{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T07:41:17Z","timestamp":1697442077942},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2011,5,12]],"date-time":"2011-05-12T00:00:00Z","timestamp":1305158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim:\u2002<\/jats:bold> The aim of this study was to identify the risk factors for perinatal deaths in Pakistan, where perinatal mortality is still very high.<\/jats:p><jats:p><jats:bold>Materials and Methods:\u2002<\/jats:bold> This prospective cohort study was conducted in Sindh Government Lyari General Hospital, Karachi from 1 May 2006 to 30 April 2008. During this period, all perinatal deaths and each live infant delivered following every perinatal death (which were taken as controls) were enrolled. Demographic information, birthweight, booking status, associated obstetric risk factors, stillbirth or neonatal death and the cause of death were recorded. Univariate logistic regression was used to determine the effect of categorized weight, booking status, sex and the obstetric risk factors on perinatal death.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> A total of 1103 deliveries were conducted during this period with 119 perinatal deaths. Stillbirths constituted 68.9% while there were early neonatal deaths in 31.1% cases. Booking status, gestational age, weight of fetus and the presence of obstetric risk factors were found to have significant (<jats:italic>P<\/jats:italic>\u2010value\u2003&lt;\u20030.05) association with perinatal deaths. Among the obstetric risk factors, abruptio placentae was the commonest (13.4%) and the commonest cause of death was identified as birth asphyxia (44.5%). There was a strong association between birthweight and perinatal death.<\/jats:p><jats:p><jats:bold>Conclusions:\u2002<\/jats:bold> The high perinatal death rate in this study is comparable to other hospital\u2010based studies and indicates the poor health status, inadequate prenatal and intranatal care and lack of services in our setup. In order to achieve the Millennium Development Goals\u20104, much work is needed to improve the quality of care, to identify high\u2010risk cases and to carry out their proper management.<\/jats:p>","DOI":"10.1111\/j.1447-0756.2011.01536.x","type":"journal-article","created":{"date-parts":[[2011,5,12]],"date-time":"2011-05-12T11:26:13Z","timestamp":1305199573000},"page":"1359-1364","source":"Crossref","is-referenced-by-count":2,"title":["Risk factors for perinatal deaths in Pakistan"],"prefix":"10.1111","volume":"37","author":[{"given":"Fouzia","family":"Perveen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subhana","family":"Tayyab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bader Faiyaz","family":"Zuberi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,5,12]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"621","article-title":"Perinatal mortality attributable to complications of childbirth in Matlab, Bangladesh","volume":"78","author":"Kusiako T","year":"2000","journal-title":"Bull World Health Organ"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2006.00456.x"},{"key":"e_1_2_7_4_2","first-page":"97","volume-title":"Proceedings of a Workshop Held at Peshawar on 7\u20138 January 1993 by the Society of Obstetrics and Gynaecology (AOFOG)","author":"Zaidi S","year":"1993"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.1996.tb00029.x"},{"key":"e_1_2_7_6_2","first-page":"168","article-title":"An audit and trends of perinatal mortality at the Jinnah Postgraduate Medical Centre, Karachi","volume":"57","author":"Korejo R","year":"2007","journal-title":"J Pak Med Assoc"},{"key":"e_1_2_7_7_2","first-page":"3","article-title":"Perinatal mortality in Vietnam","volume":"17","author":"Chien TTT","year":"2002","journal-title":"Asia Pac Popul J"},{"key":"e_1_2_7_8_2","first-page":"81","article-title":"Spectrum of multiorgan systematic involvement in birth asphyxia","volume":"25","author":"Chisty AL","year":"2001","journal-title":"Pak Pediatr Assoc J"},{"issue":"4","key":"e_1_2_7_9_2","first-page":"S158","article-title":"Trends of perinatal deaths at Ramathibodi Hospital: 1995\u20132005","volume":"89","author":"Promsonthi P","year":"2006","journal-title":"J Med Assoc Thai"},{"key":"e_1_2_7_10_2","first-page":"204","article-title":"Perinatal mortality and related obstetric risk factors at a tertiary care hospital of Hyderabad","volume":"7","author":"Yousfani S","year":"2008","journal-title":"JLUMHS"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(02)00380-6"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01369938"},{"key":"e_1_2_7_13_2","unstructured":"WHO Neonatal and perinatal mortality: country regional and global estimates. 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