Case records and commentaries in Obstetrics and Gynaecology

Abstract

Among the criteria recommended by World Healthy Organization (WHO) for monitoring the health status and policies of countries is the infant mortality rate (lMR). Imbedded within the infant mortality rate are perinatal deaths, which accounts for more than one third of the IMR. Since the start of a joint project between the ministry of Health, Department of Obstetrics and Gynaecology University of Nairobi and Population Council no study has been done to determine the Early Perinatal Mortality at Western ProvincialGeneral Hospital, Kakamega. To determine the early perinatal mortality rate and associated risk factors. A prospective descriptive study Western ProvincialGeneral Hospital, Kakamegaa referral institution All mothers who delivered at Western Provincial General Hospital, Kakamegafrom 1st September 2003 to 31st December 2003 both dates inclusive. Of the 1,036 deliveries at Western Provincial General Hospital, Kakamega during this period, 992 were singletons, 19 pairs of twins, and two sets of triplets, 10 macerated still births, 17 fresh still births and 5 early neonatal deaths. The early perinatal mortality rate was 30.9/1000 deliveries. Provision of appropriate antenatal care and delivery facilities is crucial for ensuring the optional outcome of the condition of babies at birth. Maternal education is an integral part of both maternal and child survival

All births from 24 weeks gestation to 28 completed days after birth. The number of deaths in children less than one year old per 1000 live births in the same year. The number of stillbirths plus neonatal deaths per 1000 total births. The number of stillbirths plus neonatal deaths occurring within the first 24 hours of life per 1000 total births. The number of neonatal deaths per 1000 total births. The numbers of stillbirths infant per 1000 infants born including live births and stillbirths. No signs of life are present at or after birth. Refers to death of a live born infant within the first 28 days after birth. Early neonatal death refers to death of alive born infant during the first 7 days after birth. Death of a live-born infant after the first week of life but before 29 days.

The first newborn weight obtained after birth less than 2500g. The first newborn weight obtained after birth is less than 1500g. The first newborn weight obtained after birth is less than 1000g. An infant born anytime after 37 completed weeks of gestation and up to 42 completed weeks of gestation. An infant born after 24 weeks gestation but before 37 completed weeks. An infant born anytime after completion of the 42nd week. Initial antenatal clinic attendance.