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    Associate Clinical Prof. Dr. Aisha M. El-Bareg, MD, PHD Senior Consultant in (Obs & Gyn) /reproductive Medicine Faculty of Medicine, Misurata University, Libya

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    marcelina
    This document discusses perinatal and neonatal mortality. It defines the perinatal period as beginning at 28 weeks of gestation and ending 7 days after birth. The neonatal period begins at birth and ends 28 days after birth. Causes of perinatal and neonatal mortality include prematurity, infections, congenital anomalies, and complications during delivery. Prevention strategies include proper antenatal and neonatal care, early treatment of maternal health issues, and timely delivery.

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    Associate Clinical Prof. Dr. Aisha M. El-Bareg, MD, PHD Senior Consultant in (Obs & Gyn) /reproductive Medicine Faculty of Medicine, Misurata University, Libya

    Uploaded by

    marcelina
    28 views18 pages
    This document discusses perinatal and neonatal mortality. It defines the perinatal period as beginning at 28 weeks of gestation and ending 7 days after birth. The neonatal period begins at birth and ends 28 days after birth. Causes of perinatal and neonatal mortality include prematurity, infections, congenital anomalies, and complications during delivery. Prevention strategies include proper antenatal and neonatal care, early treatment of maternal health issues, and timely delivery.

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    perinatalmortalityfor4thyearmed-170829032834

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    This document discusses perinatal and neonatal mortality. It defines the perinatal period as beginning at 28 weeks of gestation and ending 7 days after birth. The neonatal period begins at birth and ends 28 days after birth. Causes of perinatal and neonatal mortality include prematurity, infections, congenital anomalies, and complications during delivery. Prevention strategies include proper antenatal and neonatal care, early treatment of maternal health issues, and timely delivery.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    28 views18 pages

    Associate Clinical Prof. Dr. Aisha M. El-Bareg, MD, PHD Senior Consultant in (Obs & Gyn) /reproductive Medicine Faculty of Medicine, Misurata University, Libya

    Uploaded by

    marcelina
    This document discusses perinatal and neonatal mortality. It defines the perinatal period as beginning at 28 weeks of gestation and ending 7 days after birth. The neonatal period begins at birth and ends 28 days after birth. Causes of perinatal and neonatal mortality include prematurity, infections, congenital anomalies, and complications during delivery. Prevention strategies include proper antenatal and neonatal care, early treatment of maternal health issues, and timely delivery.

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    Associate Clinical Prof. Dr. Aisha M.

    El-Bareg, MD, PhD


    Senior Consultant in (Obs & Gyn)/Reproductive Medicine
    Faculty of Medicine, Misurata University, LIBYA

    May All Be Happy & Healthy 29 August 2017 1


     Theperinatal period commenced at
    28 completed weeks of gestation
    (time when birth weight is normally
    1000g), and ends seven completed
    days after birth.
     The neonatal period commences at birth
    and ends 28 completed days after birth.

     Early neonatal period: first 7 days


     Late neonatal period : 7-27 days of life
    Includes:
     Late Fetal death ≥ 28
    weeks gestation.

     Early neonatal deaths:


    ≥ 7 days old baby

    May All Be Happy & Healthy 29 August 2017 4


     Perinatal mortality: all fetal & early
    neonatal deaths weighing 1000g or
    more between 28 weeks of gestation to
    first week of neonatal life(WHO).
     Perinatal mortality rate: expressed in
    terms of perinatal deaths per 1000 total
    births.
    •• Developing countries:
    Perinatal mortality high,32-35
    in developed per
    nations
    1000 in India
    :<10 per 1000 births
     Perinatal Mortality Rate (PMR)

    Fetal and Early Neonatal Deaths


    X 1000
    Total births (live, dead)

     Perinatal Mortality Ratio

    Fetal and Early Neonatal Deaths


    X 1000
    live births
    • Maternal age
    –Teenage pregnancies, elderly gravida
    • Parity
    –Anemia, inadequate antenatal care,
    inadequate rest,

    •Socioeconomic factors: LSE


    • Obstetric factors
    –Placental insufficiency, APH, intrapartum
    care, malpresentation ,multiple births
     Idiopathic: about 50 % cases
     Maternal:
    ◦ Hypertension, PET, DM, thyroid disorders
    ◦ Placenta previa, Abruption & cord
    accidents
    ◦ Chorioamnionitis & other infections
    ◦ APS, Isoimmunization
     Fetal: Genetic Anomaly

    May All Be Happy & Healthy 29 August 2017 8


     Prematurity
     IUGR (SGA)
     Hypoxia
     Birth Trauma
     Neonatal Infections
     Congenital anomalies
     Aspiration pneumonitis
     Isoimmunization

    May All Be Happy & Healthy 29 August 2017 9


    Antenatal Causes: Maternal diseases -
    hypertension, cardiovascular diseases,
    diabetes, infections, anemia, pelvic
    diseases, anatomical defects.

    Intranatal Causes: Birth injuries, asphyxia,


    prolonged effort time, obstetric
    complications;
    Postnatal Causes: Prematurity, respiratory
    distress syndrome, respiratory and
    alimentary infections, congenital
    anomalies
    Prevention:

    May All Be Happy & Healthy 29 August 2017 11


     Preconception counseling
     Proper Antenatal Care & PND s.o.s
     Good Maternal hygiene & control of
    genital infections
     Early recognition & effective treatment of
    maternal factors
     Prevent PTL

    May All Be Happy & Healthy 29 August 2017 12


     Judicious use of interventions:
    ◦ Fetal Blood transfusion
    ◦ Fetal Therapy
    ◦ Fetal Operations
     Timely Delivery:
    ◦ Prolonged pregnancy
    ◦ DM, Preeclampsia
    ◦ IUGR, Oligohydroamnios, PROM
    ◦ Poor BPP (≤ 6 ) / nonreactive CTG
    May All Be Happy & Healthy 29 August 2017 13
     Prompt management of fetal distress
     Prevention of infection.
     Amnioinfusion to prevent Meconium
    aspiration.
     Avoid:
    ◦ Traumatic delivery
    ◦ Prolonged labor

    May All Be Happy & Healthy 29 August 2017 14


     Proper resuscitation &
    suction
     Prevention of
    hypothermia & neonatal
    infections
     Emphasize Breast feeding
     Education of Proper
    feeding technique

    May All Be Happy & Healthy 29 August 2017 15


     Prompt treatment of
    Acidosis, Anemia,
    Infections etc.
     Good Neonatal Care
    (NICU)

    May All Be Happy & Healthy 29 August 2017 16


     Proper antenatal care
     Prevention of preterm births, which is
    very difficult
     Providing better care and monitoring
    during the Intranatal period
     Regular use of partograph and timely
    intervention.
     Intensive care of very low birth weight
    and sick neonates.
    May All Be Happy & Healthy 29 August 2017 18

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