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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A multi-country study of the "intrapartum stillbirth and early neonatal death indicator" in hospitals in low-resource settings
International Journal of Gynecology and Obstetrics, Volume 122, No. 3, Year 2013
Notification
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Description
Objective To determine the feasibility of introducing a simple indicator of quality of obstetric and neonatal care and to determine the proportion of potentially avoidable perinatal deaths in hospitals in low-income countries. Methods Between September 1, 2011, and February 29, 2012, data were collected from consecutive women who were admitted to the labor ward of 1 of 6 hospitals in 4 low-income countries. Fetal heart tones on admission were monitored, and demographic and birth data were recorded. Results Data were obtained for 3555 women and 3593 neonates (including twins). The doptone was used on 97% of women admitted. The overall perinatal mortality rate was 34 deaths per 1000 deliveries. Of the perinatal deaths, 40%-45% occurred in the hospital and were potentially preventable by better hospital care. Conclusion The results demonstrated that it is possible to accurately determine fetal viability on admission via a doptone. Implementation of doptone use, coupled with a concise data record, might form the basis of a low-cost and sustainable program to monitor and evaluate efforts to improve quality of care and ultimately might help to reduce the in-hospital component of perinatal mortality in low-income countries. © 2013 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Goldenberg, Robert L.
United States, New York
Columbia University
McClure, Elizabeth M.
United States, Research Triangle Park
Rti International
Kodkany, Bhalachandra S.
India, Belgaum
Jawaharlal Nehru Medical College Belgaum
Wembodinga, Gilbert Utshudienyema
Democratic Republic Congo
School of Public Health
Pasha, Omrana
Pakistan, Karachi
The Aga Khan University
Esamai, Fabian O.
Kenya, Eldoret
Moi University
Tshefu, Antoinette Kitoto
Democratic Republic Congo
School of Public Health
Patel, Archana Behram
India, Nagpur
Lata Medical Research Foundation
Mabaye, Hillary
Kenya, Eldoret
Moi University
Goudar, Shivaprasad S.
India, Belgaum
Jawaharlal Nehru Medical College Belgaum
Saleem, Sarah
Pakistan, Karachi
The Aga Khan University
Waikar, Manjushri
India, Nagpur
Lata Medical Research Foundation
Langer, Ana
United States, Boston
Harvard T.h. Chan School of Public Health
Bose, Carl Lewis
United States, Chapel Hill
Unc School of Medicine
Rubens, Craig
United States, Seattle
Seattle Children's Hospital
Wright, Linda L.
United States, Bethesda
National Institute of Child Health and Human Development Nichd
Moore, Janet L.
United States, Research Triangle Park
Rti International
Blanc, Ann Klimas
United States, New York
The Population Council, Inc.
Statistics
Citations: 18
Authors: 18
Affiliations: 12
Identifiers
Doi:
10.1016/j.ijgo.2013.04.008
ISSN:
00207292
e-ISSN:
18793479
Research Areas
Health System And Policy
Maternal And Child Health
Participants Gender
Female