Download - Perinatal Mortality
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Max Brinsmead MB BS PhDMay 2015
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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
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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
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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
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Perinatal Deaths NSW 2001-03
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Congenital Malformations that Cause Perinatal Death
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Prematurity as a Cause of Perinatal Death
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Infections that Cause Perinatal Death
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Hypertensive Causes of Perinatal Death
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Obstetric Haemorrhage that Causes Perinatal Death
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Maternal Diseases that Cause Perinatal Death
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Hypoxic Causes of Perinatal Death
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Other Causes of Perinatal Death
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Causes of Neonatal Death
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Perinatal Mortality & Morbidity at John Hunter Hospital
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John Hunter Hospital Audit1998 Perinatal Mortality and Morbidity
Avoidable Factors
None Mother Carers System
56.4%
16.4% 24.5%
2.7%