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Verbal Autopsy of stillbirths and Neonatal Deaths in a Rural Area of Burkina Faso

Open Journal of Pediatrics 2015年第2期5卷 164-170页

作者： Fla Koueta Kisito Nagalo Leatitia Ouedraogo Francois Housseini Tall Diarra Ye The Burkinabe Pediatrics Society OuagadougouBurkina Faso Training and Research Unit of Health Sciences University of OuagadougouOuagadougouBurkina Faso Service of Medical Pediatrics Charles De Gaulle Pediatric University Teaching HospitalOuagadougouBurkina Faso Service of Pediatrics Clinique El Fateh-SukaOuagadougouBurkina Faso

Introduction: In developing countries, many neonatal deaths still occur at home and the causes of these deaths are not ascertained. Objective: To identify the causes of stillbirths and neonatal deaths that occur at home and the factors that have contributed to these deaths. Materials and Method: We have used the method of verbal autopsy to investigate the stillbirths and neonatal deaths in nine villages in the health area of Namsiguia, health district of Ouahigouya, Burkina Faso, during the period January 1, 2007 to December 8, 2012. Results: Over these six years, we have recorded 19 stillbirths and 36 neonatal deaths among 1507 live births, demonstrating a neonatal mortality rate of 28.8 per1000 and a rate of stillbirths of 12.6 per 1000. The average age of newborns at death was 5.6 days and the sex-ratio was 1.6. The major cause of stillbirths was antenatal hypoxia and birth asphyxia (42.1%). The direct causes of neonatal deaths were neonatal sepsis (41.7%), preterm birth (19.4%) and hypoxia and birth asphyxia (11.1%). There were 42.1% deliveries and 58.3% neonatal deaths, which occurred at home. We have noted 89.5% fresh stillbirths. Death occurred more often during the early neonatal period (55.5%). Factors significantly associated with neonatal death were, lack of school education of mothers (OR = 4), precocious marriage of the mother (OR = 8), poor follow-up of pregnancies (OR = 3), birth at home (OR = 4), low socioeconomic level (OR = 6), and low geographical access to the health facility (OR = 4). Conclusions: Strengthening of the health infrastructure and improving their accessibility, reinforcement of the staff for high quality care, and communication for a change in behavior in rural communities, will contribute toward reducing neonatal mortality in the area of health of Namsiguia.

关键词： Verbal Autopsy Neonatal Deaths stillbirths Cause of Death

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Pregnancy Outcomes at Kasungu Maternity Ward in Central Malawi—A Review of Maternity Ward Register

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Advances in Reproductive Sciences 2019年第3期7卷 51-59页

作者： Joo Heon Park Jin Sik Song James G. Kim Changhyun Han Diane J. Moon Byungchan Kim James Kachingwe George Talama Youth with Talents Fairfax VA USA The Gwinnett School of Mathematics Science and Technology Lawrenceville GA USA Biomedical Engineering Washington University St. Louis MO USA Kasungu District Hospital Kasungu Malawi

Health care services during pregnancy and childbirth and after delivery are important for the survival and wellbeing of both the mother and the infant. The pregnancy outcomes at Kasungu District Hospital Maternity Ward have not been documented. Additionally, MDHS does not capture data regarding, prematurity, APGAR scores, and causes of maternal deaths and causes of neonatal deaths. Using Kasungu District Hospital Maternity Ward register, we aimed to describe the pregnancy outcomes at Kasungu Maternity Ward. From March 2016 to February 2017, data were available for 10,842 deliveries. The calculated Perinatal Mortality Rate (PMR) was about 77/1000 births and the Maternal Mortality Ratio (MMR) was 318 deaths per 100,000 live births. The Spontaneous Vertex Delivery (SVD) rate was 86% and the caesarean section rate was 10%. 1734 (16%) of all deliveries were premature borne between 28 and 36 gestation weeks. 1182 (11%) deliveries had missing APGAR scores and 81 neonates were born with 5 min Apgar scores less than 7. Adverse pregnancy outcomes occur at Kasungu Hospital Maternity Ward. More effort and resources are needed to decrease their occurrence.

关键词： Pregnancy Outcomes Mode of Delivery Perinatal Deaths stillbirths Maternal Deaths APGAR Scores

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