{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T15:43:43Z","timestamp":1787586223465,"version":"build-2736575974"},"reference-count":46,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:p>\n            Objective\u2003The aim of the study is to describe the status of perinatal mortality (PM) in an Indian rural hospital.<\/jats:p><jats:p>\n            Study Design\u2003Retrospective analysis of data was compiled from PM meetings (April 2017 to December 2018) following \u201cMaking Every Baby Count: audit and review of stillbirths and neonatal deaths (ENAP or Every Newborn Action Plan).\u201d<\/jats:p><jats:p>\n            Results\u2003The study includes 8,801 livebirths, 105 stillbirths (SBs); 74 antepartum stillbirths [ASBs], 22 intrapartum stillbirths [ISBs], and nine unknown timing stillbirths [USBs]), 39 neonatal deaths or NDs (perinatal death or PDs 144). The higher risks for ASBs were maternal age &gt;34 years, previous history of death, and\/or SBs. Almost half of the PDs could be related with antepartum complications. More than half of the ASB were related with preeclampsia\/eclampsia and abruptio placentae; one-third of the ISB were related with preeclampsia\/eclampsia and gestational hypertension, fetal growth restriction, and placental dysfunction. The main maternal conditions differed between PDs (p\u2009=\u20090.005). The main causes of the ND were infections, congenital malformations, complications of prematurity, intrapartum complications, and unknown. The stillbirth rate was 11.8\/1,000 births, neonatal mortality rate 4.4\/1,000 livebirths, and perinatal mortality rate 15.8\/1,000 births.<\/jats:p><jats:p>\n            Conclusion\u2003This is the first study of its kind in Andhra Pradesh being the first step for the analysis and prevention of PM.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0041-1727220","type":"journal-article","created":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T00:14:25Z","timestamp":1619482465000},"page":"375-386","source":"Crossref","is-referenced-by-count":2,"title":["Extended Perinatal Mortality Audit in a Rural Hospital in India"],"prefix":"10.1055","volume":"40","author":[{"given":"N\u00faria","family":"Torre Monmany","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Rural Development Trust Children's Hospital, Bathalapalli, Andhra Pradesh, India"},{"name":"Department of Paediatric Emergency Transport, Sant Joan de D\u00e9u Hospital, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaqu\u00edn Am\u00e9rico","family":"Astete","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Rural Development Trust Children's Hospital, Bathalapalli, Andhra Pradesh, India"},{"name":"Department of Paediatrics, Pediatria dels pirineus, la Seu d'Urgell, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dasarath","family":"Ramaiah","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Rural Development Trust Children's Hospital, Bathalapalli, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyothi","family":"Suchitra","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Rural Development Trust Children's Hospital, Bathalapalli, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Krauel","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Rural Development Trust Children's Hospital, Bathalapalli, Andhra Pradesh, India"},{"name":"Department of Neonatology, Sant Joan de d\u00e9u Hospital, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manolo","family":"Fillol","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Rural Development Trust Children's Hospital, Bathalapalli, Andhra Pradesh, India"},{"name":"Department of Gynecology, Hospital de la plana, Castell\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yadamala","family":"Balasubbaiah","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Rural Development Trust Children's Hospital, Bathalapalli, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Alarc\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Sant Joan de d\u00e9u Hospital, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quique","family":"Bassat","sequence":"additional","affiliation":[{"name":"ISGlobal, Hospital Cl\u00ednic-Universitat de Barcelona, Barcelona, Spain"},{"name":"Icrea, Barcelona, Spain"},{"name":"Centro de Investiga\u00e7\u00e3o em Sa\u00fade de Manhi\u00e7a, Maputo, Mozambique"},{"name":"Pediatrics Department, Hospital Sant Joan de D\u00e9u, Universitat de Barcelona, Esplugues, Barcelona, Spain"},{"name":"Consorcio de Investigaci\u00f3n Biom\u00e9dica en Red de Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP), Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,4,26]]},"reference":[{"issue":"03","key":"ref1","first-page":"4","article-title":"Perinatal mortality: does antenatal care