Perinatal and childhood mortality Flashcards
Define miscarriage
Pregnancy loss <24 weeks
Define stillborn
Baby born >24 weeks no signs of life
Define neonatal death (what is early neonatal death vs late)
Baby born alive, dies within 28 days
Early= 0-7 days
Late= 7-28 days
Define infant death
All deaths within first year of life
What is post neonatal infant death
Deaths from day 28- 1 year
What is perinatal mortality rate
Number of stillbirths and early neonatal deaths per 1000 total births
When do the majority of deaths in childhood occur
Under 1 year (70%)
What factors explain differences in perinatal mortality
Maternal health Nutrition Access to services Income Family size Birthweight Prematurity
What major diseases contribute to perinatal and neonatal mortality
Prematurity Congenital abnormalities Asphyxia Infections Unexplained stillbirth SIDS
Name 3 factors that lead to stillbirth
Maternal health
Access to maternity care
Uteroplacental function
Name 4 factors that lead to early neonatal death
Uteroplacental factor
Perinatal infection
Neonatal resuscitation
Effective neonoatal care
How can childhood pneumonia be prevented
Breast feeding
Haemophilus influenzae
How can childhood diarhhoea be prevented
Improved water and sanitation Rotavirus vaccine Zinc supplementation Oral rehydration Community case management
How can childhood malaria be prevented
Insecticide
Intermittent preventive treatment
Artermisinin based combination therapy
How can neonatal deaths be prevented
Improved labour and delivery management
