A RETROSPECTIVE STUDY TO KNOW THE PERINATAL MORTALITY RATE AND ITS SEQUENCE IN NISHTER HOSPITAL MULTAN

Objective: To determine perinatal mortality pattern and related risk factors of obstetrics. Study Design: A retrospective study Place and Duration: From February 2016 to February 2018 the study was held in th Gynae Unit II of Nishter Hospital, Multan for the period of two years. Methodology: All patients delivered at the Gynae Unit II during the study period were included. These women were recommended to follow OPD a week after birth. Perinatal deaths, including stillbirths and early neonatal deaths (NND), have taken place within the next 7 days of birth. Those with a gestational age shorter than 28 weeks were excluded. The data were collected from the Excel perinatal mortality study page and also collected information such as age, parity, gestational age, complications during pregnancy, and the way of delivery and delivery. Perinatal data included weight, gestational age, sex of the baby, Apgar score at birth and possible causes of death. Findings: 20,231 deliveries were made in the two year period. There were 1373 perinatal deaths. 867 was still born, and 506 died within the next seven days from birth. The overall perinatal mortality rate was 67.8 / 1000 and the still birth rate was 42.9 / 1000. Mechanisms were present in 21% of the cases, prematurity in 20.3% and hypertensive disorders in 18.8% of the cases. Antepartum haemorrhage was 11.8%, maternal infections / medical problems were 6.5%, congenital anomalies were 4.4% and in newborns was 15.3%. Conclusion: Perinatal mortality association was observed due to prenatal care, early gestational age and low birth weight. Thus, providing good delivery services such as antenatal care, emergency birth and neonatal care services at birth will help reduce perinatal mortality in developing countries. Key words: Perinatal mortality, Early neonatal mortality rate, fetal mortality rate.