Perinatal neonatal and maternal outcomes of women attended by midwives at health centers in Gilgit Baltistan, Pakistan

Date of Award


Document Type


Degree Name

Master of Science in Nursing (MScN)


School of Nursing and Midwifery, Pakistan


The study aimed to determine the perinatal, neonatal, and maternal outcomes of mothers attended by midwives at health centers in Gilgit Baltistan. Methodology A descriptive, retrospective study was conducted to analyze the perinatal, neonatal, and maternal outcomes of mothers attended by midwives during two years, from January 2013 to December 2014, at the health centers of the Aga Khan Health Services, Pakistan, in Gilgit Baltistan. The data regarding outcomes were retrieved from the retrospective manual and computerized HMIS records, using a data retrieval form, and then analyzed using descriptive statistics. Results A total of 5263 records of the mothers attended by midwives during the study period, including deliveries, abortions, and referrals, were reviewed. The largest age group (64%) of delivered mothers was 21-30 years old and the mean age of mothers was 27 years. The age group of the mothers reported in this study is relatively younger then the age groups reported in other studies. In addition, the majority of them (65%) were multi gravida and (45%) multi para. The infants born alive (97%) were with an APGAR score of 7 and above (98%), and normal birth weight (96%). The neonatal mortality, still birth, and perinatal mortality rates of the cohort were found to be 1.8 per thousand live births, 0.4 per thousand total births and 9.1 per thousand total births, respectively. Moreover, a majority of the mothers were delivered as NVD (80%), with spontaneous labor, and most (99.6%) of the mothers delivered without any complication. The findings also revealed that, a total of 846 mothers were referred on the basis of their risks, and 19 mothers delivered twins due to noncompliance with the referral. Conclusion The findings of the study provide baseline information about the perinatal, neonatal, and maternal outcomes from a midwifery led setting, which highlights the contribution of midwives in conducting normal deliveries, with spontaneous labor and minimal interventions, and identifying high risk mothers for referrals. Besides, it also provides rich data to be utilized for further studies,

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