58 • PERINATOLOGY Vol 24 • No. 1 • May–Aug 2023 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 (%) I4: Infection — — — — — — — I5: Other Specified Intrapartum Disorders — — — — 1 — 1 (10) I6: Diseases Related to Fetal Growth — — — — — — — I7: Intrapartum Death of Unspecified Cause — — — — — — — Total (%) 1 (10) — 7 (70) 1 (10) 1 (10) — 10 (100) Early Neonatal Deaths Early Neonatal Death (64) 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 (%) N1: Congenital Malformations, Deformations, and Chromosomal Abnormalities — — — 2 3 — 5 (7.8) N2: Disorders Related to Fetal Growth — — — 6 — — 6 (9.37) N3: Birth Trauma — — — — — — — N4: Complications of Intrapartum Events 2 — — 4 — — 6 (9.37) N5: Convulsions and Disorders of Cerebral Status — — — — — — — N6: Infections 1 1 1 4 1 — 8 (12.5) N7: Respiratory and Cardiovascular Diseases 1 — — 1 — — 2 (3.1) N8: Other Neonatal Conditions — — — — — — — N9: LBW and Prematurity 4 8 1 14 3 — 30 (46.88)b N10: Miscellaneous — — — — — — — N11: Neonatal Death of Unspecified Cause — — — — — — — Total (%) 8 (12.5) 9 (14.1) 2 (3.12) 31 (48.4) 7 (10.9) — 64 (100) aChromosomal abnormalities contributed the lowest to PMR. bFGR, acute intrapartum events, LBW, and prematurity contributed the highest to PMR. FGR, fetal growth restriction; LBW, low birth weight; PMR, perinatal mortality rate. Clinical Audit Kanchan S, et al. Perinatal Mortality Audit Table 2. continued from page 57 Acute intrapartum insults were found to be the most significant causes of deaths during the perinatal period, contributing to 70% of the total mortality. Birth asphyxia correlated the most with these deaths. The most important cause of neonatal deaths was found to be low birth weight (LBW) and prematurity, mostly secondary to deliveries done in view of maternal medical and surgical conditions. While prematurity and LBW remained the major causes of early neonatal deaths as well, preterm premature rupture of membranes (PPROM) significantly came down as a cause of neonatal death (Table 3).
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