Article Text
Abstract
Objective The objective of this study was to analyze the main factors of perinatal mortality.
Study Design This prospective, descriptive and analytical study was conducted in the maternity unit Souissi - Rabat over a one year period from January 2010 to December 2010. Obstetric and perinatal records are used in this study. A sheet filled out for each newborn comprising the socio-demographic, obstetric, nursery data, monitoring and surveillance of pregnancy, delivery as well as neonatal data, the group of dead and alive patients were compared and analyzed.
Results There were a collection of 1000 births, 971 were alive and 29 dead on which 9 were stillborn and 20 died during the first 24 hours of life. There was a singleton pregnancy in 988 cases (98.8%), twins in 11 cases (1.1%) and triple in 1 case (0, 1%). The statistical analysis was used to determine the prognostic factors significantly associated with the occurrence of perinatal mortality namely the Apgar < 7 in 1 min and in 5 minutes (p<0.001), the low birthweight (p<0.001), the low gestational age (p<0.001), dosage of the medication or plants during pregnancy (p = 0.01), the presence of congenital abnormalities (p<0.001) and the multiplicity (p = 0.002).