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Search Results: 1 - 10 of 16929 matches for " mortality rate "
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To Determine the Effects of Labor Induction on Maternal and Fetal Outcome in Postterm Pregnancies (41 Weeks Plus)  [PDF]
Milad M. M. Gahwagi, Farag Benali, Nagat M. Bettamer, Asma Soliman Zubi
International Journal of Clinical Medicine (IJCM) , 2017, DOI: 10.4236/ijcm.2017.82009
Abstract: Background: Pregnancies progressing postterm are associated with a higher perinatal morbidity and mortality rates than those delivered at term. In a United Kingdom study, the rate of stillbirth increased from 0.35 in 1000 live births in pregnancies of 37 weeks to 2.12 in 1000 live births in pregnancies of 43 weeks gestation. Morbidities associated with postterm births include an increased risk of fetal distress, intrauterine growth restriction, dysfunctional labor, shoulder dystocia, obstetric trauma (relative risk 1.09 - 1.68) and an increase in perinatal complications, such as aspiration of meconium and asphyxia, peripheral nerve injury, greenstick bone fractures, pneumonia and septicemia (adjusted odds ratio 1.4 - 2.0). Antenatal surveillance and induction of labor may decrease the risks of an adverse outcome. In a recent review of term and postterm pregnancies in Norway, we found that there were adverse outcomes associated with both postterm pregnancy and induction of labor independently. On comparison of the two, a randomized controlled trial showed no difference in their neonatal outcome, but demonstrated a reduction in the cesarean delivery rate when labor was induced at 41 weeks. Aim of the Work: The aim of this study was to determine the effect of labor induction on maternal and fetal outcome in postterm pregnancies. Subjects and Methods: This study was carried out on 150 pregnant women who had completed 41 weeks of gestation between Jun. 1, 2012 up to Dec. 31, 2012 at Department of Obstetrics & Gynecology, Faculty of Medicine, Benghazi University, and were scheduled for induction of labor after cardiotocography (CTG) and ultrasonography (USS) have been done and Bishop’s score assessed, to determine the effects of labor induction on maternal and fetal outcome in postterm pregnancies (41 weeks plus). Results: Regarding the relationship between a history of (H/O) postdatism and fetal distress, it was found that there was no significant relationship between them. There was a significant relationship between a history of macrosomia and fetal distress. There was a significant relationship between instrumental delivery and fetal distress. The majority of the fetal distress had an indication for Caesarean section (CS) (fetal distress (FD) and fetal distress meconium (FDM) more than those without fetal distress. All fetuses that had APGAR scores of 8 were distressed. There was a significant relationship between the APGAR score at 10 minutes with fetal distress. All fetuses
Infant mortality rate in Al-Ramadi province from 2000 through 2010, retrospective study  [PDF]
Hammodi F. Aljumaily, Muhammed M. Al-Ani, Muhammed M. Hantush
Health (Health) , 2013, DOI: 10.4236/health.2013.52039
Abstract:

Objectives: To determine the IMR in Al-Ramadi province, the center of Al-Anbar Governorate, Western Iraq, from 2000-2010 with rate comparison of the three different stages of that period. Methods: Data collected from the birth and death certificate center in Al-Ramadi province, Western Iraq, included; name, age, sex, residence, date of birth and death, in three different stages (the first stage 2000-2002, the second stage 2003-2007, and the third stage 2008-2010) in a study period from July to December, 2010. The IMRs were analyzed and compared with other studies. Results: The IMR of the last 3 years of sanction was 54.3/1000, 55.7/1000 and 50.6/1000 respectively, this rate had been increased in the war and violence period to reach its maximum rate 58.6/1000 in 2006, then decreased to reach its minimum rate 44.5/1000 in 2008. Approximately two-third of deaths occurred during the neonatal period and one third in the post neonatal period. Males had higher IMR than females, and rural residence higher than urban. Conclusion: Infant mortality rate is still high in Al-Ramadi province, since the American invasion (2003-2007), when compared with other developing countries. This study found increase of IMR in Al-Ramadi province during that period more than other studied years.

