Lee SI

Language: Spanish
References: 13
Page: 31-36
PDF size: 67.12 Kb.

ABSTRACT

Objective: To determine the tendency of perinatal mortality in a hospital with a secondary-care level. Design: Descriptive inquiry. Material and Methods: Death certificates of deaths that occurred between of 1992 and 2001 at the Zone General Hospital 11 of the Mexican Institute of Social Security were selected. The components of perinatal mortality were identified and integrated into four groups: intermediate fetal; late fetal; early neonatal, and late neonatal; later, rearrangement was carried out to calculate perinatal mortality 1 and 2. Finally, comparative analysis was done between the 5-year period of 1992 to 1996 versus 1997 to 2001. Measurement was estimated by descriptive statistics and 95 % CI. Results: A total of 666 cases were analyzed: 294 of these (44.2 %) corresponded to late fetal deaths, 276 (41.5 %) to early neonatal deaths, 57 (8.5 %) to intermediate fetal deaths, and 39 (5.8 %) to late neonatal deaths. Comparative analysis of both 5-year periods showed for intermediate fetal death a rate of 2.11 per 1000 births in the 5-year period of 1992 to 1996 versus a rate of 1.07 for that of 1997 to 2001; for late fetal death, rates were 9.1 vs. 7.19; in early neonatal death, rates were 8.55 vs. 6.75, and for late neonatal death, rates were 1.00 versus 1.18. When perinatal mortality components were grouped, perinatal mortality 1 had a rate of 17.66 vs. 13.9, and perinatal mortality 2 had a rate of 20.69 versus 16.16. Conclusions: We observed a decrease in perinatal mortality tendency depending on decrease of early neonatal mortality.

REFERENCES

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