• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of bullwhoWHO Home PageBulletin Home PageBulletin Home PageAbout Bulletine-mail AlertSubmissions
Bull World Health Organ. 1991; 69(4): 435–442.
PMCID: PMC2393232

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

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

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.1M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Chamberlain G. Background to perinatal health. Lancet. 1979 Nov 17;2(8151):1061–1063. [PubMed]
  • Watts T, Harris RR. 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]
  • Ferraz EM, Gray RH. A case-control study of stillbirths in northeast Brazil. Int J Gynaecol Obstet. 1991 Jan;34(1):13–19. [PubMed]
  • Singh M. Hospital-based data on perinatal and neonatal mortality in India. Indian Pediatr. 1986 Aug;23(8):579–584. [PubMed]
  • Rao PS, Inbaraj SG. Extent of perinatal loss in South Indian urban and rural populations. Indian Pediatr. 1975 Mar;12(3):221–227. [PubMed]
  • Shah U, Pratinidhi AK, Bhatlawande PV. Perinatal mortality in rural India: a strategy for reduction through primary care. I Stillbirths. J Epidemiol Community Health. 1984 Jun;38(2):134–137. [PMC free article] [PubMed]
  • Shah U, Pratinidhi AK, Bhatlawande PV. Perinatal mortality in rural India: intervention through primary health care. II Neonatal mortality. J Epidemiol Community Health. 1984 Jun;38(2):138–142. [PMC free article] [PubMed]
  • 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. [PubMed]
  • Bakketeig LS, Hoffman HJ, Harley EE. The tendency to repeat gestational age and birth weight in successive births. Am J Obstet Gynecol. 1979 Dec 15;135(8):1086–1103. [PubMed]
  • Bhatia BD, Mathur NB, Handa P, Dubey AP, Trivedi M. A study of perinatal mortality rate from rural based Medical College Hospital. Indian J Pediatr. 1984 Mar-Apr;51(409):165–171. [PubMed]
  • Berkowitz GS, Harlap S, Beck GJ, Freeman DH, Baras M. Early gestational bleeding and pregnancy outcome: a multivariable analysis. Int J Epidemiol. 1983 Jun;12(2):165–173. [PubMed]
  • Behera D, Dash S, Malik SK. Blood carboxyhaemoglobin levels following acute exposure to smoke of biomass fuel. Indian J Med Res. 1988 Dec;88:522–524. [PubMed]
  • de Koning HW, Smith KR, Last JM. Biomass fuel combustion and health. Bull World Health Organ. 1985;63(1):11–26. [PMC free article] [PubMed]

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

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • Cited in Books
    Cited in Books
    PubMed Central articles cited in books
  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...