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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Stillbirth and early neonatal mortality in rural Central Africa
International Journal of Gynecology and Obstetrics, Volume 105, No. 2, Year 2009
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Description
Objective: To develop a prospective perinatal registry that characterizes all deliveries, differentiates between stillbirths and early neonatal deaths (ENDs), and determines the ratio of fresh to macerated stillbirths in the northwest Democratic Republic of Congo. Method: Birth outcomes were obtained from 4 rural health districts. Results: A total of 8230 women consented, END rate was 32 deaths per 1000 live births, and stillbirth rate was 33 deaths per 1000 deliveries. The majority (75%) of ENDs and stillbirths occurred in neonates weighing 1500 g or more. Odds of stillbirth and END increased in mothers who were single or who did not receive prenatal care, and among premature, low birth weight, or male infants. The ratio of fresh to macerated stillbirths was 4:1. Conclusion: Neonates weighing 1500 g or more at birth represent a group with a high likelihood of survival in remote areas, making them potentially amenable to targeted intervention packages. The ratio of fresh to macerated stillbirths was approximately 10-fold higher than expected, suggesting a more prominent role for improved intrapartum obstetric interventions. © 2009 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Engmann, Cyril Mark
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Matendo, R.
Democratic Republic Congo, Kinshasa
Kinshasa School of Public Health
Kinoshita, Rinko
Unknown Affiliation
Ditekemena, John Dinanga
Democratic Republic Congo, Kinshasa
Kinshasa School of Public Health
Moore, Janet L.
United States, Research Triangle Park
Rti International
Goldenberg, Robert L.
United States, Philadelphia
Drexel University
Tshefu, Antoinette Kitoto
Democratic Republic Congo, Kinshasa
Kinshasa School of Public Health
Carlo, Waldemar A.
United States, Birmingham
The University of Alabama at Birmingham
McClure, Elizabeth M.
United States, Research Triangle Park
Rti International
Bose, Carl Lewis
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Wright, Linda L.
United States, Bethesda
National Institute of Child Health and Human Development
Statistics
Citations: 71
Authors: 11
Affiliations: 6
Identifiers
Doi:
10.1016/j.ijgo.2008.12.012
ISSN:
00207292
Research Areas
Maternal And Child Health
Study Design
Randomised Control Trial
Cohort Study
Study Locations
Congo
Participants Gender
Male
Female