The differentials and determinants of perinatal mortality in rural Bangladesh.
OBJECTIVE
In Bangladesh, the perinatal mortality is very high. This study examined the differentials and determinants of perinatal mortality in rural Bangladesh.


METHODS
The study was based on the prospective data on maternal morbidity collected by the Bangladesh Institute of Research for Promotion of Essential and Reproductive Health and Technologies (BIRPERHT). This prospective study was conducted during the period November 1992 to December 1993. In this study, the factors associated with perinatal deaths were examined, employing differential and multivariate analyses.


RESULTS
It was found that assisted delivery caused higher risks of stillbirth and death among live births during the first week of life. It was also observed that five or more pregnancies, prior to the index pregnancy, were positively associated with perinatal death.


CONCLUSIONS
If the delivery is assisted or there are complications in delivery, then it is likely that the incidence of perinatal mortality will increase sharply. If the newborn baby was given colostrum, then perinatal mortality decreased to a great extent.
Bari
W
W
Department of Statistics, Dhaka University, Dhaka, Bangladesh.
Chowdhury
R I
RI
Islam
M A
MA
Chakraborty
N
N
Akhter
H A H
HA
D000293:Adolescent; D000328:Adult; D001459:Bangladesh / Q000453:epidemiology; D002423:Cause of Death; D015331:Cohort Studies; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005260:Female; D005313:Fetal Death / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D007226:Infant Mortality / Q000639:trends*; D007231:Infant, Newborn; D008297:Male; D008423:Maternal Age; D015999:Multivariate Analysis; D016017:Odds Ratio; D010298:Parity; D011295:Prenatal Care; D011336:Probability; D011446:Prospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D012424:Rural Population; D012959:Socioeconomic Factors