Predictors of stillbirths and neonatal deaths in rural western Uganda

Cheryl A. Moyer, Candace K. Kolars, Samuel A. Oppong, Ashura Bakari, April Bell, Priscilla Busingye

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)190-193
Number of pages4
JournalInternational Journal of Gynecology and Obstetrics
Volume134
Issue number2
DOIs
Publication statusPublished - 1 Aug 2016
Externally publishedYes

Keywords

  • Complications
  • Neonatal death
  • Pregnancy outcomes
  • Stillbirth
  • Sub-Saharan Africa

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