EVALUATION OF VARIOUS RISK FACTORS OF PERINATAL MORTALITY IN A TERTIARY HOSPITAL, AP

Background- It is important to know various maternal risk factors which lead to adverse perinatal outcome and enable us to form some strategies to reach our goals to reduce the perinatal deaths. Aims and Objectives of the study: is to evaluate the causes and risk factor for perinatal deaths in a tertiary institute and form strategies and protocols in our hospital to reduce perinatal deaths Material and Methods- Study design: Prospective study This study was conducted at OBGYN department, Siddhartha Medical College, Vijayawada done during the period of 1.01.2021 to 31.12.2021. All antenatal women admitted in labor room and antenatal wards were studied by means of a preformed proforma and viewed their outcome. In all cases of perinatal deaths risk factors were analysed in detail. ResultsTotal number of deliveries in the hospital were 9698. Out of which the perinatal deaths studied were 568 [5.85%]. Among these 252 [44%] were IUFD/ Still births and 316 [56%] were early neonatal deaths. In these cases of deaths 121 cases were Respiratory distress syndrome mostly due to prematurity, 82 birth asphyxia, 79 sepsis. The results were presented as percentages, rates and proportions. The results are compared with 5 studies and WHO standards. All studies had similar percentage except Philippine study 3 showed very low PNMR. [3][1,2,47] Conclusion: Analysis of perinatal deaths is important as it is an important index of antenatal care and quality of new born care in an institution