matters?","volume":"4","author":"N Ashwani","year":"2016","journal-title":"Int J Sci Stud"},{"issue":"15","key":"ref2","first-page":"1","article-title":"Ending preventable stillbirths 2 stillbirths: rates, risk factors, and acceleration towards 2030","volume":"6736","author":"J E Lawn","year":"2016","journal-title":"Lancet"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.siny.2017.02.009","article-title":"Classification of causes and associated conditions for stillbirths and neonatal deaths","volume":"22","author":"V Flenady","year":"2017","journal-title":"Semin Fetal Neonatal 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technique","volume":"5","author":"P K Mony","year":"2015","journal-title":"BMJ Open"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/S0140-6736(14)60496-7","article-title":"Every newborn: progress, priorities, and potential beyond survival","volume":"384","author":"J E Lawn","year":"2014","journal-title":"Lancet"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1111\/1471-0528.14971","article-title":"Making stillbirths visible: a systematic review of globally reported causes of stillbirth","volume":"125","author":"H E Reinebrant","year":"2018","journal-title":"BJOG"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"398","DOI":"10.2471\/BLT.16.170431","article-title":"The global strategy for women\u2019s, children\u2019s and adolescents\u2019 health (2016\u20132030): a roadmap based on evidence and country experience","volume":"94","author":"S Kuruvilla","year":"2016","journal-title":"Bull World 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Temmerman","year":"2018","journal-title":"Lancet"},{"issue":"02","key":"ref18","doi-asserted-by":"crossref","first-page":"e98","DOI":"10.1016\/S2214-109X(15)00275-2","article-title":"National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: a systematic analysis","volume":"4","author":"H Blencowe","year":"2016","journal-title":"Lancet Glob Health"},{"issue":"03","key":"ref19","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1007\/s13312-016-0828-x","article-title":"Perinatal mortality\u2014what has changed?","volume":"53","author":"S B Mukherjee","year":"2016","journal-title":"Indian Pediatr"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"1798","DOI":"10.1016\/S0140-6736(10)62235-0","article-title":"Stillbirths: the vision for 2020","volume":"377","author":"R L Goldenberg","year":"2011","journal-title":"Lancet"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"1448","DOI":"10.1016\/S0140-6736(10)62187-3","article-title":"Stillbirths: where? 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How to make the data count?","volume":"377","author":"J E Lawn","year":"2011","journal-title":"Lancet"},{"issue":"03","key":"ref22","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1080\/14767050802559129","article-title":"Stillbirth in developing countries: a review of causes, risk factors and prevention strategies","volume":"22","author":"E M McClure","year":"2009","journal-title":"J Matern Fetal Neonatal Med"},{"key":"ref23","volume-title":"WHO Application of ICD 10 to Deaths During the Perinatal Period: ICD-PM","author":"WHO","year":"2016"},{"issue":"06","key":"ref24","doi-asserted-by":"crossref","first-page":"e710","DOI":"10.1016\/S2214-109X(19)30163-9","article-title":"National, regional, and global levels and trends in neonatal mortality between 1990 and 2017, with scenario-based projections to 2030: a systematic analysis","volume":"7","author":"L Hug","year":"2019","journal-title":"Lancet Glob Health"},{"issue":"01","key":"ref25","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/s12916-019-1265-1","article-title":"Deferred and referred deliveries contribute to stillbirths in the Indian state of Bihar: results from a population-based survey of all births","volume":"17","author":"R Dandona","year":"2019","journal-title":"BMC Med"},{"key":"ref27","volume-title":"WHO mortality database: tables","author":"World Health Organization"},{"issue":"06","key":"ref28","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1093\/tropej\/fmy060","article-title":"The golden 28 days of child survival","volume":"64","author":"L Madrid","year":"2018","journal-title":"J Trop Pediatr"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1038\/jp.2016.183","article-title":"State of newborn health in India","volume":"36","author":"M J Sankar","year":"2016","journal-title":"J Perinatol"},{"issue":"12","key":"ref30","doi-asserted-by":"crossref","first-page":"1896","DOI":"10.1111\/1471-0528.14243","article-title":"Giving a voice to millions: developing the WHO application of ICD-10 to deaths during the perinatal period: ICD-PM","volume":"123","author":"E R Allanson","year":"2016","journal-title":"BJOG"},{"issue":"S 