title: Prevalence and factors influencing perinatal mortality in rural mysore, India.
abstract: BACKGROUND
  With decreasing Infant Mortality Rate, Perinatal Mortality is gaining importance as it takes into consideration most of the factors influencing child birth and its survival, mortality during this period is a better indicator of quality of Maternal and Child Health services.
  
  
  OBJECTIVE
  To estimate the Prevalence of perinatal mortality and its associated risk factors.
  
  
  METHODS
  Cross sectional community based study was carried out in rural field practice area catering 26,700 population. All births during 2010 among permanent residents of this area were included. House to house survey was conducted to collect details regarding Antenatal, intra-natal and post-natal history by interviewing mother using a pre-tested questionnaire. Hospital records were also referred when available.
  
  
  RESULTS
  Nine perinatal deaths had occurred out of 314 births in a span of one year with a perinatal, early neonatal mortality rates of 28.93, 19.29 per 1000 live births respectively and still birth rate of 9.55 per 100 total births. Higher Perinatal Mortality Rate(PNMR) was observed in mothers who got married before 18 years, conceived during teenage, having anaemia, delivered at home, normal vaginal deliveries and having suffered by intra-partal and placental complications. Male babies, babies fed with prelacteal feeds, born out of intra-uterine complications, having low birth weight, had delayed first cry, premature births and twin births showed higher risk for mortality.
  
  
  CONCLUSIONS
  The prevalence of perinatal mortality in the present study was 28.93 per 1000 live births. Even though this was well below the national and state values indicating improved quality of Maternal and Child Health care, it also gives way for relooking into strategies for further bringing down the perinatal deaths.
authors.affiliation: Assistant Professor, JSS Medical College, JSS University , Mysore, India .
authors.forename: Hugara
authors.initials: H
authors.lastname: Siddalingappa
authors.affiliation: Professor, JSS Medical College, JSS University , Mysore, India .
authors.forename: Nrayana
authors.initials: N
authors.lastname: Murthy M R
authors.affiliation: Assistant Professor, JSS Medical College, JSS University , Mysore, India .
authors.forename: Praveen
authors.initials: P
authors.lastname: Kulkarni
authors.affiliation: Professor and Head, Department of Community Medicine, JJSS Medical College, JSS University , Mysore, India .
authors.forename: Ashok
authors.initials: A
authors.lastname: N C
keywords: Mysore; Perinatal mortality rate; Prevalence; Risk factors; Rural area