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Vol.6 No.3 – 4: Factors Contributing to Perinatal Mortality in a Sample of Hospitals in the Health Directorate of Baghdad Al-Karkh in April 2018 – August 2019

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By: Fawzi H. Atshan1, Ibtesam F. Hassan1, Munir T. Salman1, and Basim M. jwad2

1 DR.Fawzi Hashim Atshan; Public Health Department / Baghdad Health Directorate – Al-Karkh

1DR.Ibtesam Farage Hassan; Public Health Department / Baghdad Health Directorate – Al-Karkh

1DR.Munir Talib Salman; Public Health Department / Baghdad Health Directorate – Al-Karkh

2Dr. Basim M. Jwad; Department of pathology and poultry diseases, Collages of Veterinary Medicine, University of Baghdad, Baghdad, Iraq

Abstract

The Perinatal mortality rate is an important index of community health condition and quality of health service provided to the mother and their fetus during the 28 weeks of gestation till, after delivery, there are many factors that threaten their life. This study aimed to determine the perinatal mortality rate in Baghdad AL Karkh health directorate and to identify the contributing factors and main causes of perinatal mortality. A study based on a record review of the perinatal mortality in three hospitals in Baghdad Al-karkh for one year starting from 1st April 2018 and at the end in March 2019. The total deliveries were 27,096, while the total deaths were 1217 deaths during the perinatal period the perinatal mortality rate was 45 /1000, 67% of them with newborn death, 57% of fetal gender was male, 64 % of perinatal deaths were delivered by cesarean section, the most common maternal contributing factors is the complication of labor and delivery was 24% while the fetal causes are Respiratory and cardiovascular disorders specific to the perinatal period was 56%, the study revealed a significant relation or association between gestational age, mode of delivery, place of delivery, a product of delivery and age of the baby when dead and in another side this study revealed a no association between the mother’s age, the gender of the baby and the weight of the baby. The main causes of perinatal mortality deaths occur during the first 2 days and maybe modifiable with simple targeted perinatal policies with, quality improvement of the health care providing in labor rooms and neonatal care units.

Factors Contributing to Perinatal Mortality in a Sample of Hospitals in the Health Directorate of Baghdad Al-Karkh in April 2018 – August 2019.

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Vol.3 No.4 – 6: Schistosomiasis haematobium Prevalence and Risk factors in EL-Fayoum Governorate, Egypt

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By : Ahmed Abdelhalim Yameny

Society of Pathological Biochemistry and Hematology, Egypt

Ahmed A. Yameny (Email: dr.ahmedyameny@yahoo.com)

Abstract

Schistosoma haematobium infection is an important water-borne disease in Egypt, its prevalence decreased to less than 0.2 % (2016). There are more than 300 villages in Egypt with a prevalence of more than 3%, especially among school children, Which require prolonged treatment and continuous examinations, The Ministry of Health and Population in Egypt has announced the start of a campaign to confirm the final elimination of schistosomiasis by 2020, this study was conducted to detect the prevalence of  Schistosoma haematobium and risk factors among 1000 patients attending Ministry of Health Laboratory Centers, in El-Fayoum Governorate by microscopic examination in rural and urban areas, the prevalence among study patients was 7.9%, an interview questionnaire was designed to obtain demographic data and risk factors, such as residential status, age,  water contact activity, occupation, and education level, the higher percentage of infection was 10.3% among 11-21 years group, infection among males was higher than that among females (9.0% vs.6. 8% respectively). The percentage of infection was 11.2 % for rural residence compared to 2.4% for urban residence, regarding occupation the higher percentage of infection was 27.6% among farmers and /or fishermen. According to contact with canal water, the percentage of infection among those who had water contact was 16.9% and only 0.9% for people with no water contact. This study, therefore, recommended that a schistosomiasis control program in these infected areas should be done to educate the population on risk factors that predispose an individual to urinary schistosomiasis and the need for proper control of snails the intermediate host besides treatment of infected people.

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