Madiha Iqbal, Anam Majid, Zia Muhammad, Huma Azam Khan.
Perinatal mortality and its related obstetrics risk factors.
J Med Sci Jan ;22(2):76-9.

Objective: To determine the perinatal mortality rate and its related obstetric risk factors in our set up. Material and Methods: It was a descriptive study conducted in the Obstetrics & Gynaecology Unit A of Khyber Teaching Hospital (KTH), Peshawar from January 2011 to December 2013. All perinatal deaths including still births (SB) and early neonatal deaths (ENNDS) within 7 days of birth after 24 weeks of gestation were included, while pregnancies less than 24 weeks of gestation were excluded from the study. The relevant information was collected through a proforma which contained variables including maternal age, booking status, parity and social status. Pregnancy related complications, medical disorders, labour details and fetal condition leading to perinatal deaths were also taken into account. Results: A total number of 11260 patients were analyzed for perinatal mortality. Out of these there were 740 perinatal deaths giving a perinatal mortality rate (PNMR) of 65.7/1000 total births. There were 605 SBs and 135 ENNDS. Among these 88% of the women were unbooked. Commonest risk factor was antepartum haemorrhage (APH) (29.7%), followed by hypertensive disorders of pregnancy (PIH) (26.7%) and mechanical factors affecting labour (14.5%). Congenital abnormalities were found in 10% while maternal medical disorders were observed in 4.5% of the cases. However in 5.6% of the cases, the cause remained unknown. Conclusion: Perinatal mortality is still high in our part of the world and is largely the result of poor maternal health, the socio economic status, lack of health awareness and inadequate care during antepartum, intrapartum and post partum period.

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