Analysis of Cause of Death in Inner Mongolia of China, 2008-2014  [PDF]
Shuli Xing, Zhiqiang Sun, Maolin Du, Xuesen Shi, Hairong Zhang, Zhanlong Wang, Xiaoyan Zhang, Zhihui Hao, Zhuang Su, Ying Yang, Rong Liu, Yueling Hu, Juan Sun
Open Journal of Epidemiology (OJEpi) , 2017, DOI: 10.4236/ojepi.2017.71002
Abstract: Objective: The aim of our study was to analyze the character of cause of death in Inner Mongolia of China from 2008 to 2014. Methods: We collected data from monitoring points of the Death Registry System (DRS) in Inner Mongolia. We calculated the mortality rates by gender, year and age-specific. We calculated the proportion, the mortality rate and potential years of life lost (PYLL) of various system deaths. Results: During the period 2008-2014, the average crude mortality rate of all cause of death was 539.33/105. The mortality rate increased semilogarithm linearly with age. The top four system deaths were circulatory system, neoplasm, respiratory system and injury. In 2014, the mortality rates of circulatory system were increased and the mortality rates of certain infectious and parasitic diseases, neoplasms, respiratory system, genitourinary system and injury were decreased compared to those in 2008. Conclusion: Through analysis the indicators of proportion, the mortality rate and PYLL indicated that health status of a population in Inner Mongolia was at a better level.
Understanding the Trends of Maternal and Neonatal Mortality in Bangladesh in the Context of South Asia  [PDF]
Halima Akhter, Md. Mahbubur Rahman Alam
Advances in Anthropology (AA) , 2019, DOI: 10.4236/aa.2019.91004
Abstract: Introduction: This article is presenting the overall situation of maternal and neonatal health in Bangladesh in comparison to other South Asian countries. Bringing down the maternal mortality ratio from 569 to 143 was the target for Bangladesh which was achieved up to 176 per 100,000 live births by 2015 but the target as per the Millennium Development Goal 5 was not fulfilled yet and remained as a challenge. Besides, the improvement in reducing the neonatal mortality rate during 1993-2014 shows a national level decline from 52 to 28 per 1000 live births, which is almost half during this period with a percentage change of about 46% and so more care is needed here also. Objectives and Methods: The manuscript has three objectives: to present the trends of maternal and neonatal mortality, to explain the maternal and neonatal mortality rate by background characteristics and the causes of maternal and neonatal deaths in Bangladesh on the basis of South Asian perspective. The main source of data collection and analysis was the secondary sources, from different journals and project reports published between the years 2001 to May 2018. Main Text: In Bangladesh, 35% maternal deaths occurred as indirect causes and 9% causes of deaths are still remaining unidentified. In addition, hemorrhage (31%) and pre-eclampsia-eclampsia (20%) are found two vital causes of maternal deaths with two more causes which are due to obstructed labor (7%), and termination of pregnancy (1%). It is found that Bangladesh has shown a great improvement in maternal mortality ratio by reducing maternal mortality to 176 in 2015 from 569 deaths per 100,000 live births in 1990, with an increase of 69% as progress. On the other hand, it is found that 43% of neonatal deaths in Bangladesh occurred due to birth asphyxia, 24% due to neonatal pneumonia, 22% due to prematurity, 5% due to sepsis, 0.2% due to meningitis and encephalitis, 0.1% due to congenital malformation and 5% causes are still remain undetermined. While comparing the situation to other South Asian countries, it is seen that the causes of neonatal deaths by prematurity are in the highest position that causes 29.7%, 43.8%, 30.8% and 39.3% deaths and birth asphyxia is in the second highest position that causes 22.9%, 18.9%, 23.4% and 20.9% deaths in Bangladesh, India, Nepal and Pakistan respectively. Conclusion: This paper will support health researchers and medical anthropologist for further studies and specifically for
Taxa de mortalidade de menores de 5 anos proposta pela UNICEF: análise crítica de sua validade como indicador de saúde
Laurenti,Ruy; Santos,Jair Lício Ferreira;
Revista de Saúde Pública , 1996, DOI: 10.1590/S0034-89101996000200006
Abstract: the relationship between the mortality rate for children under age 5 as proposed by unicef and classical mortality indicators - infant mortality, mortality rates for children under age 1, for ages 1 to 4, mortality for children under 5, and the probability of death from birth to 5 years of age, is evaluated. the theoretical equivalence between the rate and 5q0 is shown by means of a lexis diagram. pratical evaluation is carried out using data from the 24 areas under analysis in the inter-american investigation of mortality in childhood. kendall's correlation shows high agreement between the rate and classical indicators, mainly for the coefficient for children under 5 and for infant mortality.
