Document Detail


Perinatal audit using the 3-delays model in western Tanzania.
MedLine Citation:
PMID:  19439297     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To audit intrapartum fetal and early neonatal deaths of infants weighing >or=2000 g in a regional hospital in western Tanzania. METHODS: The 3-delays methodology was applied to a cohort of perinatal deaths from July 2002 to July 2004. RESULTS: The overall perinatal mortality rate in the hospital was 38 per 1000 live births, and in just over half of these cases the birth weight was >or=2000 g. The leading clinicopathologic causes of death were birth asphyxia (19.0%), prolonged or obstructed labor (18.5%), antepartum hemorrhage (11.5%), and uterine rupture (9.0%). First delays occurred in 19.0% of the cases, second delays occurred in 21.5%, and third delays occurred in 72.5%. CONCLUSION: For women who delivered in this hospital, most of the substandard care occurred after admission to the health facility. The improvement of institutional health care may have a significant impact on the decision to attend health institutions and, thereby, reduce first delays.
Authors:
Godfrey Mbaruku; Jos van Roosmalen; Iluminata Kimondo; Filigona Bilango; Staffan Bergström
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-05-12
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  106     ISSN:  1879-3479     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-08     Completed Date:  2009-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  85-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Regional Hospital, Maweni, Kigoma, Tanzania.
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Female
Fetal Death / epidemiology,  etiology
Hospital Mortality
Humans
Infant Mortality*
Infant, Newborn
Medical Audit / methods*
Perinatal Mortality*
Pregnancy
Pregnancy Complications / epidemiology
Quality of Health Care*
Tanzania / epidemiology
Time Factors

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


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