Perinatal Mortality

Question 1

What is stillbirth?

Answer 1

death of a baby occurring before or during birth once a pregnancy has reached 24 weeks

Question 2

What is neonatal death?

Answer 2

a baby born at any time during the pregnancy who lives, even briefly, but dies within 4 weeks of being born

Question 3

What is perinatal death?

Answer 3

a stillbirth + liveborn babies who died before 7 completed days of life

Question 4

What is late neonatal death?

Answer 4

died after 7 completed days and < 28 completed days after birth

Question 5

What are fetal causes of pregnancy loss <22 weeks?

Answer 5

Abnormal chromosomes or genes
Structural abnormality
Unexplained

Question 6

What are maternal causes of pregnancy loss <22 weeks?

Answer 6

Endocrine disorders – diabetes / thyroid
Uterine abnormalities
Anti phospholipid syndrome
Cervical insufficiency (recurrent loss 16-22 weeks)
Age, BMI lifestyle etc
Medications (prescribed and others)

Question 7

What are stillbirth causes?

Answer 7

Placental causes - infection, thrombi, abruption
Congenital abnormalities - trisomies, cardiac anomalies, aneuplodies
Fetal - alloimmunisation
Neonatal - prematurity
Intrapartum - abruption, maternal and fetal infection, cord prolapse, idiopathic hypoxia
Maternal - hypertension, diabetes, obstetrics cholestasis
Infection - unspecified, bacterial, GBS
Cord - prolapse