MBchB study guide

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PERINATAL MORTALITYAND MORBIDITYPERINATAL MORTALITY Definitions (W.H.O.) PresentStillbirth (SB) Child born after the 22ndweek of gestation with no signs of life.The SB rate is the number of stillbirths per1,000 total births per year. Neonatal deathThis is defined as death of a live born infantwithin 28 days of birth.The Neonatal death rate is the number ofinfants dying within 28 days after birth per1,000 live births per year. Perinatal death rateThis is the total number of stillbirth and firstweek death per 1,000 total births per year.INCIDENCEVary widely between different countries andeven within regions of the same country.Conti In 1995 the highest rate occurred inSomalia and the lowest in JapanIn Western European countries perinatalmortality has fallen markedly over the last 20years.Causes of this improvementincludes1.2.3.4.Improved antenatal and intrapartum careImproved socio-economic conditionsReductions of parityAn active screening program for commoncongenital abnormalities such as Downssyndrome and abnormalities of thecentral nervous system such asanencephaly and spinal bifida.Factors affecting PerinatalMortalitySocial classCountry of birth of the motherMaternal age and paritySmoking (has a significant adverse effecton birth weight & perinatal mortality)Perinatal mortality is high in Sub-SaharanAfrica and Asia.Conti.Among the poorest countries in terms ofth

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