weighing >500g (WHO)
400g (developed world)1000g (suggested) or 22 weeks gestation (often not known)
Per 1,000 total births
Perinatal Mortality around the WorldRanges from
150 in parts of Africa to...<10 in developed world
A rate of >80 is regarded as “unacceptable”Apparently 40+ in PNGWas 27.9 at PMGH in 2010Is as low as 25 in some developing countries
e.g. Chile, Cuba & Costa Rica
Worldwide Causes of Perinatal Mortality IUGR stillbirthSyphilis (and a few other fetal infections)Birth asphyxia
Often due to obstructed labour Malpresentation Cord prolapse
Birth traumaSpontaneous pre term birthMaternal causes
Hypertensive disease & eclampsia APH
Prolonged pregnancyCongenital malformations
Perinatal Deaths NSW 2001-03
Congenital Malformations that Cause Perinatal Death
Prematurity as a Cause of Perinatal Death
Infections that Cause Perinatal Death
Hypertensive Causes of Perinatal Death
Obstetric Haemorrhage that Causes Perinatal Death
Maternal Diseases that Cause Perinatal Death
Hypoxic Causes of Perinatal Death
Other Causes of Perinatal Death
Causes of Neonatal Death
Perinatal Mortality & Morbidity at John Hunter Hospital
John Hunter Hospital Audit1998 Perinatal Mortality and Morbidity
Avoidable Factors
None Mother Carers System
56.4%
16.4% 24.5%
2.7%