Perinatal Mortality & Morbidity

Question 1

Define a still born

Answer 1

Born dead after 24 weeks or weights > 500g (or = 500g)

Question 2

Stillbirth rate formula

Answer 2

No. of still births / 1000 births (live + still)

Question 3

Define early neonatal death

Answer 3

Death of a live born within 7 completed days of birth

Question 4

Define late neonatal death

Answer 4

Death between 7 to 28 days of birth

Question 5

Formula for perinatal mortality (PMR)

Answer 5

(No. of still birth + early neonatal death) / 1000 total birth (live + still)

Question 6

What is the corrected PMR

Answer 6

Substract all death due to major congenital anomaly. Only from the top.

Question 7

PMR in ireland 2016. Corrected?

Answer 7

5.8 per 1000. Corrected = 3.6 per 1000

Question 8

Causes of high PMR

Answer 8

Congential anomalies
Prematurity
Foetal growth restriction
APH
Multiple pregnancies
Post-maturity

Question 9

Risk factor for Perinatal mortality

Answer 9

Extremes of maternal age: 17 or 40
Ethnicity: asian or afro-carribean (risk of Pre-eclampsia)
Medical conditions
Grand parity > 5
Poor nutrition
Smoking
Recreational drug use