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TEMPLATE DESIGN © 2008 www.PosterPresentations.com A FIVE YEAR REVIEW OF PERINATAL MORTALITY IN PUTRAJAYA HOSPITAL MALAYSIA FROM 2006 T0 2010 TOWARDS ACHIEVING MILLENIUM DEVELOPMENT GOAL NUMBER FOUR Noraihan MN, Sofia Annaim A. Department of O&G, Putrajaya Hospital, Malaysia Objectives Conclusions 10 years Obstetric record of PJH Annual perinatal census (National Stillbirths and Neonatal forms) of PJH Methods Using the annual perinatal census in 2006-2010 for PJH, the data was obtained specifically based on the National Stillbirths and Neonatal forms where the data was collected prospectively. The causes of perinatal mortality were grouped according to the Modified Wigglesworth classification. The data was then organized into the Microsoft Excel files and the results were analyzed descriptively. The total births for the whole five years in PJH (2006-2010) was 27067 (Figure 1), while total deliveries were 26874, with total of 116 mothers and 119 babies involved. The Crude PNMR is 6.07, 5.10, 3.76, 4.23 and 2.54 respectively. The corrected PNMR is 5.27, 3.88, 2.90, 3.39 and 1.27 respectively (Figure 2). The five years Stillbirth Rate is 4.66, 4.08, 2.22, 3.22 and 1.82 respectively (Figure 3) with the Early Neonatal Death (ENND) rate of 1.42, 1.02, 1.54, 1.02 and 0.73 respectively. The objectives were to ascertain the perinatal mortality rate (PNMR) in Putrajaya Hospital (PJH) for the past five years (2006-2010), the causes and the associated sociodemographic data. Results The majority is macerated stillbirth (MSB) (55.2%), followed by ENND (26.70%) and fresh stillbirth (FSB) (18.10%). The major cause of mortality is due to prematurity (32.8%) followed by unknown causes (29.31%), lethal congenital malformation (LCM) (23.30%), asphyxia (11.20%) and death due to infection (3.40%). In 2010, there was no death due to asphyxia (Figure 4). In the preterm babies, 31.30% were less than 28 weeks period of amenorrhea (POA) and 31.30% were near term i.e. 34 to 36 weeks. The majority (32.80%) weigh less than 1001 gram followed by 26.70%, which weigh more than 2500 gram. The main cause of death in this near term group was unknown. In cases of LCM, majority is caused by multiple gross abnormalities (7.76%), followed by neural tube defect (6.03%), hydrop feotalis (4.31%), complex cyanotic heart disease (2.59%), Patau Syndrome (1.72%) and Edward’s Syndrome (0.86%) CRUDE AND CORRECTED PERINATAL MORTALITY RATE 2006 - 2010 Male gender fetus accounted for 50.10%, while 44.80% were female and 4.30% were unknown. The mothers were mainly between 28 to 30 years old and 50% were multiparous. Primigravida accounted for 44% and 6% were grandmultiparous. Majority of mothers came with preterm deliveries (57.80%), while others with diabetes mellitus (12.10%), hypertension (11.20%), other associated medical illness (8.60%), per vaginal bleeding (7.80%), anemia (6.90%), unknown illness (3.40%) and prolonged rupture of membrane (2.60%). The cases mainly involved the ethnic Malays (84.50%), followed by other ethnics ( 9.50%), Chinese (5.20%) and Indians (0.86%). Majority of them received antenatal care (ANC) at health clinics (43.10%), followed by hospital centre (29.30%), private maternity center (19.00%) and 8.6% had no ANC. Years Numbers The crude and corrected PNMR in PJH for the past five years (2006-2010) is low and reducing in trend i.e from 6 per 1000 to 2 per 1000 births. There is also a decrease in both the stillbirth and ENND rate. The main cause is prematurity followed by unexplained and LCM. Malay multipara between 28-30 years old, accounts for majority cases with almost half receiving their ANC from health clinics. Further research needs to be performed to ascertain the causes of the MSB and identify risk factors for prematurity in the PJH population. References
TEMPLATE DESIGN © Fetal outcome of prenatally diagnosed congenital abnormality: A Retrospective study” Vallikkannu Narayanan.
TEMPLATE DESIGN © THREE YEARS STUDY OF PERINATAL MORTALITY IN A DISTRICT GENERAL HOSPITAL, UK Momena J A, Rao C Anita.
