ArticleBMC pregnancy and childbirth2022
Causes of perinatal mortality and associated maternal factors in a tertiary referral hospital of Gandaki province of Nepal: a cross-sectional study from a hospital-based surveillance.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 15 citations in OpenAlex.
- Years of Life Lost due to the 2015 Gorkha earthquake in Nepal.BMC public health · 2026Article
- Implementation status of the free newborn care program in Gandaki Province, Nepal.BMC health services research · 2025Article
- Improving the Documentation of Causes of Death Certificates Based on the International Classification of Diseases Perinatal Mortality (ICD-PM): The Impact of a Mixed Method Approach.Health science reports · 2025Article
- Spatial variation, pooled prevalence, and factors associated with perinatal mortality in Sub-Saharan Africa, evidence from demographic and health surveys 2015-2023: a geospatial regression approach.EClinicalMedicine · 2025Article
- Strengthening identification and characterization of causes of perinatal deaths in Kaski district of Nepal (Perinatal MITS Nepal).BMC pregnancy and childbirth · 2025Article
- A machine learning based variable selection algorithm for binary classification of perinatal mortality.PloS one · 2025Article
- Newborn morbidities and care procedures at the special newborn care units of Gandaki Province, Nepal: a retrospective study.BMC pregnancy and childbirth · 2024Article
- Can International Classification of Disease Perinatal Mortality (ICD-PM) be a solution to overcome neglected tragedy? A scoping reviews.Health science reports · 2024Article
- The Shortage of Obstetric Ultrasound Facilities in Nepal: Consequences and Mitigating Measures.The Indian journal of radiology & imaging · 2024Article
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6 authors at 1 institution in 1 country.
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Abstract
backgroundPerinatal and neonatal death rates have decreased recently but it still poses a major challenge to the health system of Nepal. The study was conducted to explore the pattern and causes of perinatal deaths.
methodsThis was a descriptive cross-sectional study conducted from September 2020 to June 2021 using the data of perinatal mortality of three years from June 15, 2017, to June 14, 2020. The demographic parameters of the mother consisted of maternal age, place of residence, ethnicity, antenatal care, the number of antenatal visits, gravida, gestational weeks, and the mode of delivery. The causes of death were categorized into fetal and early neonatal deaths. Fetal deaths were further classified as macerated stillbirth and fresh stillbirth. The attribution of the causes of deaths to fetal/neonatal and maternal conditions was done as per the guidelines of the WHO application of ICD-10 to deaths during the perinatal period.
resultsThere were a total of 145 perinatal deaths from 144 mothers among which 92 (63.5%) were males. Ten mothers (6.9%) had not sought even single antenatal care, whereas 32 (22.9%) had visited for antenatal care one to three times. At least one cause of death was identified in 114 (78.6%) and remained unknown in 31(21.4%) cases. Among the 28 cases of macerated stillbirths, the cause of death was not identified in 14 (50%), whereas preterm labor was attributed to the cause of death in four (14.3%). In 53 of the fresh stillbirths, intrapartum hypoxia was identified as the cause of death in 20 (37.7%) cases, preterm labor in nine (17%), and was left unknown in 15 (28.3%) cases. Among the 64 early neonatal deaths, prematurity was attributed as the cause of death in 32 (50%) cases, birth asphyxia, and infections each in 11 (17.2%).
conclusionsThe perinatal mortality surveillance system identified the causes of death in most of the cases in our observation. Prematurity was identified as the commonest cause of early neonatal deaths and preterm labor was the commonest cause responsible for perinatal deaths overall. The perinatal deaths should be investigated to establish exact causes of deaths which can be useful to develop prevention strategies.
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