TY - JOUR
T1 - The national perinatal mortality rate in the State of Qatar during 2011; Trends since 1990 and comparative analysis with selected high-income countries
T2 - The PEARL study project
AU - Nimeri, Nuha
AU - Rahman, Sajjad
AU - El Tinay, Sarah
AU - El Ansari, Walid
AU - Tamano, Emirah A.
AU - Sellami, Soumaya
AU - Salameh, Khalil
AU - Shaddad, Affaf
AU - Yousafzai, Mohammad Tahir
AU - Bener, Abdulbari
N1 - Funding Information:
* The PEARL Study is funded exclusively by Qatar National Research Fund (QNRF) for a period of 3 years (December 2010 – November 2013), through its third cycle of National Priorities Research Programme (NPRP). Grant no. NPRP 09-390-3-097. The PEARL Study is approved by the Institutional Research Ethics Committee of Hamad Medical Corporation, Qatar (protocol no. 9211/09). **Corresponding author: Dr. Sajjad ur Rahman Department of Pediatrics Weill Cornell Medical College PO Box 3050, Doha State of Qatar Tel.: + 974 44396123/44393249 Fax: + 974 44393619 E-mail: [email protected]; [email protected]
PY - 2013/5
Y1 - 2013/5
N2 - Objective: To prospectively ascertain Qatar ' s national perinatal mortality rate (PMR) during 2011, compare it with recent data from selected high-income countries, and analyze trends in Qatar ' s PMR between 1990 and 2011 using historical data. Study design: A national prospective cohort study. Methods: National data on live births, stillbirths, and early neonatal mortality (day 0 - 6) were collected from all public and private maternity units in Qatar (1 st January - December 31 st 2011) and compared with historical perinatal mortality data (1990 - 2010) ascertained from the database of maternity and neonatal units of Women ' s Hospital and annual reports of Hamad Medical Corporation (HMC). For inter-country comparison, country data were extracted from the World Health Statistics published by WHO in 2011 and from the European Perinatal Health Report published by the Europeristat project in 2008. Results: A total of 20,725 births (20,583 live births plus 142 stillbirths) were recorded during the study period. Qatar ' s national PMR during 2011 was 9.55 [early neonatal mortality rate (ENMR) 2.7 and stillbirth rate (SBR) 6.85], which was a signifi cant improvement from a PMR of 13.2 in 1990 [risk ratio (RR) 0.72, 95 % confi dence interval 0.58 - 0.89, P = 0.002]. This improvement in PMR was more signifi cant in ENMR (P = 0.001) than in SBR (P = 0.019). The stillbirths constituted 55 % of PMR in 1990, which increased to 71.72 % of PMR during 2011. The RR of PMR had a signifi cant downwards trend between 1990 and 2011 (P = 0.016). Qatar ' s 2011 PMR, SBR, and ENMR are comparable to those of selected high-income counties. Conclusions: Qatar ' s PMR, ENMR, and SBR have signifi - cantly improved between 1990 and 2011, and are currently comparable to those of selected high-income countries. An in-depth research to assess the correlates and determinants of stillbirth and perinatal mortality in Qatar is indicated.
AB - Objective: To prospectively ascertain Qatar ' s national perinatal mortality rate (PMR) during 2011, compare it with recent data from selected high-income countries, and analyze trends in Qatar ' s PMR between 1990 and 2011 using historical data. Study design: A national prospective cohort study. Methods: National data on live births, stillbirths, and early neonatal mortality (day 0 - 6) were collected from all public and private maternity units in Qatar (1 st January - December 31 st 2011) and compared with historical perinatal mortality data (1990 - 2010) ascertained from the database of maternity and neonatal units of Women ' s Hospital and annual reports of Hamad Medical Corporation (HMC). For inter-country comparison, country data were extracted from the World Health Statistics published by WHO in 2011 and from the European Perinatal Health Report published by the Europeristat project in 2008. Results: A total of 20,725 births (20,583 live births plus 142 stillbirths) were recorded during the study period. Qatar ' s national PMR during 2011 was 9.55 [early neonatal mortality rate (ENMR) 2.7 and stillbirth rate (SBR) 6.85], which was a signifi cant improvement from a PMR of 13.2 in 1990 [risk ratio (RR) 0.72, 95 % confi dence interval 0.58 - 0.89, P = 0.002]. This improvement in PMR was more signifi cant in ENMR (P = 0.001) than in SBR (P = 0.019). The stillbirths constituted 55 % of PMR in 1990, which increased to 71.72 % of PMR during 2011. The RR of PMR had a signifi cant downwards trend between 1990 and 2011 (P = 0.016). Qatar ' s 2011 PMR, SBR, and ENMR are comparable to those of selected high-income counties. Conclusions: Qatar ' s PMR, ENMR, and SBR have signifi - cantly improved between 1990 and 2011, and are currently comparable to those of selected high-income countries. An in-depth research to assess the correlates and determinants of stillbirth and perinatal mortality in Qatar is indicated.
KW - Early neonatal mortality
KW - High-income countries
KW - Perinatal mortality
KW - Qatar
KW - Stillbirth
UR - http://www.scopus.com/inward/record.url?scp=84881563503&partnerID=8YFLogxK
U2 - 10.1515/jpm-2012-0143
DO - 10.1515/jpm-2012-0143
M3 - Article
C2 - 23023881
AN - SCOPUS:84881563503
SN - 0300-5577
VL - 41
SP - 323
EP - 330
JO - Journal of Perinatal Medicine
JF - Journal of Perinatal Medicine
IS - 3
ER -
