Perinatal mortality

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  • Tham khảo sách 'perinatal mortality edited by oliver c. ezechi and karen odberg-petterson', y tế - sức khoẻ, y học thường thức phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả

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  • Perinatal mortality refers to the death of a fetus or neonate and is the basis to calculate the perinatal mortality rate. The perinatal period is the most vulnerable period in the life of an individual and the rate of death during this period is higher than at any other period of life. Deaths during this short period equal the rate of death over the next forty year period. Social, cultural, environmental and genetic factors all play vital roles in determining the outcome of this period of life.

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  • Public health can be thought of as a series of complex systems. Many things that individual living in high income countries take for granted like the control of infectious disease, clean, potable water, low infant mortality rates require a high functioning systems comprised of numerous actors, locations and interactions to work. Many people only notice public health when that system fails. With widespread globalization occurring, public health issues have become transnational.

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  • The role of the placental bed in normal pregnancy and its complications has been intensively investigated for 50 years, following the introduction of a technique for placental bed biopsy. It is now recognized that disorders of the maternal–fetal interface in humans have been implicated in a broad range of pathological conditions, including spontaneous abortion, preterm labor, preterm premature rupture of membranes, preeclampsia, intrauterine growth restriction, abruptio placentae, and fetal death.

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  • Diabetes Mellitus in Pregnancy: Treatment Pregnancy complicated by diabetes mellitus is associated with higher maternal and perinatal morbidity and mortality rates. Preconception counseling and treatment are important for the diabetic patient contemplating pregnancy and can reduce the risk of congenital malformations and improve pregnancy outcome. Folate supplementation reduces the incidence of fetal neural tube defects, which occur with greater frequency in fetuses of diabetic mothers.

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  • In view of the absence of systematic data, a few studies that specifically examined causes of death during the perinatal period are worth mentioning, particularly in view of the dramatic and unexpected results they revealed. In high-income countries, Appleby (57), Kendell (58), Frautschi, Cerulli, and Maine (59), and Brockington (60) have examined mortality during the perinatal period. Overall, they found that the leading cause of death during this period was suicide, with rates significantly higher than in non-pregnant, non puerperal women.

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  • Oral health professionals play a significant role in counseling patients concerning the harmful effects of tobacco, alcohol and recreational drugs. During the pregnancy, the consequences of these behaviors are profound. Multiple studies have demonstrated a clear association between maternal smoking and perinatal morbidity and mortality (6-10). Women who smoke are at increased risk for low birth weight babies, bleeding during pregnancy, premature labor and preterm rupture of membranes.

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