Figure 3: Comparison of Trends in Kasturba Hospital in
comparison to India and Karnataka
PMR continue to show overall fall when compared with last four-year KH
data (25.3). The NMR has showed an increasing trend from last two year
with a value of 19.04 for 2019 when internal KH data was compared Still
Birth Rate continues to fall to its least in last 4 years in KH to 6.23.
Analyzing the causes for perinatal deaths: Congenital anomalies accounts
for 7.9% of causes of still birth. Fetal growth restriction
(FGR) accounted to more than 50% of the perinatal deaths . FGR was
noted to be maximally associated to hypertensive disorders of pregnancy.
However, sometimes FGR was noted to be an isolaed finding or in
relation with the other maternal conditions such as autoimmune disorders
as well. Maternal medical conditions were associated with up to40.6% of
causes for still birth. Preterm births account to 45.3% of neonatal
deaths, sepsis accounting to 20.31%. Delayed referrals for severe
pre-eclampsia, eclampsia and uncontrolled hypertension were the most
common. Intrapartum- deaths were mostly accounted to acute intrapartum
events that eventually lead to hypoxia.