1. Max Brinsmead MB BS PhD May 2015
Perinatal Mortality
Max Brinsmead MB BS PhD
May 2015

2. Definition The sum of stillbirths and neonatal deaths
(in the first week of life
for infants weighing >500g (WHO)
400g (developed world)
1000g (suggested)
or 22 weeks gestation (often not known)
Per 1,000 total births

3. Perinatal Mortality around the World
Ranges from
150 in parts of Africa to...
<10 in developed world
A rate of >80 is regarded as “unacceptable”
Apparently 40+ in PNG
Was 27.9 at PMGH in 2010
Is as low as 25 in some developing countries e.g. Chile, Cuba & Costa Rica

4. Worldwide Causes of Perinatal Mortality
IUGR  stillbirth
Syphilis (and a few other fetal infections)
Birth asphyxia
Often due to obstructed labour
Malpresentation
Cord prolapse
Birth trauma
Spontaneous pre term birth
Maternal causes
Hypertensive disease & eclampsia
APH
Prolonged pregnancy
Congenital malformations

5. Perinatal Deaths NSW

6. Congenital Malformations that Cause Perinatal Death

7. Prematurity as a Cause of Perinatal Death

8. Infections that Cause Perinatal Death

9. Hypertensive Causes of Perinatal Death

10. Obstetric Haemorrhage that Causes Perinatal Death

11. Maternal Diseases that Cause Perinatal Death

12. Hypoxic Causes of Perinatal Death

13. Other Causes of Perinatal Death

14. Causes of Neonatal Death

15. Perinatal Mortality & Morbidity at John Hunter Hospital

16. John Hunter Hospital Audit