01","key":"ref31","doi-asserted-by":"crossref","first-page":"S43","DOI":"10.1016\/j.ijgo.2015.03.017","article-title":"Ending preventable newborn deaths in a generation","volume":"131","author":"N Akseer","year":"2015","journal-title":"Int J Gynaecol Obstet"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/S0140-6736(14)61698-6","article-title":"Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis","volume":"385","author":"L Liu","year":"2015","journal-title":"Lancet"},{"issue":"06","key":"ref33","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1016\/j.clinthera.2005.06.019","article-title":"Analgesia and sedation during mechanical ventilation in neonates","volume":"27","author":"J V Aranda","year":"2005","journal-title":"Clin Ther"},{"issue":"S 01","key":"ref34","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1038\/jp.2016.27","article-title":"When do newborns die? A systematic review of timing of overall and cause-specific neonatal deaths in developing countries","volume":"36","author":"M J Sankar","year":"2016","journal-title":"J Perinatol"},{"issue":"S 02","key":"ref35","doi-asserted-by":"crossref","first-page":"S13","DOI":"10.1186\/1742-4755-12-S2-S13","article-title":"Institutional deliveries and perinatal and neonatal mortality in Southern and Central India","volume":"12","author":"S S Goudar","year":"2015","journal-title":"Reprod Health"},{"issue":"03","key":"ref36","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1542\/peds.2012-1999","article-title":"Levels of neonatal care","volume":"130","author":"W D Barfield","year":"2012","journal-title":"Pediatrics"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1111\/apa.14534","article-title":"Stillbirth and preterm birth and associated factors in one of the largest cities in central Vietnam","volume":"108","author":"H TN Giang","year":"2018","journal-title":"Acta Paediatr"},{"issue":"03","key":"ref38","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1542\/peds.109.3.399","article-title":"Delayed childbearing and its impact on population rate changes in lower birth weight, multiple birth, and preterm delivery","volume":"109","author":"S C Tough","year":"2002","journal-title":"Pediatrics"},{"issue":"S 01","key":"ref39","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1111\/1471-0528.12633","article-title":"Maternal complications and perinatal mortality: findings of the World Health Organization Multicountry Survey on Maternal and Newborn Health","volume":"121","author":"J P Vogel","year":"2014","journal-title":"BJOG"},{"issue":"S 04","key":"ref40","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1111\/1471-0528.12995","article-title":"Causes of and factors associated with stillbirth in low- and middle-income countries: a systematic literature review","volume":"121","author":"M Aminu","year":"2014","journal-title":"BJOG"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1016\/S0140-6736(05)71088-6","article-title":"Evidence-based, cost-effective interventions: how many newborn babies can we save?","volume":"365","author":"G L Darmstadt","year":"2005","journal-title":"Lancet"},{"issue":"08","key":"ref42","doi-asserted-by":"crossref","first-page":"605","DOI":"10.2471\/BLT.13.127464","article-title":"A prospective study of maternal, fetal and neonatal deaths in low- and middle-income countries","volume":"92","author":"S Saleem","year":"2014","journal-title":"Bull World Health Organ"},{"issue":"01","key":"ref43","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1186\/s12884-014-0413-z","article-title":"Population-based estimates of still birth, induced abortion and miscarriage in the Indian state of Bihar","volume":"14","author":"P S Kochar","year":"2014","journal-title":"BMC Pregnancy Childbirth"},{"issue":"02","key":"ref44","doi-asserted-by":"crossref","first-page":"e44","DOI":"10.1371\/journal.pmed.0050044","article-title":"An autopsy study of maternal mortality in Mozambique: the contribution of infectious diseases","volume":"5","author":"C Men\u00e9ndez","year":"2008","journal-title":"PLoS Med"},{"issue":"03","key":"ref46","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1007\/s13224-011-0040-9","article-title":"Intrapartum fetal surveillance: summary of four national evidence-based guidelines and need to develop Indian guidelines","volume":"61","author":"S Chauhan","year":"2011","journal-title":"J Obstet Gynaecol India"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1016\/S0140-6736(10)62306-9","article-title":"Stillbirths: how can health systems deliver for mothers and babies?","volume":"377","author":"R Pattinson","year":"2011","journal-title":"Lancet"},{"issue":"07","key":"ref48","first-page":"8","article-title":"Newborn 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