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REVIEW ARTICLE
Year : 2018  |  Volume : 7  |  Issue : 2  |  Page : 108

Prevention of perinatal mortality- Beyond mayurbhanj model


1 Professor, Hi-Tech Medical College, Bhubneshwar, India
2 Consultantpediatrician, Raipur, Chhattisgarh, India

Correspondence Address:
Sarangi Gadadhar
THE CHILD, Bajrakabati Road, Ranihat, Cuttack-753001
India
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Source of Support: None, Conflict of Interest: None


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There is a dramatic reduction of IMR (Infant Mortality Rate) in past two decades in India. Neonatal mortality which was 41% of under five deaths in 1990 have increased to 56% by 2012 with largely invisible still births. The average annual reduction of early NMR is 2.8% from 2000 to 2012 where as Late NMR and Post NMR has reduced almost double of early NMR. About 72.92% neonatal deaths occur in the 1st week of life. 97.8% of deaths due to Asphyxia 74.8% death due to Prematurity and 50% neonatal deaths from sepsis occur in 1st week. Much of the deaths in 1st 24 hours or 1st week is due to the Prolongation of adverse Perinatal events. Still birth rate of 23/1000 live births speaks of the pregnancy wastage. Care of the mother, safe delivery practices and prophylactic antibiotics to the new born will reduce the 1st week neonatal mortality.


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