Mortality from asthma in the state of S. Paulo, Brazil (1970-1992)
Lotufo,Paulo Andrade; Martins Bense?or,Isabela Judith; Lolio,Cecília Amaro de;
Revista de Saúde Pública , 1995, DOI: 10.1590/S0034-89101995000600003
Abstract: mortality from asthma has shown important variations over time in several countries. in brazil, a mortality study performed in the 60s, covering the cities of s.paulo and ribeir?o preto, and other ten cities showed that s.paulo presented the lowest death rate from asthma among of them all. it was decided to study the time trends of deaths from asthma and from the whole set of respiratory diseases from 1970 to 1992, in the population aged 15-34 yrs. old in the state of s.paulo, as well as to compare them with those of other countries. asthma mortality rates during the 23 years of observation since 1975, showed an oscillatory declining pattern with a peak of deaths in the initial years. the linearization of the curve allows the calculation of pearson's correlation coefficient that was significantly negative, suggesting a decline in the mortality over this period, mainly in the 5-9 yrs. old and 30-34 yrs. old strata. the segmentation of data between the period of icd-9, 1970 to 1978, and of icd-9, 1979 and subsequent years, shows that there is stability within each period, in all age-groups, except for that of 5-9 yr. olds between 1970-1978. comparing the rates of the population aged 15-34 yrs. old for the state of s. paulo, brazil, with trends observed in 14 other countries, an intermediate pattern for the first triennial period (1970-1972) as well as for the subsequent triennial periods, emerges. a prevalence study of asthma, a follow up program meant for using emergency rooms and a surveillance of deaths due to all respiratory diseases and specifically to asthma are strongly recommended.
Mortality from asthma in the state of S. Paulo, Brazil (1970-1992)
Lotufo Paulo Andrade,Martins Bense?or Isabela Judith,Lolio Cecília Amaro de
Revista de Saúde Pública , 1995,
Abstract: Mortality from asthma has shown important variations over time in several countries. In Brazil, a mortality study performed in the 60s, covering the cities of S.Paulo and Ribeir o Preto, and other ten cities showed that S.Paulo presented the lowest death rate from asthma among of them all. It was decided to study the time trends of deaths from asthma and from the whole set of respiratory diseases from 1970 to 1992, in the population aged 15-34 yrs. old in the State of S.Paulo, as well as to compare them with those of other countries. Asthma mortality rates during the 23 years of observation since 1975, showed an oscillatory declining pattern with a peak of deaths in the initial years. The linearization of the curve allows the calculation of Pearson's correlation coefficient that was significantly negative, suggesting a decline in the mortality over this period, mainly in the 5-9 yrs. old and 30-34 yrs. old strata. The segmentation of data between the period of ICD-9, 1970 to 1978, and of ICD-9, 1979 and subsequent years, shows that there is stability within each period, in all age-groups, except for that of 5-9 yr. olds between 1970-1978. Comparing the rates of the population aged 15-34 yrs. old for the State of S. Paulo, Brazil, with trends observed in 14 other countries, an intermediate pattern for the first triennial period (1970-1972) as well as for the subsequent triennial periods, emerges. A prevalence study of asthma, a follow up program meant for using emergency rooms and a surveillance of deaths due to all respiratory diseases and specifically to asthma are strongly recommended.
