Predictors of stillbirths and neonatal deaths in rural western Uganda

International Journal of Gynecology & Obstetrics - Tập 134 - Trang 190-193 - 2016
Cheryl A. Moyer1, Candace K. Kolars2, Samuel A. Oppong3, Ashura Bakari4, April Bell5, Priscilla Busingye6
1Global REACH and Departments of Learning Health Sciences and Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA
2Office of Performance Assessment and Clinical Effectiveness, University of Michigan Health System, Ann Arbor, MI, USA
3Department of Obstetrics and Gynecology, Korle Bu Teaching Hospital, Accra, Ghana
4Ghana Health Service, Kumasi, Ghana
5School of Public Health, University of Michigan, Ann Arbor, MI, USA
6Department of Obstetrics and Gynecology, Virika Hospital, Fort Portal, Uganda

Tóm tắt

AbstractObjectiveTo explore pregnancy outcomes at a referral hospital in rural western Uganda.MethodsA retrospective study was undertaken using data for all deliveries at Virika Hospital, Fort Portal, Uganda, between July 1, 2009, and October 22, 2011. A detailed review of delivery logs was conducted. Categories were created for obstetric risk factors (e.g. grand multipara, history of hypertension), maternal delivery complications (e.g. eclampsia, hemorrhage), and neonatal complications (e.g. fetal distress, birth defects).ResultsOverall, 4883 deliveries were included. Of the 517 neonates who did not survive, 430 (83.2%) had been stillborn. After controlling for parity, gestational age, obstetric risk factors, and neonatal complications, risk factors for stillbirth included maternal delivery complications (risk ratio [RR] 3.32, 95% confidence interval [CI] 2.34–4.71; P < 0.001) and living 51–100 km from the hospital (RR 3.37, 95% CI 2.41–4.74; P < 0.001). Risk factors for neonatal death included neonatal complications (RR 5.79, 95% CI 2.49–13.46; P = 0.001) and maternal delivery complications (RR 3.17, 95% CI 1.47–6.82; P = 0.003).ConclusionQualified providers need to be deployed to rural areas of Uganda to facilitate the prompt identification and management of pregnancy, delivery, and neonatal complications.

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International Journal of Gynecology & Obstetrics

Tập 134

190-193

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