PERINATOLOGY • Vol 24 • No. 1 • May–Aug 2023 • 57 Clinical Audit Kanchan S, et al. Perinatal Mortality Audit fetal survival. With decrease in congenital malformations and infections as the causes of perinatal deaths, there was a change in the pattern of antepartum deaths. This may be attributed to the effective diagnosis Figure 1. Month-Wise Comparison of PMR During the Study Period in Kasturba Medical College PMR, perinatal mortality rate. of the anomalies by ultrasonography and biochemical screening with equally effective preventive measures and treatment of infections associated with perinatal mortality. Table 2. Causes of Antenatal and Intrapartum Fetal Deaths Antepartum Deaths Antepartum Death (11) M1: Complications of the Placenta M2: Maternal Complications of Pregnancy M3: Other Complications of Labor M4: Maternal, Medical, and Surgical Complications M5: No Maternal Condition Other Total (%) A1: Congenital Malformations, Deformations, and Chromosomal Abnormalities — — — 1 2 — 3 (11.1)a A2: Infections — 3 — 1 — — 4 (14.8) A3: Antepartum Hypoxia — 2 — 3 — — 5 (18.5) A4: Other Specific Antepartum Disorders — — — — — — — A5: Disorders Related to Fetal Growth 2 4 — 2 2 — 10 (37.0) b A6: Fetal Death of Unspecified Cause 2 1 — 2 — — 5 (18.5) Total (%) 4 (14.8) 10 (37) — 9 (33.3) 4 (14.8) — 27 (100) Intrapartum Deaths Intrapartum Death (7) M1: Complications of the Placenta M2: Maternal Complications of Pregnancy M3: Other Complications of Labor M4: Maternal Medical, and Surgical Complications M5: No Maternal Condition Other Total (%) I1: Congenital Malformations, Deformations, and Chromosomal Abnormalities — — — 1 — — 1 (10) I2: Birth Trauma — — 1 — — — 1 (10) I3: Acute Intrapartum Events 1 — 6 — — — 7 (70)b Table 2. continued on page 58 Jan 2019 Feb 2019 Mar 2019 Apr 2019 May 2019 Jun 2019 Jul 2019 Aug 2019 Sep 2019 Oct 2019 Nov 2019 Dec 2019 Jan 2020 Feb 2020 Mar 2020 Apr 2020 May 2020 Jun 2020 0 5 20 25 20.1 26.5 29.6 36.5 27.4 24.8 26.6 30.4 22.1 17.1 17.7 14.3 24 25.1 16.9 14.2 30 35 40 15 10 45 50 PMR 12.3 43.8 Figure 2. Comparison Between the Daily Birth Rate and Stillbirth Rate Across 5 Years (2016–2020) SB, stillborns; UB, unbooked stillborns. 0 2016 2017 2018 2019 2020 Daily Birth Rate SB Proportion of UB 20 40 60 80 100 120 140 160
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