In this study, some problems were experienced due to
inconsistent and inadequate records. As the mortality information
was obtained from routine registries, the rates could
be underestimated. Furthermore, geocoding could not be used
due to lack of parents’ address data, so the death data had to
be assessed by regions in the study. Another limitation of this
study is that the data related to the risk factors such as
maternal age, birth weight etc. were from registries with
limited reliability. Additionally, some factors related to the
socio-economic contexts of health that could affect perinatal
mortality were not included in the study as data were not
available. Future work should be undertaken to investigate the
relationship between perinatal mortality and socio-economic
(and demographical) factors in the study region.
Although it has some limitations, this study offers two
main findings. Firstly, GIS can be used in the prevention of
perinatal mortality which is located between maternal health
and child health issues. Secondly, this method can be used to
show the increasing effect of environmental pollution by