SHARE WITH FRIENDS:
Perinatal mortality
Putting aside the huge emotional impact for a moment, by definition, perinatal death is understood as the number of babies born in the first week of life to a stillborn or 1000 live births. Another name for this is perinatal death.
Accurate assessment of morbidity rates with perinatal mortality depends on accurate recording and completion of health personnel data. Only then can research be directed toward an important goal of reducing numbers.
Perinatal mortality is a good indicator of how well a country cares for its maternal and infant population. Funding, planning and improving health care for mothers and their babies is never in vain. Perinatal death to parents can provide very little comfort for future generations to know that risk reduction is possible for future generations by sharing their experiences.
Causes of perinatal death
The main cause of perinatal death is stillbirths at birth. This may be related to preterm birth, which accounts for almost 30 percent of neonatal deaths. Respiratory disorders syndrome due to birth defects and premature birth also help the numbers.
The death of a baby can occur while he is still in the womb and before the birth begins. It can also occur during or shortly after birth. Sometimes, it is not possible to determine exactly when a baby’s death occurred.
Birth - what is it?
A stillbirth is when a baby dies while still in the womb.When the pregnancy reaches 20 weeks of gestation, a stillbirth, not a miscarriage, becomes the correct terminology.
If a child dies after a 20-week gestation period, their death must be recorded and buried or cremated.
Risk factors for perinatal death
-
Maternal weight or obesity (if body mass index or BMI is higher than 25, this increases the risk)
-
Over 35 years old
-
Pregnancy and reproductive history, including previous fetal death
-
A small child for gestational age
-
Mothers who drink large amounts of caffeine
-
Multiple births
-
Sub-optimal or non-existent obstetric care
-
Low socio-economic status
-
Indigenous or ethnic origin
-
Smoking during pregnancy
-
Substance abuse
-
Relationships and domestic violence in families, especially physical violence
-
Drinking excessive amounts of alcohol
-
Complications during pregnancy or during high-risk pregnancies, such as preeclampsia, gestational diabetes, placental abruption, and placental abruption.
Causes of perinatal death
-
Genetic or chromosomal abnormalities
-
A structural abnormality of a child’s heart or vital organs
-
Fetal discomfort or asphyxia during childbirth (disruption of the baby's blood flow and oxygen)
-
Premature birth or premature rupture of membranes
-
Maternal or fetal infection
-
Cholestasis (liver complication)
-
Rhesus disease
-
Postpartum hemorrhage
-
Restriction of intrauterine growth
-
Placental problems cause the baby to leak enough oxygen and / or nutrients
-
Problems with the cervix, such as premature enlargement
-
Mercury toxicity - often occurs as a result of consuming fish that have very high levels of mercury
-
Maternal injuries such as car accidents (Note: Seat belts are still considered safe and basic safety precautions for the pregnant woman and her unborn child)
-
Unexplained reasons
What can I do to prevent this?
Indeed, quality and regular antenatal care is the first step towards a healthy pregnancy and the birth of a healthy and alive baby. However, this is not a guarantee.
Avoiding risky behaviors such as smoking, drinking alcohol, or using illegal drugs and striving to keep themselves well - all of these can help support a healthy pregnancy and give birth to a healthy and alive baby in time. will give.
If you fall into the category of high-risk pregnancies or have experienced a miscarriage or stillbirth, then you meet the criteria to manage obstetricians. Many large maternity hospitals have teams of medical staff who specialize in complex pregnancies.
How do I know if my child is not well?
A change, decrease, or lack of fetal movement is one of the first signs of these problems. Vaginal bleeding, abdominal pain, a feeling of impending pain, or a vague feeling that something is wrong with the baby may indicate all of this.
Eventually, the diagnosis of fetal death is confirmed by ultrasound in the absence of fetal heartbeat. The sonographer may ask a colleague for a second opinion to ensure the accuracy of their diagnosis.
What happens next?
The tragic loss of a child leads to many physical and emotional changes. After the baby dies in the womb, the birth often occurs spontaneously. The uterus begins to contract and / or the membranes rupture. Some women prefer to start their labor medically as soon as they say the baby has died. They feel they want to end the pregnancy as soon as possible and demand a birth by caesarean section.
Understandably, this is not ideal. The likelihood of complications increases during and after cesarean section, and the recovery period is much longer. This can affect future labor and delivery and increase the risk of future complications.
Some mothers want to taste the rest of their pregnancy and have the opportunity to grieve for their children, but that is their physical part. So they reject the induction offer and aim to spend some time alone or with their family. Every woman is unique and there is no single right way to respond to the horrific news of her baby’s death.
Problems arise if they do not occur within a week after the baby is born or after the baby dies. The mother is at risk of developing blood clots, which can be detrimental to her health. Therefore, if the complication does not begin spontaneously within a week, then induction is recommended.
What about kick charts?
There is currently some disagreement over the cost of writing a kick-card to record a mother’s baby’s movements. Some experts claim that they cause unnecessary anxiety and prevent the normal peaks and flows of fetal movement, followed by relaxation. Others claim to be helpful and can warn the mother about potential problems.
Talk to your healthcare provider to find out more about what is right for you.
Where can I turn for help?
-
Your local doctor, obstetrician or midwife
-
A psychologist, psychiatrist, or social worker at a local health center
huggies.uz