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The Cases of Still-birth and Neonatal Death : A Prospective Study of the Risk Factors and the Incidence at Petarukan, Pemalang (Kasus Lahir - Mati dan Kematian Neonatal : Studi Prospektif tentang Faktor Risiko dan Insidensinya di Petarukan, Pemalang)

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A prospective study was conducted to investing the risk factors of still-birth and neonatal death at Petarukan District, Pemalang, Indonesia. Six hundreds thirteen pregnant women was followed-up by midwives and then the infants were also evaluated up to the end of neonatal period. The incident of still-birth was 9.7 permil and the incident of neonatal death was 29.7 permil. Most of the neonatal deaths (61.1 percent) (occured) in the fist day of life and the main cause was asphyxia. The risks of still-birth were increased among low educated mothers, hard working mothers, less weight gained mothers, cephalo-pelvic disproportion, mothers who got fever at the third trimester, and mother who had histories of still-birth and cesarean section, and congenital anomaly of the infants. Mothers who received 90 ferro-sulfate tablets had less risk of still-birth. The risks of neonatal death were increased among nulli-parous women, non-cephalic presentation infants, prolonged delivery, non cesarean-section abnormal delivery, low birth weight babies, asphyxia among neonates, yellowish neonates, congenital anomaly of the infants and among neonates receiving solid food. The early risk detection of still-birth and neonatal seems to be an important approach.

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Majalah Kedokteran Indonesia,46(12)1996:673-680

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: ., 1996

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infant mortality

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