Trends of perinatal deaths at Ramathibodi Hospital: 1995-2005.
OBJECTIVE
To study the trends in perinatal mortality rate and causes of perinatal deaths at Ramathibodi Hospital from 1995 to 2005.


METHODS
Retrospective descriptive study.


METHODS
Review of medical records and reports during academic activities.


RESULTS
The perinatal mortality rate was 5.10 per 1,000 births. Stillbirth and early neonatal death rate were 3.45 and 1.65 per 1,000 births, respectively. The most common cause of death was macerated fetus (46.80%). Causes of death from congenital anomalies, immaturity, asphyxia and specific conditions were 20.89%, 9.47%, 8.08% and 14.76%, respectively.


CONCLUSIONS
The perinatal mortality rate at Ramathibodi Hospital has declined from 6.70 in 1985 to 5.10 per 1,000 births and remained steady for the last 11 years. Future progress in reducing perinatal deaths requires better understanding of the etiology of stillbirth to improve the strategies for prevention.
Promsonthi
Patama
P
Department of Obstetrics and Gynaecology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Rd, Bangkok 10400, Thailand. peepatama@yahoo.com
O-Prasertsawat
Pratak
P
D005260:Female; D006801:Humans; D007226:Infant Mortality / Q000639:trends*; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D008297:Male; D018743:Perinatal Care; D012189:Retrospective Studies; D012307:Risk Factors; D050497:Stillbirth; D013785:Thailand