Simsek Arife, Uludag Seyfettin, Benian Ali, Tuten Abdullah, Oncul Mahmut, Acikgoz S. Abdullah
Istanbul University, Cerrahpasa School of Medicine, Department of Obstetric and Gynecology, Istanbul, Turkey
Correspondence: Arife Simsek, Phone: +90 536 4764197, E – mail: firstname.lastname@example.org
Introduction: The aim of this study is to evaluate the differences in perinatal – neonatal -postneonatal deaths according to the life threatining conditions of women. Material and Methods: A retrospective study was made of records of 14.968 pregnancies. Antenatal, neonatal, postneonatal deaths were recorded. Causes of perinatal–neonatal- postneonatal deaths were examined in accordance with the Tulip classification. Maternal deaths and maternal near-miss cases were detected according to the World Health Organization/International Classification of Diseases -10 definitions. Results: Women had life thretining conditions in 60 of 583 perinatal-neonatal-postneonatal deaths. Frequencies of still birth, perinatal deaths, neonatal deaths and post neonatal deaths in women with life threatening conditions were 14.6%, 22.3%, 8% and 0.38%, respectively, whereas in women without life threatening conditions were 1.68%, 3.1%, 1.7%, 0.16%. There was a significant difference between women with and without life threatening conditions in respect to the parity (p: 0.009), the presence of a bad obstetric history (p: 0.014), the presence of a systemic disease (p: 0.001), the number of fetuses in utero (p: 0.024), the types of delivery (p: 0.000), premature birth (p: 0.028), causes of deaths (p: 0.000), and the presence ofasphyxia (p: 0.001). Conclusions: Measures to be taken in preventing severe maternal complications will also reduce adverse perinatal and neonatal outcomes.
Keywords: maternal mortality, maternal near-miss, neonatal mortality, perinatal outcome