Document Detail


Labour complications remain the most important risk factors for perinatal mortality in rural Kenya.
MedLine Citation:
PMID:  14576887     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To identify and quantify risk factors for perinatal mortality in a Kenyan district hospital and to assess the proportion of perinatal deaths attributable to labour complications, maternal undernutrition, malaria, anaemia and human immunodeficiency virus (HIV). METHODS: A cross-sectional study of 910 births was conducted between January 1996 and July 1997 and risk factors for perinatal mortality were analysed. FINDINGS: The perinatal mortality rate was 118 per 1000 births. Complications of labour such as haemorrhage, premature rupture of membranes/premature labour, and obstructed labour/ malpresentation increased the risk of death between 8- and 62-fold, and 53% of all perinatal deaths were attributable to labour complications. Placental malaria and maternal HIV, on the other hand, were not associated with perinatal mortality. CONCLUSIONS: Greater attention needs to be given to the quality of obstetric care provided in the rural district-hospital setting.
Authors:
Renay Weiner; Carine Ronsmans; Ed Dorman; Hilton Jilo; Anne Muhoro; Caroline Shulman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2003-10-14
Journal Detail:
Title:  Bulletin of the World Health Organization     Volume:  81     ISSN:  0042-9686     ISO Abbreviation:  Bull. World Health Organ.     Publication Date:  2003  
Date Detail:
Created Date:  2003-10-24     Completed Date:  2003-12-04     Revised Date:  2009-05-29    
Medline Journal Info:
Nlm Unique ID:  7507052     Medline TA:  Bull World Health Organ     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  561-6     Citation Subset:  IM    
Affiliation:
School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. weinerr@sph.wits.ac.za
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cross-Sectional Studies
Developing Countries
Female
HIV Infections / blood
Hospital Mortality
Hospitals, Rural / statistics & numerical data*
Humans
Infant Mortality*
Infant, Newborn
Kenya / epidemiology
Logistic Models
Malaria / blood
Obstetric Labor Complications / mortality*
Pregnancy
Pregnancy Complications, Infectious / epidemiology
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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