Perinatal Mortality and Its Causes at Jinnah Postgraduate Medical Center, Karachi

Misbah  Khan; Shazia  Naseeb

doi:10.54112/bcsrj.v6i5.1700

Authors

Misbah Khan Department of Obstetrics and Gynecology, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
Shazia Naseeb Department of Obstetrics and Gynecology, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v6i5.1700

Keywords:

Perinatal mortality, perinatal mortality rate, perinatal mortality in Pakistan, perinatal mortality in tertiary care hospital

Abstract

Perinatal mortality, according to the WHO, is the number of babies who die at or after 28 weeks of pregnancy or within seven days of birth. Perinatal mortality rate defines the health care status of a country. Pakistan specifically has a comparatively high perinatal mortality (PNMR), and it remains a challenge to improve maternal and neonatal health. Objective: To analyze perinatal mortality cases over a one-year period, from January 1st, 2023, to December 31st, 2023. Method: This study was conducted as a chart review of perinatal deaths that occurred in Ward 8 of Jinnah Postgraduate Medical Centre (JPMC) in Karachi in one year and determined major causes, including fetal asphyxia, congenital anomalies, placental complications, infection and low birth weight. Results: The PNMR was 60.5 per 1000 live births, and it revealed significant gaps needed for health improvement when compared with developed countries. Lack of antenatal care and ineffective antepartum and intrapartum care were major causes of high mortality levels. Conclusion: The study highlights the need for improving antenatal, intrapartum, and neonatal care, campaigns being run in the community and better ways of data management. These interventions can only prevent perinatal mortality and enhance maternal and newborn health in Pakistan.

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References

Souza JP, Cecatti JG, Faundes A, Morais SS, Villar J, Carroli G, et al. Maternal near miss and maternal death in the World Health Organization's 2005 global survey on maternal and perinatal health. Bulletin of the World Health Organization. 2010;88(2):113-9.

Helps A, Leitao S, Greene R, O’Donoghue K. Perinatal mortality audits and reviews: past, present and the way forward. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2020;250:24-30.

Arach AAO, Nakasujja N, Nankabirwa V, Ndeezi G, Kiguli J, Mukunya D, et al. Perinatal death triples the prevalence of postpartum depression among women in Northern Uganda: A community-based cross-sectional study. PLoS One. 2020;15(10):e0240409.

de Castro Vasconcelos AMP. When, Where and why: Do Newborns not Only Get Sick But Also Die in Sao Tome & Principe: Analysis of Causes and Risk Factors Contributing to Perinatal and Neonatal Morbidity and Mortality in A Developing Country–A Case‒Control Study: Universidade NOVA de Lisboa (Portugal); 2023.

Goldenberg RL, Saleem S, Goudar SS, Silver RM, Tikmani SS, Guruprasad G, et al. Preventable stillbirths in India and Pakistan: a prospective, observational study. BJOG: An International Journal of Obstetrics & Gynaecology. 2021;128(11):1762-73.

Aziz A, Saleem S, Nolen TL, Pradhan NA, McClure EM, Jessani S, et al. Why are the Pakistani maternal, fetal and newborn outcomes so poor compared to other low and middle-income countries? Reproductive Health. 2020;17:1-12.

Dale CE, Takhar R, Fan YY, Torabi F, Kim S, Lambarth A, et al. Preprint not peer reviewed.

Valenzuela CP, Gregory EC, Martin JA. Decline in perinatal mortality in the United States, 2017-2019. 2022.

Chan L, Owen KB, Andrews CJ, Bauman A, Brezler L, Ludski K, et al. Evaluating the reach and impact of Still Six Lives: A national stillbirth public awareness campaign in Australia. Women and Birth. 2023;36(5):446-53.

Anwar J, Torvaldsen S, Sheikh M, Taylor R. Under-estimation of maternal and perinatal mortality revealed by an enhanced surveillance system: enumerating all births and deaths in Pakistan. BMC Public Health. 2018;18:1-14.

Korejo R, Naseeb S, Yasmin H, Ahmed S. Audit of perinatal mortality at Jinnah Postgraduate Medical Centre Karachi. Journal of Bahria University Medical and Dental College. 2014;4(1):20-4.

Tahir I, Ahsan I, Nadeem I, Ali K, bin Amir M, Khan RM, et al. Perinatal Mortality Rate in Pakistan and other South-Asian Countries. Journal of Society of Prevention, Advocacy and Research KEMU. 2023;2(4):287-98.

Maugeri A, Barchitta M, Schillaci G, Agodi A. Spatial patterns and temporal trends in stillbirth, neonatal, and infant mortality: an exploration of country-level data from 2000 to 2021. Journal of Global Health. 2025;15:04034.

Memon Z, Fridman D, Soofi S, Ahmed W, Muhammad S, Rizvi A, et al. Predictors and disparities in neonatal and under 5 mortality in rural Pakistan: cross sectional analysis. The Lancet Regional Health-Southeast Asia. 2023;15.

Nakamya P, Komakech A, Migamba SM, Biribawa C, Kwesiga B, Bulage L, et al. Trends and geospatial distribution of stillbirths in Uganda, 2014–2020. BMC Pregnancy and Childbirth. 2024;24(1):249.