Document Detail


Stillbirths and early neonatal mortality in rural Northern Ghana.
MedLine Citation:
PMID:  22175764     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective  To calculate perinatal mortality (stillbirth and early neonatal death: END) rates in the Upper East region of Ghana and characterize community-based stillbirths and END in terms of timing, cause of death, and maternal and infant risk factors. Methods  Birth outcomes were obtained from the Navrongo Health and Demographic Surveillance System over a 7-year period. Results  Twenty thousand four hundred and ninty seven pregnant women were registered in the study. The perinatal mortality rate was 39 deaths/1000 deliveries, stillbirth rate 23/1000 deliveries and END rates 16/1000 live births. Most stillbirths were 31 weeks gestation or less. Prematurity, first-time delivery and multiple gestation all significantly increased the odds of perinatal death. Approximately 70% of END occurred during the first 3 postnatal days, and the most common causes of death were birth asphyxia and injury, infections and prematurity. Conclusion  Stillbirths and END remain a significant problem in Navrongo. The main causes of END occur during the first 3 days and may be modifiable with simple targeted perinatal policies.
Authors:
Cyril Engmann; Paul Walega; Raymond A Aborigo; Philip Adongo; Cheryl A Moyer; Layla Lavasani; John Williams; Carl Bose; Fred Binka; Abraham Hodgson
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-18
Journal Detail:
Title:  Tropical medicine & international health : TM & IH     Volume:  -     ISSN:  1365-3156     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610576     Medline TA:  Trop Med Int Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 Blackwell Publishing Ltd.
Affiliation:
 University of North Carolina, Chapel Hill, NC, USA  Navrongo Health Research Centre, Navrongo, Ghana  University of Ghana, Legon, Ghana  University of Michigan, Ann Arbor, MI, USA.
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