@article{Dwa_Bhandari_2019, title={Prevalence of Perinatal Deaths in A Tertiary Care Hospital of Nepal}, volume={57}, url={http://jnma.com.np/jnma/index.php/jnma/article/view/4431}, DOI={10.31729/jnma.4431}, abstractNote={<p><strong>Introduction</strong>: Perinatal mortality indicates quality of maternal and neonatal care and is high in<br>Nepal. This study was conducted to find out the prevalence of perinatal deaths in a tertiary care<br>center.</p> <p><br><strong>Methods</strong>: This descriptive cross-sectional study was conducted from July 2017 to June 2018 at KIST<br>Medical College and Teaching Hospital. Details of each perinatal death were filled in predesigned<br>proforma from hospital in-patient records within 24 hours of perinatal death. The total of 1088 cases<br>were selected for the study and convenience sampling was done. Statistical analysis was done with<br>Statistical Package for Social Sciences (SPSS 17.0).</p> <p><br><strong>Results</strong>: Out of 1088 births selected for the study, there were 16 cases of perinatal deaths. Hence,<br>the prevalence of the perinatal deaths in KIST Medical College and Teaching Hospital is found to be<br>1.47%. In the same way, perinatal mortality rate, stillbirth rate and early neonatal mortality rate were<br>calculated and found to be 14.61 per 1000 births, 8.21 per 1000 births and 6.44 per 1000 live births<br>respectively. Preterm neonates constituted of 71.4% of early neonatal deaths.</p> <p><br><strong>Conclusions</strong>: Perinatal mortality rate was 50% lower than that of national survey, however comparable<br>with study at another tertiary care center at Kathmandu. Stillbirth and prematurity contributed<br>significantly to perinatal mortality. Provision of good antenatal surveillance, identification of high<br>risk pregnancies and good neonatal care to preterm neonates would be required to reduce perinatal<br>mortality.<br><br></p>}, number={217}, journal={Journal of Nepal Medical Association}, author={Dwa, Yam and Bhandari, Sunita}, year={2019}, month={Jun.} }