TY - JOUR AU - Dwa, Yam AU - Bhandari, Sunita PY - 2019/06/30 Y2 - 2024/03/28 TI - Prevalence of Perinatal Deaths in A Tertiary Care Hospital of Nepal JF - Journal of Nepal Medical Association JA - J Nepal Med Assoc VL - 57 IS - 217 SE - Original Article DO - 10.31729/jnma.4431 UR - https://www.jnma.com.np/jnma/index.php/jnma/article/view/4431 SP - AB - <p><strong>Introduction</strong>: Perinatal mortality indicates quality of maternal and neonatal care and is high in<br>Nepal. This study was conducted to find out the prevalence of perinatal deaths in a tertiary care<br>center.</p><p><br><strong>Methods</strong>: This descriptive cross-sectional study was conducted from July 2017 to June 2018 at KIST<br>Medical College and Teaching Hospital. Details of each perinatal death were filled in predesigned<br>proforma from hospital in-patient records within 24 hours of perinatal death. The total of 1088 cases<br>were selected for the study and convenience sampling was done. Statistical analysis was done with<br>Statistical Package for Social Sciences (SPSS 17.0).</p><p><br><strong>Results</strong>: Out of 1088 births selected for the study, there were 16 cases of perinatal deaths. Hence,<br>the prevalence of the perinatal deaths in KIST Medical College and Teaching Hospital is found to be<br>1.47%. In the same way, perinatal mortality rate, stillbirth rate and early neonatal mortality rate were<br>calculated and found to be 14.61 per 1000 births, 8.21 per 1000 births and 6.44 per 1000 live births<br>respectively. Preterm neonates constituted of 71.4% of early neonatal deaths.</p><p><br><strong>Conclusions</strong>: Perinatal mortality rate was 50% lower than that of national survey, however comparable<br>with study at another tertiary care center at Kathmandu. Stillbirth and prematurity contributed<br>significantly to perinatal mortality. Provision of good antenatal surveillance, identification of high<br>risk pregnancies and good neonatal care to preterm neonates would be required to reduce perinatal<br>mortality.<br><br></p> ER -