This survey of perinatal statistics, undertaken in the district hospital in Ben Waleed, Libya, had the objective of evaluating the perinatal mortality as an index of quality of the maternal health and perinatal care in the community.
During the study period (January 1991-January 1994), there were 4,635 live born infants and 74 stillbirths.
There were 115 early neonatal deaths.
All 189 cases of perinatal deaths which occurred during the study period were reviewed.
The survey covered maternal characteristics, infant characteristics, association between maternal and infantile characteristics and perinatal mortality, including late fetal death rate, early neonatal death rate, perinatal mortality rate, birth weight specific mortality rate and gestational age specific mortality rate.
They showed an early neonatal mortality rate of 24.8 per 1000 births and a perinatal mortality rate of 40 per 1000 deliveries.
Antepartum stillbirth and intrapartum asphyxia were most commonly associated with perinatal death, followed by immaturity.
Mode of delivery was significantly related with perinatal mortality, with vaginal breech presentation carrying the highest risk of death, followed by forceps delivery.
Caesarean section ranged third, preceding the ventouse delivery.
Possible causes of these findings have been discussed. (...)
Mots-clés Pascal : Mortalité, Périnatal, Facteur risque, Poids naissance faible, Etiologie, Nouveau né, Homme, Libye, Afrique, Epidémiologie, Gestation pathologie, Prématurité, Nouveau né pathologie
Mots-clés Pascal anglais : Mortality, Perinatal, Risk factor, Low birth weight, Etiology, Newborn, Human, Libya, Africa, Epidemiology, Pregnancy disorders, Prematurity, Newborn diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0031973
Code Inist : 002B27B11. Création : 31/05/1999.