No abstract available.
Perinatal Mortality*

Perinatal mortality demographics

No abstract available.
Humans ; Perinatal Mortality ; Pregnancy, Twin*

Background: In Vietnam, although there were interventions in perinatal and neonatal care services, the neonatal mortality reduced slowly, accounting for >50% of under-5-year-old mortality rate and >70% of under-1-year-old mortality rate. \r\n', u'Objectives: Discover the status of prenatal, perinatal, and postnatal care services, and analyze the relationships between healthcare services and neonatal mortality in Quang Ninh province. Subjects and method: Information on births and neonatal deaths between January and December 2005 in Quang Ninh province was collected. The perinatal care services including antenatal, delivery and post partum cares were described. The relationship between neonatal deaths and places of delivery was analyzed in order to uncover the risk of death in newborns delivered at home. Results: 76% of pregnant women received 3 or more antenatal care visits. More than 90% of deliveries took place at health facilities, of them, 16% occurred in community health stations. Only 49% of mothers received post partum care visits, with 82% of them received the visits in the first week after delivery. There were 17,519 births and 284 neonatal deaths in 2005. The neonatal mortality rate was lowest in cases born in community health stations (7.5/1.000) and highest in home birth cases (39/1.000). Conclusion: Further improvement in safe motherhood and neonatal survival can be achieved by increasing the accessibility of women to perinatal cares during pregnancy, delivery. \r\n', u'
perinatal care services ; neonatal mortality

No abstract available.
Female ; Perinatal Mortality* ; Pregnancy ; Pregnancy, Multiple*

PURPOSE: In Korea before 1996, the perinatal mortality rates (PMRs) were reported by individual studies, but the Korea Ministry of Health and Welfare started official reports of PMRs from 1996, and Statistics Korea provides the annual official data since 2007. The present study observed the decreasing trends of PMR and compared the PMRs between OECD nations. Thereby, we surveyed the terminology of PMR and the international trends in the usage of the calculation methods and intended to provide uniformity in calculating PMR in Korea. Also, the authors speculated some perinatal problems to be improved in the future in order to decrease PMR further. METHODS: Data before 1996 were gathered from individual reports, and after 1996 were utilized from Ministry of Health and Welfare, and Statistics Korea. Data of OECD nations were analyzed from OECD Health Data 2010. The changes in annual PMR of Korea was reviewed, which is helpful to recognize the current state of Korea, and was compared to that of OECD nations. RESULTS: During the past 50 years, the PMRs of Korea were remarkably improved (PMRs: 60 in 1960s, 35 in 1970s, 30 in 1980s, approximately, respectively). The official PMR values of Korea are as following: 6.0 in 1996, 5.2 in 1999, 4.6 in 2002, 4.2 in 2005, 3.6 in 2006, 3.7 in 2007, 3.6 in 2008, and 3.4 in 2009. The decreasing pattern of the annual PMR value was observed and the most recent value reflected the excellent situation in PMR compared to other OECD nations. CONCLUSION: Accordingly, we could observe the encouraging levels of PMR in Korea. We speculate that following efforts should be accompanied to achieve further improvement in PMR, such as improvements in neonatal and maternity transfer system, establishment in perinatal care centers, and establishment in perinatal research network system in Korea.
Epidemiologic Methods ; Korea ; Perinatal Care ; Perinatal Mortality ; Public Health ; Vital Statistics

Pre-eclampsia is a major cause of maternal and perinatal mortality and morbidity worldwide, but remains unclear about the underlying disease mechanisms. Pre-eclampsia is currently believed to be a two-stage disease. The first stage involves shallow cytotrophoblast invasion of maternal spiral arteriole, resulting in placental insufficiency. The hypoxic placenta release soluble factors, cytokines, and trophoblastic debris into maternal circulation, which induce systemic endothelial damage and dysfunction. This cause the second stage of the disease: maternal syndrome. Epidemiological research has consistently demonstrated a familial predisposition to pre-eclampsia. Intensive research efforts have been made to discover susceptibility genes that will inform our understanding of the pathophysiology of pre-eclampsia and that may provide direction for therapeutic or preventative strategies. In this review, we summarize the current understanding of the role of genetic factors in the pathophysiology of pre-eclampsia and explain the molecular approach to search for genetic clues in pre-eclampsia.
Arterioles ; Cytokines ; Perinatal Mortality ; Placenta ; Placental Insufficiency ; Pre-Eclampsia ; Trophoblasts

The syndrome of diffuse intravascular coagulation or DIC was related with high perinatal mortality & morbidity. One of the most common cause of clinically significant DIC is placental abruption Usually, DIC complicates this obstetrical accident in approximately 30% of cases. The majority of placental abruption occured late pregnancy. But, recently we have experienced a case of DIC in a patient with placental abruption in 16 weeks of gestationl age and reviewed it briefly
Abruptio Placentae* ; Dacarbazine ; Female ; Gestational Age* ; Humans ; Perinatal Mortality ; Pregnancy

The syndrome of diffuse intravascular coagulation or DIC was related with high perinatal mortality & morbidity. One of the most common cause of clinically significant DIC is placental abruption Usually, DIC complicates this obstetrical accident in approximately 30% of cases. The majority of placental abruption occured late pregnancy. But, recently we have experienced a case of DIC in a patient with placental abruption in 16 weeks of gestationl age and reviewed it briefly
Abruptio Placentae* ; Dacarbazine ; Female ; Gestational Age* ; Humans ; Perinatal Mortality ; Pregnancy

Twin-twin transfusion syndrome(TTTS) is a serious complication of monozygotic mu-ltiple pregnancy. TTTS is associated with high perinatal mortality rate. The acute form has been attributed to rapid transfer of blood through superficial artery-to-artery or vein-to- vein anastomoses during labor and delivery, resulting in a hypovolemic, anemic donor twin and a hypervolemic, plethoric recipient twin of similar birth weight. The authors present a case of acute twin-twin transfusion syndrome with a review of literature.
Birth Weight ; Humans ; Hypovolemia ; Perinatal Mortality ; Pregnancy ; Tissue Donors ; Veins