Objective: In India, despite a reduction in perinatal mortality rate from 2014 to 2019,
still birth rate is still the same at the national average of 4/1000 live
births. As yet there is no nation-wide audit in India except for
facility based audits. Hence the need for a simplified yet effective audit
process exists. The aim of this study was to perform a qualitative perinatal
audit and devise methods for future audits. Methods: We conducted a one year audit for all perinatal deaths using WHO ICD PM and
3-delay classification. Gestational age (GA) specific mortality was calculated for
significant underlying factors using fetuses-at risk approach. Results: We recorded a perinatal mortality rate of 6.1/1000 births among booked cases and
21.32/1000 births among referred cases. Fetal growth restriction was the most
common antenatal condition, accounting to 33.3% of antepartum deaths.
Prematurity accounted to 52% of neonatal deaths. Phase 2 delay with delayed referrals in severe pre-eclampsia and Phase 1 delay
with late visit (
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Open Access
Original Research
What do the numbers say? - Introduction of the WHO ICD-PM classification and fetuses-at risk approach in perinatal audit, South India
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1
Department of ObGyn, Kasturba medical college, 576104 Manipal, India
2
Mount Sinai Hospital, University of Toronto, M5S Toronto, Canada
3
Department of Pediatrics, Kasturba medical college, 576104 Manipal, India
*Correspondence: momina.zulfeen@manipal.edu (Momina Zulfeen)
Clin. Exp. Obstet. Gynecol. 2021, 48(1), 144–150;
https://doi.org/10.31083/j.ceog.2021.01.5466
Submitted: 21 December 2019 | Revised: 16 August 2020 | Accepted: 20 August 2020 | Published: 15 February 2021
Copyright: © 2021 The Authors. Published by IMR Press.
This is an open access article under the CC BY-NC 4.0 license (https://creativecommons.org/licenses/by-nc/4.0/).
Abstract
Keywords
Perinatal mortality
Clinical audit
ICD-10
Maternal health services
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