International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 1994
Levels and determinants of perinatal mortality in central Sudan.
СтатьяПоддержка исследования: вне правительства СШАПоддержка службы здравоохранения СШАНазвание и аннотация: Перевод в очереди
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Taha T E, Gray R H, Abdelwahab M M, Abdelhafeez A R, Abdelsalam A B
Аннотация
OBJECTIVES: To determine levels and risk factors for perinatal mortality in Central Sudan.
METHODS: Hospital and community based studies were conducted during the period 1989-1990. Of 5328 births registered in the hospital, 197 stillborns and 812 live-born infants were included in a nested case-control study. In the community, a follow-up study was conducted on 1592 midwife-assisted home deliveries. Multivariate logistic regression analysis was used to identify predictors of perinatal mortality and adjusted population attributable risks were estimated to assess the contribution of each factor.
RESULTS: The perinatal mortality rate was 85.4/1000 births in the hospital population and 29.4/1000 births in the community population. The major risk factors for perinatal mortality in the hospital and the community studies were similar and modifiable.
CONCLUSIONS: To lower perinatal mortality, improvements in maternal nutrition, malaria treatment and control, avoidance of agricultural pesticides during pregnancy, and adequate antenatal and intrapartum care are recommended.
METHODS: Hospital and community based studies were conducted during the period 1989-1990. Of 5328 births registered in the hospital, 197 stillborns and 812 live-born infants were included in a nested case-control study. In the community, a follow-up study was conducted on 1592 midwife-assisted home deliveries. Multivariate logistic regression analysis was used to identify predictors of perinatal mortality and adjusted population attributable risks were estimated to assess the contribution of each factor.
RESULTS: The perinatal mortality rate was 85.4/1000 births in the hospital population and 29.4/1000 births in the community population. The major risk factors for perinatal mortality in the hospital and the community studies were similar and modifiable.
CONCLUSIONS: To lower perinatal mortality, improvements in maternal nutrition, malaria treatment and control, avoidance of agricultural pesticides during pregnancy, and adequate antenatal and intrapartum care are recommended.