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Abstract：
Perinatal mortality refers to stillbirths and deaths which occur during the first week of life. 7 million such deaths occur annually worldwide, almost all of which are in developing countries. Rates as high as 75-100 deaths/1000 births have been documented in developing countries. The 3 leading causes of perinatal mortality are complications of pre-term birth, birth asphyxia and birth trauma, and bacterial infections. The other causes of perinatal mortality are largely unknown due to difficulties in documenting stillbirths in developing countries. In many developing country societies, it is culturally unacceptable to acknowledge a birth until it has survived its first week of life. This study identified and quantified the risk factors for perinatal deaths in a rural community in Manikganj district, Bangladesh. Cases were mothers whose infants died in the perinatal period, while comparison mothers were those whose infants survived the perinatal period. Of the 186 infant deaths recorded, 130 (69.9%) were in the perinatal period, and included 53 stillbirths. The perinatal death rate was 64.5/1000 births. Logistic regression confirmed that maternal age, parity, and mal-presentation were significantly associated with perinatal deaths. Mal-presentation was independently associated with a increased risk of perinatal death.
摘要：
围产期死亡率是指在生命的第一周内发生的死产和死亡。全世界每年有700万人死亡。几乎都在发展中国家。发展中国家的死亡率高达75-100人/1000人。围产期死亡的三个主要原因是早产并发症，出生窒息和产伤，和细菌感染。由于发展中国家难以记录死胎，围产期死亡的其他原因在很大程度上是未知的。在许多发展中国家社会，在文化上，在出生后的第一周幸存下来之前承认出生是不可接受的。这项研究确定并量化了Manikganj地区农村社区围产期死亡的危险因素，孟加拉国。病例是婴儿在围产期死亡的母亲，而相比之下，母亲是那些在围产期存活下来的婴儿。在记录的186例婴儿死亡中，130例(69.9%)在围产期，包括53例死产。围产期死亡率为64.5/1000例。Logistic回归证实，孕产妇年龄，奇偶校验，和表现异常与围产期死亡显著相关。Mal表现与围产期死亡风险增加独立相关。
