A Study of Healthcare Situations for Mother and Child in Buriram Hospital, Fiscal Years 2004-2006

Abstract

Objective: To investigae the healthcare situations for mother and child including perinatal mortality rate based on the categorization proposed by Wigglesworth and the maternal mortality rate at Buriram Hospital in the fiscal years 2004 to 2006.
Setting: Department of Obstetrics and Gynecology, Buriram Hospital
Research design: Retrospective study.
Method: Data were collected form Labour records, Maternal and perinatal mortality records. Statistic analysis was done by using SPSS program.
Result:
1. As regards healthcare situation for mother and child, it was found that the percentage of newborn infants with low birth weight (lower than 2,500 grams) was higher than the set goal of seven percent, in the fiscal years 2004 accounting for 11.0%, and 12.3% in the fiscal years 2005, and 11.2% in the fiscal years 2006. In addition, as in 2004, the rate of maternal mortality was as high as 32.9 per 100,000 live births (the set goal of not more than 18 per 100,000 live births). However, there was no maternal mortality in 2005, and in 2006, the maternal mortality rate was equal to 17.2 per 100,000 live births. Furthermore, the rate of birth asphyxia was reduced to from 47.4, to 36.2, and to 27.8 per 1,000 live births in 2004, 2005, and 2006, respectively, which was finally lower than the set goal of not more than 30 per 1,000 live births. Finally, the percentage of mothers younger than 20 years of age was also lower than the set goal of no more than ten percent, accounting for 9.60%, 10.7%, and 8.5% in the fiscal years 2004, 2005, and 2006, respectively.
2. The perinatal mortality rate at Buriram Hospital in the fiscal years 2004, 2005, and 2006 was higher than the set goal of no more than 9 per 1,000 live births. That is, the rates of perinatal mortality in the fiscal years 2004, 2005, and 2006 were equal to 12.5, 10.5, and 10.3 per 1,000 live births, respectively. When considering the causes of perinatal mortality, it was found that the most important cause of mortality was macerated death, making up 49.09%. Second came congenial anomaly, which contributed another 19.09%. This was followed by birth asphyxia 18.18%, preterm delivery 7.27%, and specific causes 6.36%.
3. When analyzing the causes of maternal mortality at Buriram Hospital during the fiscal years 2004 to 2006, it was found that in 2004, there were two maternal deaths, one resulting from postpartum hemorrhage and the other from heart disease, accounting for 32.9 mortality cases per 100,000 live births. Fortunately, there was no maternal mortality at Buriram Hospital in 2005. In 2006, there was one case of maternal mortality, resulting from an indirect cause of the pregnant woman’s personal disease and making up 17.2 mortality cases per 100,000 live births.
Key words: Maternal mortality, perinatal mortality, Wigglesworth