Perinatal Mortality and Morbidity at Dr. Pirngadi Hospital Medan 1985-1986
Abstract
A retrospective study was conducted on babies born during January 1985 to December 1986 at Dr. Pirngadi Hospital Medan. The aim of this study was to evaluate perinatal mortality and morbidity, and various possible factors related to the subject matter.
The main results can be summarized as follows : There were 7102 deliveries during the study period consisting of 999 babies weighing less than 2500 gram and 6103 with body weight of 2500 gram or more. Perinatal mortality rate was 563.56 o/oo in the first group and 78.49 o/oo in the second while the avera/ mortality rate was 146.72 o/oo.
Rate of perinatal demise was high in babies born from mothers in the age groups of below 20 and above 35 years, namely 681 .82 o/oo and 202.19 o/oo. It was also high among primiparae (165.67 o/oo) and more so among grandmultiparae (246.46 o/oo).
There were 1966 (30.49%) ill newborn babies with asphyxia neonatorum accounting for 44.91%, infection 30.42% and respiratory problems 9.21% of the main causes of illness, while respiratory problems (40.05%) and injection (28.68%) constituted the main causes of death .
We concluded that the rate of perinatal mortality and morbidity is still high at this hospital. Quality of prenatal and neonatal care with extensive public health education is necessary to be enhanced for the reduction of perinatal mortality and morbidity.
References
2. BKS Penfin - Maternal Care Monitoring (MCM) Series (1981).
3. CHALIK, T.M.A.: Patients characteristics in relation to mortality in rural and urban areas. Kumpulan Naskah Lengkap Simposium Perinatologi Ill, Bandung, h. 57-77 (1982).
4. Departemen Kesehatan R.1.; Sistem Kesehatan Nasional ( 1981 ).
5. DAMODAR, MATHUR, H.N.; SHARMA, P .N.: Some observations on perinatal morlality in rural health centre. Indian J . Pediat. 50 : 629-633 (1983).
6. HANAFIAH, M.J.: Pelayanan perinatology ditinjau dari segi obstetri. Kumpulan Naskah Lengkap Kongres Nasional Perinasia II , Swabaya, h. 43-57 (1986).
7. ISSOED1BYO, S.; SURYONO, A.; PRANOTO, 1.: Evalu asi bayi lahir dengan seksio sesarea di RSUD Dr. Sardjito. Kumpulan Naskah Lengkap Kongres Nasional Perinasia II , Surabaya, h. 246- 252 (1986).
8. MARKUM, A.H.; BOEDJANG, R.F.; AMINULLAH, A.; ISMAEL, S.: Upaya bidang pediatri dala·m menurunkan angka kematian perinatal. Kumpulan Naskah Lengkap Kongres Nasional Pcrinasia I, Yogyakarta, h. 27-41 (1983).
9. MAKAUWY, C.H : Faktor-faklor sosiomedis pada mortalitas bayi. Majalah Kedokteran Indonesia 36: 394-399 (1986).
10. RANGKUTI, S.M.; RAMAYATI, R.; RAID, N.; HAMID, N.; SIREGAR, H.: Perinatal mortality rate dan penyebab kematian BBLR pada tahun 1978 di RS Dr. Pirngadi Mcdan. Maj. Obstet Ginek. Indon. 6: 126-134 (1980).
11. SURYANTORO, P.; RIDHO, R.: Hubungan keluarga berencana dengan kematian dan kesakitan perinatal. Naskah Lengkap Simposium Perinatologi NasionaJ II, Semarang, h. 121-129 (1979).
12. SARAGIH, M.; RAID, N.; HAMID, N.; ALDY, D.; RAMAYATI, R.; LUBIS, A.: Kematian perinatal di RS Dr. Pirngadi Medan tahun 1980, Konika V Medan (1981).
13. SUDIANTO; HARIADI, R.: Kematian perinatal di RS Dr. Sutomo tahun 1976-1980. Bagian Kebidanan dan Pcnyakit Kandungan FK UNAIR RS Dr. Sutomo (1981).
14. SUYOSO, S.; SOEWARTO; REKSONOPRODJO, P.: Kematian perinatal pada section sesaria di RS Dr. Saeful Anwar Malang, 1978-1979. Proceeding pertemuan ilmiah tahunan I, POOl Jakarta (1981).
15. SIREGAR, H.; HASIBUAN, B.; RAID, N.; SIREGAR, Z.: Perinatal mortality and morbidity at Dr. Pirngadi Hospital Medan, Indonesia. The Journal of the Singapore Pediatric Society vol 29. Suppl. I (1987).
16. TJAY, J.K.; AZIZ, D.; SEMBIRING, L.; HARNOPIDJATI, P.; SIANG, T.O.: Perinatal mor· tality in General Hospital Medan. Paediatr. lndones. 10 : 52-66 (1970).
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Published 2018-03-20