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© 1990 Oxford University Press

research-article

Perinatal Mortality in Matlab, Bangladesh: A Community-Based Study

VINCENT FAUVEAU, BOGDAN WOJTYNIAK*, G MOSTAFA, A M SARDER and J CHAKRABORTY

International Centre for Diarrhoeal Disease Research (ICDDR, B) GPO Box 128. Dhaka-1000, Bangladesh.

Fauveau V (International Centre for Diarrhoeal Disease Research (ICDDR-B) GPO Box 128, Dhaka-1000, Bangladesh), Wojtyniak B, Mostafa G, Sarder A M and Chakraborty J. Perinatal mortality in Matlab, Bangladesh: A community-based study. International Journal of Epidemiology 1990, 19: 606–612.

Perinatal deaths, comprising stillbirths and deaths during the first week of life, were monitored over the eight-year period 1979 to 1986 in a rural Bangladeshi population of 196 000. The perinatal mortality rate was 75 per 1000 total births. The rate was 13% higher in males than females. Stillbirth and early neonatal mortality rates were 37 and 38 per 1000 total births, respectively. The major causes of perinatal deaths are presented, as well as some of the maternal determinants.

During the period under study, perinatal mortality declined regularly and significantly over time in an area covered by an intensive Family Planning and Health Services programme, but not in the adjacent control area. This raises the issue of the impact of such a programme upon perinatal mortality, and the need to include a strong maternity care component into primary healthcare strategies if further reductions of perinatal mortality are to be achieved.

Revised 1 October 1989


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