Skip to main content
NCBI home page
Bulletin of the World Health Organization logoLink to Bulletin of the World Health Organization
. 1991;69(4):435–442.

Levels and risk factors for perinatal mortality in Ahmedabad, India.

D V Mavalankar 1, C R Trivedi 1, R H Gray 1
PMCID: PMC2393232  PMID: 1934237

Abstract

To estimate levels and determinants of perinatal mortality, we conducted a hospital-based surveillance and case-control study, linked with a population survey, in Ahmedabad, India. The perinatal mortality rate was 79.0 per 1000, and was highest for preterm low-birth-weight babies. The case-control study of 451 stillbirths, 160 early neonatal deaths and 1465 controls showed that poor maternal nutritional status, absence of antenatal care, and complications during labour were independently associated with substantially increased risks of perinatal death. Multivariate analyses indicate that socioeconomic factors largely operate through these proximate factors and do not have an independent effect. Estimates of attributable risk derived from the prevalence of exposures in the population survey suggest that improvements in maternal nutrition and antenatal and intrapartum care could result in marked reductions of perinatal mortality.

Full text

PDF
435

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bakketeig L. S., Hoffman H. J., Harley E. E. The tendency to repeat gestational age and birth weight in successive births. Am J Obstet Gynecol. 1979 Dec 15;135(8):1086–1103. doi: 10.1016/0002-9378(79)90742-7. [DOI] [PubMed] [Google Scholar]
  2. Behera D., Dash S., Malik S. K. Blood carboxyhaemoglobin levels following acute exposure to smoke of biomass fuel. Indian J Med Res. 1988 Dec;88:522–524. [PubMed] [Google Scholar]
  3. Berkowitz G. S., Harlap S., Beck G. J., Freeman D. H., Baras M. Early gestational bleeding and pregnancy outcome: a multivariable analysis. Int J Epidemiol. 1983 Jun;12(2):165–173. doi: 10.1093/ije/12.2.165. [DOI] [PubMed] [Google Scholar]
  4. Bhatia B. D., Mathur N. B., Handa P., Dubey A. P., Trivedi M. A study of perinatal mortality rate from rural based Medical College Hospital. Indian J Pediatr. 1984 Mar-Apr;51(409):165–171. doi: 10.1007/BF02825923. [DOI] [PubMed] [Google Scholar]
  5. Capurro H., Konichezky S., Fonseca D., Caldeyro-Barcia R. A simplified method for diagnosis of gestational age in the newborn infant. J Pediatr. 1978 Jul;93(1):120–122. doi: 10.1016/s0022-3476(78)80621-0. [DOI] [PubMed] [Google Scholar]
  6. Chamberlain G. Background to perinatal health. Lancet. 1979 Nov 17;2(8151):1061–1063. doi: 10.1016/s0140-6736(79)92454-1. [DOI] [PubMed] [Google Scholar]
  7. Ferraz E. M., Gray R. H. A case-control study of stillbirths in northeast Brazil. Int J Gynaecol Obstet. 1991 Jan;34(1):13–19. doi: 10.1016/0020-7292(91)90532-a. [DOI] [PubMed] [Google Scholar]
  8. Rao P. S., Inbaraj S. G. Extent of perinatal loss in South Indian urban and rural populations. Indian Pediatr. 1975 Mar;12(3):221–227. [PubMed] [Google Scholar]
  9. Shah U., Pratinidhi A. K., Bhatlawande P. V. Perinatal mortality in rural India: a strategy for reduction through primary care. I Stillbirths. J Epidemiol Community Health. 1984 Jun;38(2):134–137. doi: 10.1136/jech.38.2.134. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Shah U., Pratinidhi A. K., Bhatlawande P. V. Perinatal mortality in rural India: intervention through primary health care. II Neonatal mortality. J Epidemiol Community Health. 1984 Jun;38(2):138–142. doi: 10.1136/jech.38.2.138. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Singh M. Hospital-based data on perinatal and neonatal mortality in India. Indian Pediatr. 1986 Aug;23(8):579–584. [PubMed] [Google Scholar]
  12. Watts T., Harris R. R. A case-control study of stillbirths at a teaching hospital in Zambia, 1979-80: antenatal factors. Bull World Health Organ. 1982;60(6):971–979. [PMC free article] [PubMed] [Google Scholar]
  13. de Koning H. W., Smith K. R., Last J. M. Biomass fuel combustion and health. Bull World Health Organ. 1985;63(1):11–26. [PMC free article] [PubMed] [Google Scholar]

Articles from Bulletin of the World Health Organization are provided here courtesy of World Health Organization

RESOURCES