Infant Mortality Rate Statistic Method and Difference Analysis in China  [PDF]
Benfeng Du, Yu Zhang
Open Journal of Statistics (OJS) , 2011, DOI: 10.4236/ojs.2011.13027
Abstract: Infant mortality rate (IMR) has been viewed as the vital index which can be used to measure the health level of a country or a district, and also can indirectly illustrate the economic development level of the country or district. In this paper, the authors 1) introduce three calculation methods of IMR and compare the differences among them; 2) calculate the IMR using one method above, and find the IMRs recorded in China Population Statistic Yearbook (CPSY) from National Statistics Institute and in China Health Statistic Yearbook from Ministry of National Hygiene are both overestimated; 3) point out three main reasons for this overestimation: firstly, confusion of methods of calculation and concepts, secondly, inconsistent statistical caliber among different yearbooks, thirdly, flaws within the registration system.
Factors associated with mortality in neonatal surgical emergencies in a developing tertiary hospital in Nigeria  [PDF]
Iniabasi U. Ilori, Akpabio M. Ituen, Catherine S. Eyo
Open Journal of Pediatrics (OJPed) , 2013, DOI: 10.4236/ojped.2013.33040
Abstract: Background: The outcome of neonatal surgery depends on safe anaesthesia, competent surgery and good nursing care. The University of Uyo Teaching Hospital, Uyo, Nigeria, established in February 2008, has specialist anaesthetic and surgical manpower. The aim of the study was to determine the outcome and contributing factors to mortality in neonatal surgical emergencies at this new tertiary health institution. Method: It was a retrospective descriptive study of neonates that underwent emergency surgery at the University of Uyo Teaching Hospital between June 2008 and May 2011. Data was obtained from the anaesthetic register, ward admission and discharged register, nurses report books and patient case files. Results: Forty-five neonates were operated upon during the three year period. There were 28 males and 17 females with a male to female ratio of 1.7:1. Forty-four (97.8%) of the neonates were referred to the University of Uyo Teaching Hospital. The mean age and body weight at presentation were 47.5 ± 44.4 hours and 2.65 ± 0.61 kg respectively. The mean interval between admission and surgical intervention was 4.9 ± 6.2 days. Malformations of the gut (40%) and anterior abdominal wall (26.7%) were the major pathologies. The overall mortality following surgery was 62.2%. Case fatality rates ranged from 0% for Hirschprung’s disease to 100% for tracheoesophageal fistula. The immediate causes of death among these neonates were peritonitis from gangrenous gut, hypovolaemia and repeat surgery. Contributing factors to mortality were delivery in unorthodox health facilities, delay in presentation as well as surgical intervention and inefficient postoperative monitoring. Conclusion: Emergency neonatal surgeries at the UUTH are associated with unacceptable high mortality. Reduction in such mortality would require campaign for early presentation, a lot more timely surgical interventions and upgrading of monitoring facili- ties to help in improving perioperative monitoring and care.
Breast Cancer in Inner Mongolia 2009-2011  [PDF]
Qin Li, Maolin Du, Kepeng Xin, Rong Liu, Yun Li, Wuyuntana Li, Xiong Su, Juan Sun
Open Journal of Epidemiology (OJEpi) , 2014, DOI: 10.4236/ojepi.2014.42011
Abstract: The aim of this study was to determine the mortality rate and the burden of breast cancers among residents of Inner Mongolia. We analyzed mortality data reported by the Death Registry System from 2009 to 2011. The age-specific mortality of breast cancer was close to female cancer in 25 to 35 years group. Regional distribution of breast cancer was not significant difference (p = 0.36). The women who were employed, married and living in rural areas were more likely to die of breast cancer. Over the period 2009 through 2011, the elimination of deaths from breast cancer resulted in increased life expectancy of 0.15 years. Mortality due to breast cancers is substantially greater among the younger women. Further, the mortality rate associated with breast cancers is greater for employed and married women than those unemployed and single women. Therefore, in Inner Mongolia, breast cancers appear to pose a greater mortality risk for young, employed and married women.
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