Factors Associated with Perinatal Mortality in Africa

Yadufashije, Callixte; Sangano, George Bahati; Samuel, Rebero

doi:10.2139/ssrn.3034972

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…This might be due to distance from a mother's home to health institutions or from institutions to institutions during referrals, the condition of roads, and a lack of emergency transportation. The time taken to reach health facility has been indicated as risk factor for perinatal deaths in developing nations (2). A large number of mothers had to travel more than an hour to reach the referral hospitals and other health facilities and most of the public transportations are difficult for mothers who are on labour the best option for this is ambulance serves as government tries to access it to all health centers and hospitals.…”

Section: Discussionmentioning

confidence: 99%

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Determinants Of Perinatal Mortality In Bahir Dar Town Governmental Health Institutions, Northwest, Ethiopia, 2019: Prospective Unmatched Case Control Study

Mihretie¹,

Worede²,

Abuhay³

2019

Preprint

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Background: Perinatal mortality is defined as fetal death after 28 weeks of gestation and newborn death within seven days. Globally, more than 2.6 million stillbirths and over 2.7 million early neonatal deaths are estimated to occur each year. Each day an estimated 7,300 newborns die from complication during pregnancy, child birth and further neonatal causes and 7000 stillbirth, half of this occurs after labor had started. Almost all (98%) takes place in developing countries and the magnitude of perinatal mortality in the study area was 44 per 1000 pregnancy. Objective: The objective of this study was to identify determinants of perinatal mortality in Bahirdar town governmental health institutions. Methods: Institutional based unmatched case control study was conducted .Cases were stillbirths and early neonatal deaths and controls were live births that were survived the first seven days after delivery. A total of 459 participants were involved in this study (153 cases and 306 controls) .Pretested, structured questioner with face to face interview was conducted and some data were also extracted using checklist from their medical records. Multivariable logistic regression analysis was done to analyze the data. A p-value of <0.05 was considered as significant at 95% confidence interval and the strength of association was measured using odds ratio. Results: Antepartum hemorrhage (AOR 2.55,95%CI;1.23-5.26), obstructed labour (AOR 3.11,95% CI; 2.00-8.38), prematurity (AOR 3.29,95% CI;1.86-5.81), first delay (AOR 2.61,95% CI;1.56-4.39) and second delay (AOR 2.75,95% CI;1.49-5.11) were the determinants of perinatal mortality that increase risk of perinatal death. Whereas partograph use (AOR 0.24, 95% CI; 0.14-0.42) and tertiary education (AOR 0.35, 95% CI; 0.17-0.71) were found to be protective factors for perinatal mortality. Conclusion and Recommendation:The determinants of perinatal mortality were antepartum hemorrhage,prematurity, obstructed labour, first delay and second delay that were increase the risk of perinatal mortality whereas maternal tertiary education and partograph use during labour follow up were the protective factors. But the risk factors were easily identifiable and manageable with the existing health care services while health partograph use in labour follow up and educating females to tertiary education level is better, first and second delay need to avoided during

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Section: Discussionmentioning

confidence: 99%

“…Due to disparity in the quality of services provided for pregnant women and their babies' perinatal mortality in developing nation is about five times higher than developed nations (2).…”

Section: Introductionmentioning

confidence: 99%

Determinants Of Perinatal Mortality In Bahir Dar Town Governmental Health Institutions, Northwest, Ethiopia, 2019: Prospective Unmatched Case Control Study

Mihretie¹,

Worede²,

Abuhay³

2019

Preprint

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“…This can stem from complications resulting from an unsafe abortion, rapid repeat pregnancies, and complications during and after delivery [6][7][8]. In addition, the earning power, decision-making, and agency of teen mothers is limited, and this contributes to the inequitable outcomes between boys and girls [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Contraceptive Use among Unmarried Young Women in Kakamega County, Kenya

Arlotti-Parish¹,

Ajema

Mutea

et al. 2023

Adolescents

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Adolescent pregnancies adversely impact mental and reproductive health as well as educational and socio-economic outcomes. In Kakamega County, Kenya, 20% of adolescents begin childbearing by age 19. To inform interventions to reduce adolescent pregnancy, Jhpiego used the Barrier Analysis methodology, which is based on the Doer/Non-Doer study model, in which participants are categorized according to whether they are “Doers” or “Non-Doers” of the study behavior. This study examines the determinants of the behavior, “young unmarried women currently use modern contraceptive methods”. Participants included young women aged 15–19 who were sexually active, unmarried, and were using (“Doers”) or not using (“Non-Doers”) modern contraception. The findings reveal that the majority of Doers (88%) and Non-Doers (80%) understand the pregnancy risk associated with non-use, and there is no statistically significant difference between Doers’ and Non-Doers’ understanding of contraceptive benefits. Knowledge of side effects and misconceptions, such as the belief that contraception causes infertility, does not deter Doers from using contraception. Seventy percent of Doers note that contraception is accessible/available, while 39% of Non-Doers state the opposite. Doers are almost three times more likely than Non-Doers to say that most people approve of their contraceptive use, while Non-Doers are twice as likely as Doers to say that most people would not approve. Doers are four times more likely to indicate approval from their mothers and boyfriends. Non-Doers are five times more likely than Doers to have specific professional goals for the future. These findings illustrate the importance of moving away from fear-based messaging and instead highlighting social acceptability and contraception’s role in achieving future goals.

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Factors Associated with Perinatal Mortality in Africa

Cited by 2 publications

References 10 publications

Determinants Of Perinatal Mortality In Bahir Dar Town Governmental Health Institutions, Northwest, Ethiopia, 2019: Prospective Unmatched Case Control Study

Determinants Of Perinatal Mortality In Bahir Dar Town Governmental Health Institutions, Northwest, Ethiopia, 2019: Prospective Unmatched Case Control Study

Determinants of Contraceptive Use among Unmarried Young Women in Kakamega County, Kenya

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