Relationship Between Time of Birth and Perinatal Death Ramathibodi Hospital : 1981 - 1989

Abstract

A 9-year retrospective review of the relationship between time of birth and perinatal death at the Department of Obstetrics and Gynaecology between January 1,1981 and December 31,1989. There were 63518 births with a total of 427 perinatal deaths, of which 222 deaths were stillbirths and 205 were neonatal deaths. The perinatal mortality rate was 6.72 per 1000 births. PMR were 6.85 and 6.34 for babies born on weekdays and weekends, respectively and the PMR for babies born between 16.01 08.00 hr was 8.20 higher than that between 08.01-16.00 hr,which was 5.60 per 1000 births. The incidence of preventable death from asphyxia and specific conditions also showed an increase during 16.01-08.00 hr. In order to reduce PMR further, im provement in intrapartum care and management between 16.01-08.00 hr should be reviewed. (Thai J Obstet Gynaecol 1992;4:85-88.)