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Bull World Health Organ. 1991;69(4):435-42.

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

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  • 1National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892.

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.

PMID:
1934237
[PubMed - indexed for MEDLINE]
PMCID:
PMC2393232
Free PMC Article
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