TEMPLATE DESIGN © Cohort Analysis Of Stillbirth In A Tertiary Hospital In Malaysia Shazni Izana Shahruddin MD(UNIMAS),
Factors associated with perinatal deaths in women delivering in a health facility in Malawi Lily C. Kumbani, Johanne Sundby and Jon Øyvind Odland.
TEMPLATE DESIGN © Perinatal mortality and associated risk factors in LUTH Dr. Gabriel Onyeka Ekekwe, Prof. Rose.I. Anorlu.
Max Brinsmead MB BS PhD May 2015
Perinatal Pathology: A Review Dr G Mortimer UCHGalway.
National data bases and classification of death in Sweden Sven Cnattingius, MD, PhD.
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Perinatal Mortality in Rift Valley Provincial General Hospital between May and October 2014 Mark Maugo FELTP University of Nairobi MBChB Level V.
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March of Dimes Mission: To improve the health of babies by preventing birth defects and infant mortality.
William C. VanNess II, MD State Health Commissioner April 4, 2014.
OBesity Project Pregnancy.
R ISK FACORS OF ADVANCED MATERIAL AGE R ISK FACORS OF ADVANCED MATERIAL AGE.
Pharmacy in Public Health: Describing Populations Course, date, etc. info.
Epidemiology of preterm birth Stefan Johansson Department of Neonatology, Karolinska university hospital Department of Medical Epidemiology and Biostatistics,
Burden of Communicable, Maternal and Perinatal Diseases in Gansu, China Wangxi Hai Northwest University for Nationalities West of China Institute of Environment.
Newborns 2014 Eija Vuori Mika Gissler 19/03/
Every year there are an estimated 200 million pregnancies in the world. Each of these pregnancies is at risk for an adverse outcome for the woman and.
Explaining the Infant Mortality Increase Marian MacDorman, Joyce Martin, T.J.Mathews, Donna Hoyert, and Stephanie Ventura Division of Vital Statistics.
Summary of the Key Recommendations. HHAPI-NeSS Improve the Health System for mothers and babies. Improve the knowledge and skills of Health Care Providers.
1 Prevalence of Congenital Diseases among Perinates in China ( 1996 – 2002 ) Yongtang Jin, MD, PhD, professor Dept of Environmental and Occupational Health,
Infant Mortality – Lake County Statistics Infant Mortality Conference 4 April 2014.
Amniotic fluid. The amniotic fluid that surrounds a fetus (unborn baby) plays a crucial role in normal development. This clear-colored liquid cushions.
Underweight pregnant women in low risk populations: Does a low BMI (<18.5) predict adverse pregnancy outcomes? Paul de Cock AIRC2012.
Newborns 2012 Eija Vuori Mika Gissler 23/06/
Trends in Preterm Birth, Cesarean Delivery, and Induction of Labor in Indiana Statistics from Live Birth Data
The Burden of Obesity in North Carolina Obesity-Related Chronic Disease.
Vaginal delivery of twins: outcomes of 503 twin pregnancies, according to parity and presentation 10 th RCOG international scientific congress: 5 th –
POSTTERM PREGNANCY: THE IMPACT ON MATERNAL AND FETAL OUTCOME Dr. Hussein. S. Qublan- Al-Hammad Jordanian Board in Obstet &Gynecology European Board in.
1 Improving Perinatal Outcomes in Zimbabwe: A New Focus on Prematurity Feresu S.A, Gillispie B, Sowers M. F, Johnson T.R.B & Harlow S. D,
Teratogens Child Psych II. What is a Teratogen? Definition: A teratogen is an environmental agent that can adversely affect the unborn child, thus producing.
TEMPLATE DESIGN © MATERNAL OUTCOME OF EARLY VERSUS LATE TERMINATION OF PREGNANCY AMONG PREGNANT MOTHERS WITH PRENATAL.
Healthy Before Pregnancy March of Dimes NC Preconception Health Campaign.
The Complete Diagnosis Coding Book by Shelley C. Safian, MAOM/HSM, CCS-P, CPC-H, CHA Chapter 10 Coding Congenital and Perinatal Conditions Copyright ©
TOPIC: A REVIEW OF PRETERM BIRTHS AT THE ABIA STATE UNIVERSITY TEACHING HOSPITAL. Chigbu B, Onwere S, Aluka C, Kamanu C, Feyi- Waboso P, Okoro O, Ezirim.
Teenage Pregnancy 1 Teenage Pregnancy: Who suffers? 16 February 2011 Dr. Shantini Paranjothy, Clinical Senior Lecturer Public Health Medicine.
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