The objective of this study was to estimate stillbirth, perinatal (PMR)
and neonatal mortality rates (NMR) in Egypt and to assign main causes of
death. Data were collected from a representative sample of women who
gave birth from 17,521 households which were included in the Egypt
Demographic and Health Survey (EDHS) 2000. Comparisons were made between
three systems for classifying causes of death.
The NMR was 25 per 1000 live births (17 early and eight late). Half the
deaths occurred in the first two days of life. Neonatal causes of death
were pre-maturity (39%), asphyxia (18%), infections (7%), congenital
malformation (6%) and unclassified (29%). The PMR was 34 per 1000
births, mainly attributed to: asphyxia (44%) and prematurity (21%). The
revised Wigglesworth classification agreed well with the physicians
except the panel attributed more deaths to infections (20%). The WHO
verbal autopsy algorithm left 48% of deaths unclassified.
The study concluded that infant mortality in Egypt is showing an
epidemiological transition with a significant decrease in mortality,
resulting in a disproportionate percentage of deaths in the first week
of life. Infant mortality in Egypt declined 64% from 124 per 1000
between 1974 and 1978 to 44 per 1000 between 1995 and 1999, the decline
being greatest among older infants; 55% of all infant deaths occurred
during the neonatal period. The neonatal mortality rate in this study
was estimated to be 25 per 1000 live births.
Campbell, O.; Gipson, R.; Mohandes, A.E.; Issa, A.H.; Matta, N.; Mansour, E.; Mohsen, L. The Egypt National Perinatal/Neonatal Mortality Study 2000. Journal of Perinatology (2004) 24 (5) 284-289. [DOI: 10.1038/sj.jp.7211084]
The Egypt National Perinatal/Neonatal Mortality Study 2000