Journal de gynecologie, obstetrique et biologie de la reproduction · 2002
[Can clinical risk factors for perinatal mortality in West Africa be detected during antenatal care or during labor?].
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Chalumeau M
Аннотация
INTRODUCTION: Perinatal mortality (PNM) is a public health problem in West Africa. Aims. To evaluate the rate of PNM in 6 countries of West Africa, to identify clinical risk factors for PNM, to quantify the relative contribution of antenatal care and labor survey in the detection of these risk factors.
METHODS: The MOMA study was a prospective population-based study that collected data about 20326 pregnant women in various, primarily urban, areas of Burkina-Faso, Ivory-Coast, Mali, Mauritania, Niger and Senegal. The present report analyses 19.870 singleton births and 31 simple clinical variables.
RESULTS: The mean PNM ratio was 42 per 1000 total births. In the crude analysis, after adjustment or taking prevalence into account, the principal risk factors were: immediately antenatal and intrapartum vaginal bleeding, labor hypertension, dystocia and infection.
CONCLUSION: The PNM are very high in West Africa. The principal risk factors for PNM can be detected only during labor.
METHODS: The MOMA study was a prospective population-based study that collected data about 20326 pregnant women in various, primarily urban, areas of Burkina-Faso, Ivory-Coast, Mali, Mauritania, Niger and Senegal. The present report analyses 19.870 singleton births and 31 simple clinical variables.
RESULTS: The mean PNM ratio was 42 per 1000 total births. In the crude analysis, after adjustment or taking prevalence into account, the principal risk factors were: immediately antenatal and intrapartum vaginal bleeding, labor hypertension, dystocia and infection.
CONCLUSION: The PNM are very high in West Africa. The principal risk factors for PNM can be detected only during labor.