TY - JOUR
T1 - Predictors of stillbirths and neonatal deaths in rural western Uganda
AU - Moyer, Cheryl A.
AU - Kolars, Candace K.
AU - Oppong, Samuel A.
AU - Bakari, Ashura
AU - Bell, April
AU - Busingye, Priscilla
N1 - Publisher Copyright:
© 2016 International Federation of Gynecology and Obstetrics
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Objective To explore pregnancy outcomes at a referral hospital in rural western Uganda. Methods A retrospective study was undertaken using data for all deliveries at Virika Hospital, Fort Portal, Uganda, between July 1, 2009, and October 22, 2011. A detailed review of delivery logs was conducted. Categories were created for obstetric risk factors (e.g. grand multipara, history of hypertension), maternal delivery complications (e.g. eclampsia, hemorrhage), and neonatal complications (e.g. fetal distress, birth defects). Results Overall, 4883 deliveries were included. Of the 517 neonates who did not survive, 430 (83.2%) had been stillborn. After controlling for parity, gestational age, obstetric risk factors, and neonatal complications, risk factors for stillbirth included maternal delivery complications (risk ratio [RR] 3.32, 95% confidence interval [CI] 2.34–4.71; P < 0.001) and living 51–100 km from the hospital (RR 3.37, 95% CI 2.41–4.74; P < 0.001). Risk factors for neonatal death included neonatal complications (RR 5.79, 95% CI 2.49–13.46; P = 0.001) and maternal delivery complications (RR 3.17, 95% CI 1.47–6.82; P = 0.003). Conclusion Qualified providers need to be deployed to rural areas of Uganda to facilitate the prompt identification and management of pregnancy, delivery, and neonatal complications.
AB - Objective To explore pregnancy outcomes at a referral hospital in rural western Uganda. Methods A retrospective study was undertaken using data for all deliveries at Virika Hospital, Fort Portal, Uganda, between July 1, 2009, and October 22, 2011. A detailed review of delivery logs was conducted. Categories were created for obstetric risk factors (e.g. grand multipara, history of hypertension), maternal delivery complications (e.g. eclampsia, hemorrhage), and neonatal complications (e.g. fetal distress, birth defects). Results Overall, 4883 deliveries were included. Of the 517 neonates who did not survive, 430 (83.2%) had been stillborn. After controlling for parity, gestational age, obstetric risk factors, and neonatal complications, risk factors for stillbirth included maternal delivery complications (risk ratio [RR] 3.32, 95% confidence interval [CI] 2.34–4.71; P < 0.001) and living 51–100 km from the hospital (RR 3.37, 95% CI 2.41–4.74; P < 0.001). Risk factors for neonatal death included neonatal complications (RR 5.79, 95% CI 2.49–13.46; P = 0.001) and maternal delivery complications (RR 3.17, 95% CI 1.47–6.82; P = 0.003). Conclusion Qualified providers need to be deployed to rural areas of Uganda to facilitate the prompt identification and management of pregnancy, delivery, and neonatal complications.
KW - Complications
KW - Neonatal death
KW - Pregnancy outcomes
KW - Stillbirth
KW - Sub-Saharan Africa
UR - http://www.scopus.com/inward/record.url?scp=84975122302&partnerID=8YFLogxK
U2 - 10.1016/j.ijgo.2016.01.009
DO - 10.1016/j.ijgo.2016.01.009
M3 - Article
C2 - 27177508
AN - SCOPUS:84975122302
SN - 0020-7292
VL - 134
SP - 190
EP - 193
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - 2
ER -