A retrospective review of birth outcomes at the Mother and Child Health Hospital in Lao People’s Democratic Republic, 2004–2013

Olsen, Sonja J.; Vetsaphong, Phommady; Vonglokham, Phouvanh; Mirza, Sara; Khanthamaly, Viengphone; Chanthalangsy, Touy; Chittanavanh, Seth; Syhavong, Bounkong; Moen, Ann; Bresee, Joseph S.; Corwin, Andrew L.; Xeuatvongsa, Anonh

doi:10.1186/s12884-016-1168-5

Cited by 5 publications

(4 citation statements)

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“…In this study as reported in other LMICs, participants reported poor record-keeping and an absence of an annual audit [ 4 , 6 , 7 ]. A review of data in the Mother and Child Health hospital in Vientiane found while all deliveries should be recorded into a hard-copy logbook, logbooks were not always available and date of birth often limited to year of birth [ 21 ]. Our research also affirms other studies which suggest there is often confusion among healthcare providers regarding the classification of stillbirth [ 4 , 6 , 7 , 21 – 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…A review of data in the Mother and Child Health hospital in Vientiane found while all deliveries should be recorded into a hard-copy logbook, logbooks were not always available and date of birth often limited to year of birth [ 21 ]. Our research also affirms other studies which suggest there is often confusion among healthcare providers regarding the classification of stillbirth [ 4 , 6 , 7 , 21 – 23 ]. Another study in Lao PDR of five hospitals examined the causes and incidences of neonatal diseases and deaths also found inconsistency in documentation, a lack of differentiation between stillbirths with maceration and intrapartum stillbirths and the potential for some neonatal deaths to have been misclassified as stillbirth [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

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Stillbirth in Lao PDR: a healthcare provider perspective

Choummanivong

Karimi

Durham

et al. 2020

Global Health Action

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Background: Stillbirth is a major global concern. However, most research has been conducted in high-income countries. Understanding of the experience and management of stillbirth in low-middle income countries is needed. Objective: This qualitative study explored health professionals' experiences of providing stillbirth care in the Lao People's Democratic Republic, a lower-middle-income country in SouthEast Asia. Methods: In-depth interviews were conducted with 33 health professionals (doctors, midwives and nurses) and thematic analysis was undertaken. Results: All participants acknowledged stillbirth as a concern, but its incidence and causes were largely undocumented and unknown. A lack of training in managing stillbirth left health professionals often ill-equipped to support mothers and provide responsive care. Social stigma surrounds stillbirth, meaning mothers found limited support or opportunities to openly express their grief. Conclusions: Better awareness of stillbirth causes could promote more positive experiences for healthcare providers and parents and more responsive healthcare. This requires improved training for healthcare professionals and awareness raising in the wider community.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Stillbirth in Lao PDR: a healthcare provider perspective

Choummanivong

Karimi

Durham

et al. 2020

Global Health Action

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“…Although some studies found no risk factors associated with HBV infection status (37), others have identified significant associations. HBsAg prevalence among blood donors was higher in males and increased significantly with age (19,20).…”

Section: Resultsmentioning

confidence: 99%

Hepatitis B virus infection in the Lao PDR: A systematic review

Hefele

Nouanthong²,

Huebschen

et al. 2022

Preprint

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Introduction Even though hepatitis B is endemic in the Lao PDR, the understanding of the epidemiology of hepatitis B infection is incomplete. This article reviews the available literature about hepatitis B seroprevalence, risk factors and genotypes in the Lao population in order to provide an up-to date summary of the HBV epidemiology in the Lao PDR, identify knowledge gaps and provide public health recommendations. Methods Using PubMed/Medline and ScienceDirect, all studies reporting the prevalence of hepatitis B markers or genotype distribution in the Lao PDR published were systematically reviewed. Results The 21 studies included focused on the general population, blood donors, women, children, health care workers and garment factory workers. The studies varied extensively in sample size, target population, methods, study location and time periods. The prevalence of the hepatitis B surface antigen (HBsAg) in blood donors was reported to be 8.7%-9.6% in 2003-2006. In the years 2011-2012, the reported HBsAg prevalence among women (including pregnant women) ranged from 0%-9.5% and among children aged 5-9 years from 1.7%-8.7%, depending on study location and age. The majority of strains characterized in Lao PDR belonged to genotypes B and C. Conclusion Studies displayed considerable heterogeneity in populations, design and laboratory methods. A high HBsAg prevalence was reported in adults including pregnant women. Low infant vaccination coverage and compromised vaccine immunogenicity were found. Only two studies focused on HBV in risk populations, emphasizing the need for further studies to characterize hepatitis B epidemiology in potentially vulnerable groups. Hepatitis B infection continues to represent a substantial public health threat in the Lao PDR and needs to be monitored to inform health authorities and to counteract over-burdening of the health care system. In order to end mother to child transmission, vaccination coverage with the hepatitis B birth dose should be increased.

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“…The declining of premature birth and asphyxia might be due to the successful policy of Health Strategic Plan 2008-2015, which comprised: optimization of primary healthcare; health services accessibility; empowering human resources to handle maternal, neonatal, child health, degenerative diseases; and the distribution for health care workers that focus on nine priority health sector reform (16,17). The number of death due to birth asphyxia and premature birth in Laos were caused by maternal knowledge especially about safe pregnancy, nutritional support during pregnancy, and singleton pregnancy (34). The decreasing NMR in Laos was associated with the health policy that focused on free services for antenatal care, postnatal care, and delivery services.…”

Section: Discussionmentioning

confidence: 99%

The Trends of Neonatal Mortality Rate Among South East Asia Countries from 2000-2017

Soleman

2020

Dis. Prevention and Public Health J.

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Background: Neonatal MortalityRate (NMR) reflects the quality of health services provided by the government. It is very important to disclose the health system capability of each country in managing mother and child health programs because it is an essential health policy that should be prioritized. The health system capability of a country will determine the welfare and social guarantee because most of NMR causes are preventable. Several components such as maternal factors, neonatal and health services were determined as predictors of NMR. The objective of this study is to compare neonatal mortality trends among eight South East Asia Countries (SEAC) from 2000 to 2017. Method: A cross-sectional design was used to analyze the data regarding the causes of neonatal death between 2000 and 2017. Data were taken from World Health Organization Maternal Child Epidemiology Estimation (WHO MCEE) database.The collected data were live birth; neonatal mortality rate; and the big five of neonatal mortality etiologies in the eight SEAC. Data were then analyzed descriptively with line chart to describe the trend of NMR. Result: This study found that Indonesia had the highest neonatal mortality rate, yet the trend decreased gradually from 102.700 in 2000 to 60.986 in 2017, followed by Philippines, Vietnam, Myanmar, Cambodia, Thailand, Laos, and Malaysia respectively. On the other hand, the trend of live birth was the lowest in Indonesia and the highest in Philippines . According to the data regarding the leading cause of NMR, preterm birth was the major cause of neonatal mortality followed by birth asphyxia and congenital defects. Conclusion: Indonesia has the highest mortality rate, yet the etiology such as as premature birth, asphyxia, and congenital disorder is similar to the other eight countries.

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A retrospective review of birth outcomes at the Mother and Child Health Hospital in Lao People’s Democratic Republic, 2004–2013

Cited by 5 publications

References 10 publications

Stillbirth in Lao PDR: a healthcare provider perspective

Stillbirth in Lao PDR: a healthcare provider perspective

Hepatitis B virus infection in the Lao PDR: A systematic review

The Trends of Neonatal Mortality Rate Among South East Asia Countries from 2000-2017

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