High risk pregnancy – This course is designed to understand the care of pregnant women and newborn: antenatal, intra-natal and postnatal; breast feeding, family planning, newborn care and ethical issues, The aim of the course is to acquire knowledge and develop competencies regarding midwifery, complicated labour and newborn care including family planning.
Infant mortality rate (IMR)
Infant mortality rate is defined as the ratio of infant death registered in a given years to the total number of live births registered in the same year, usually expressed as a rate per 1000 live births.
It is given by the formula:
Number of deaths under one year of age in an area during a year
IMR = ————————————————————————–х 1000
Number of live births in the same area and same year
IMR=57/1000 live birth.
Causes of IMR in Bangladesh
A. Neonatal mortality
➤ Low birth weight
➤ Birth injury and difficult labor
➤ Congenital anomalies
➤ Hemolytic disease of newborn
➤ Conditions of placenta and cord
➤ Diarrheal disease
➤ Acute respiratory infection (ARI)
➤ Tetanus
➤ Measles
➤ Septicemia
➤ Whooping cough
➤ Other: Anemia, malnutrition and vitamin deficiency
B. Post neonatal mortality
➤ Diarrheal disease
➤ Acute respiratory infection (ARI)
➤ Other communicable disease
➤ Malnutrition
➤ Congenital anomalies
➤ Accidents

Preventive Measure of IMR:
A. Certain important measure |
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B. Other preventive measure |
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