The Indian Journal of Pediatrics

, Volume 63, Issue 4, pp 511–516 | Cite as

Perinatal autopsy—A seven-year study

  • S. Rajashekar
  • B. Vishnu Bhat
  • A. J. Veliath
  • C. Ratnakar
Original Article


A retrospective analysis of autopsies conducted on perinatal deaths during 7 years period (Oct 1983 to Sept 1990) was done. There were 650 neonatal deaths and 944 still births during the study period. Autopsy rates among neonates and still births were 33% and 4.9% respectively. There ware significant findings in 97.2% of neonatal deaths and in all still births. Pulmonary lesions followed by congenital malformations were the major pathological findings. Infection was observed among smaller number of babies compared to other Indian studies. Autopsy revealed many internal congenital malformations which were not diagnosed clinically. Autopsy changed or added to clinical diagnosis in 59.5% of cases. Perinatal autopsy is highly productive in our set up.

Key words

Autopsy Neonatal deaths Still birth Congenital malformation 


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  1. 1.
    Geller SA. Autoposy.Sci Am 1983; 248: 124–136.PubMedCrossRefGoogle Scholar
  2. 2.
    Veress B, Alafuzaff I. Clinical diagnostic accuracy audited by autopsy in a University hospital in two areas.Quality assurance in health care 1993; 5: 281–286.PubMedGoogle Scholar
  3. 3.
    Eriksson L, Sundstrom C. Decreasing autopsy rate in Sweden reflects changing attitude among clinicians.Quality assurance in health care 1993; 5: 319–323.PubMedCrossRefGoogle Scholar
  4. 4.
    Wheeler MS, Bottles K. One resident's view of autopsy.Arch Pathol Lab Med 1985; 78: 311–313.Google Scholar
  5. 5.
    McPhee SJ, Bottles K. Autopsy moribund art of vital science?Am J Med 1985; 78: 107–113.PubMedCrossRefGoogle Scholar
  6. 6.
    Burrows S. The post-mortem examination. Scientific necessity or folly?JAMA 1975; 233: 441–443.PubMedCrossRefGoogle Scholar
  7. 7.
    Roberts WC. The autopsy. Its decline and a suggestion for its revival.N Eng J Med 1978; 299: 332–338.Google Scholar
  8. 8.
    Goldman L, Sayson R, Robbins S. The value of autopsy in 3 medical cases.N Eng J Med 1983; 308: 1000–1005.Google Scholar
  9. 9.
    Dorsey DB. A perspective on the autopsy.Am J Clin Pathol 1978; 69: 217–223.PubMedGoogle Scholar
  10. 10.
    Scottilini AG, Wenstein SR. The autopsy in clinical quality control.JAMA 1983; 250: 1192–1194.CrossRefGoogle Scholar
  11. 11.
    Gau G. The ultimate audit.Br Med J 1977; 1: 1580–1582.PubMedGoogle Scholar
  12. 12.
    Veress B, Alafuzaff. A retrospective analysis of clinical diagnosis & autopsy findings in 3042 cases during two different time periods.Human pathology 1995; 25: 140–145.CrossRefGoogle Scholar
  13. 13.
    Govt. of India. Health information of India 1992. DGHS New Delhi.Google Scholar
  14. 14.
    Sophir O. Autopsy Diagnosis and technic. Newyork, Paul B.Hoelec Inc 1958.Google Scholar
  15. 15.
    Greshan GA, Truene AP.Postmortem procedures (An illustrated Textbook). London, Wolfe Medical publication Ltd. 1979.Google Scholar
  16. 16.
    Ruston DI. Prognostic role of the perinatal postmortem.Brit J of Hosp Med 1994; 52: 450–454.Google Scholar
  17. 17.
    Banerjee CK, Narang A, Bhakoo N, Aikat BK. The causes of neonatal mortality. An analysis of 250 autopsy in newborn infants.Indian Pediatr 1975; 12: 1247–1252.PubMedGoogle Scholar
  18. 18.
    Mehdi Z, Naidu PM, Gopal Rao. Incidence and causes of perinatal mortality in Hyderabed.Ind J Med Res 1961; 49: 897–906.Google Scholar
  19. 19.
    Ghosh S, Bhargava SK, Sharma DBet al. A preliminary report on a hospital based study.Indian Pediatr 1971; 8: 421–426.PubMedGoogle Scholar
  20. 20.
    Maheshwary HB, Teja K, Savita R, Kumar S. Causes of late fetal and neonatal deaths.Indian Pediatr 1977; 8: 417–421.Google Scholar
  21. 21.
    Stolman CJ, Castello F, Yorio M, Mautone S. Attitudes of pediatricians & pediatric residents towards obtaining permission for autopsy.Arch Pediatr and adolescent Med. 1994; 148: 843–847.Google Scholar
  22. 22.
    Ruston DI. West midlands perinatal mortality survey 1987.Br J Obst & Gyn 1991; 98: 624–627.Google Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 1996

Authors and Affiliations

  • S. Rajashekar
    • 1
  • B. Vishnu Bhat
    • 1
  • A. J. Veliath
    • 2
  • C. Ratnakar
    • 2
  1. 1.Department of PediatricsJawaharlal Institute of Post-graduate Medical Education & ResearchPondicherry
  2. 2.Department of PathologyJawaharlal Institute of Post-graduate Medical Education & ResearchPondicherry

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