engleski

Causes of perinatal death at Osijek clinical hospital, 2001-2003

AIM. Perinatal mortality and the causes of perinatal death as determined by autopsy at the Osijek Clinical Hospital in the period 2001 – 2003 are presented. METHODS. The data were collected at the Department of Pathology: the autopsy reports and the placental biopsy reports were reviewed. The causes of death were classified into 9 categories: intrauterine hypoxia and birth asphyxia, congenital malformations, infection, abnormal pulmonary function, intracranial hemorrhage, prematurity, other diseases, macerated fetus and tumors. The asphyxia was later subdivided into 3 categories: failure of blood to become oxygenated in the placenta, obstruction to circulation through the cord, and of unknown cause. Descriptive statistics are presented. RESULTS. There were 6880 deliveries at the Osijek Clinical Hospital in the period 2001 – 2003. In this period, there were 141 children deaths, and the autopsy was performed in 139 cases (98, 58%). Perinatal mortality values were: 7, 97‰ (2001), 13, 81‰ (2002), and 13, 29‰ (2003). The majority of deaths were in fetuses and infants who showed evidence of asphyxia (52, 48%): 71, 62% of those cases was attributed to the failure of blood to become oxygenated in the placenta, 6, 76% to the obstruction to circulation through the cord, and the rest 21, 62% were of unknown cause. Congenital malformations (13, 47%) ranked second, immaturity (8, 51%) third, macerated fetus (7, 81) fourth, and other conditions were far behind. In the group of 19 congenital malformation, the most common were multiple organs malformations (31, 58%), followed by heart and large blood vessel malformations (26, 31%), and central nervous system malformations (26, 31%). In the early perinatal period, the most common cause of death was general immaturity. CONCLUSIONS. Whether death should be attributed to one cause or another is often subject to variable opinion because of the much overlap among groups. Most of the deaths attributed to asphyxia were explained by placental biopsy report. The placental biopsy report must be an integral part of a autopsy report in the cases of the perinatal death.

perinatal death

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