Globally, the perinatal mortality rate (PMR) is 53/1000
(7.5 million annual perinatal deaths) and the neonatal
mortality rate (NMR) is 36/1000 (5.1 million annual
neonatal deaths). Of the 141 million annual livebirths,
127 million (90%) are born in developing countries,
which, compared to developed countries, have a higher
PMR (57/1000 vs 11/1000, 5.2 x) and NMR (39/1000 vs
7/1000, 5.6 x). Five million annual neonatal deaths (98%
of the world's total) occur in developing countries.
Regional annual livebirths figures are: Asia-Oceania
76 million, Africa 31 million, Central and South America
12 million, Europe 8 million, and North America 4 million.
Regional annual neonatal death figures are: Asia-
Oceania 3.3 million, Africa 1.3 million, Central and
South America 0.3 million, Europe 0.07 million, North
America 0.03 million. The Asia-Oceania region has a
PMR of 53/1000 and a NMR of 41/1000. It has half of the
world's livebirths and two-thirds of the world's neonatal
deaths. The PMR and NMR have often been used as an
indicator of the standard of a country's social, educational
and healthcare systems. Strategies, which address
inequalities both within a country and between countries,
are necessary if there is going to be further improvement
in global perinatal health.