Maternal and perinatal health in Mali, Togo and Nigeria

Künzel, W.; Herrero, Juan Carlos; Onwuhafua, PI; Staub, Thérèse; Hornung, Carlton A.

doi:10.1016/0301-2115(95)02528-6

Cited by 27 publications

(15 citation statements)

References 8 publications

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“…The results suggested that the prevalence is high in our study population; 10.5% and 10.9% respectively for LBW and PTB which is similar to findings from an earlier study in another rural setting in the Gambia; 13.3% and 12.3% [16]. The LBW rate observed in the current study is also consistent with findings reported in district hospitals in Nigeria and Mali; 11.6% and 12.4% respectively [17], as well rates in North-East Brazil 10% [18]. Our findings differ from data on LBW compiled by United Nations Children's Fund (UNICEF) and World Health Organization (WHO) from West African countries and Africa as a whole [4].…”

Section: Low Birth Weight and Preterm Birthsupporting

confidence: 82%

Maternal and obstetric risk factors for low birth weight and preterm birth in rural Gambia: a hospital-based study of 1579 deliveries

Jammeh¹,

Sundby²,

Vangen³

2011

OJOG

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Introduction: Low birth weight and prematurity are risk factors for perinatal morbidity and mortality, which is high in Sub Saharan African countries. We determined the frequency of and maternal and obstetric risk factors for low birth weight and preterm birth among hospital births in rural Gambia. Method: We performed a hospital-based retrospective analysis of deliveries from July to December 2008 in two rural hospitals. Maternity records were reviewed and abstracted of the mother's demographic and reproductive characteristics, obstetric complications and foetal outcome. The maternity records contain important information maternal health and complications during pregnancy and intrapartum period. The records also contain information about the newborn's vital status and birth weight. To determine the association between low birth weight (LBW), preterm birth (PTB) and maternal demographic characteristics and obstetric complications we calculated odds using logistic regression. Main outcome measure(s): Low birth weight (<2500 grams) and preterm birth (<37 weeks). Results: Our final sample included 1244 singleton live births with complete information about all variables. The rate of LBW and PTB were 10.5% and 10.9% respectively. Ninety-four percent of LBW infants were estimated to be preterm births. The mean birth weight was 3013 g (541 g standard deviation-SD), while the mean gestational age was 37 weeks. The pattern of risk factors was similar for LBW and PTB and both were strongly associated with antepartum haemorrhage and hypertensive pregnancy disorders. Additionally, primi parity was a risk factor for both PTB and LBW. Conclusion: The percentage of low birth weight and preterm birth in rural hospitals in The Gambia is high. The most significant risk factors were those that may be detected during the antepartum period. Thus, vigilant monitoring during pregnancy, early detection and management of obstetric complications coupled with provision of timely obstetric care interventions are crucial for reducing

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Section: Low Birth Weight and Preterm Birthsupporting

confidence: 82%

Maternal and obstetric risk factors for low birth weight and preterm birth in rural Gambia: a hospital-based study of 1579 deliveries

Jammeh¹,

Sundby²,

Vangen³

2011

OJOG

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“…With the important exceptions of limited antenatal care and the absence of a skilled attendant, the risk factors for stillbirth in developing countries are generally similar to those reported elsewhere. (Table 3) [21][22][23]. In mid-level developing countries, such as those in South America and in many developed countries, cigarette smoking has been associated with stillbirth [24].…”

Section: Risk Factors and Causes For Stillbirthmentioning

confidence: 99%

Stillbirth in developing countries

McClure

Nalubamba-Phiri

Goldenberg

2006

Intl J Gynecology & Obste

146

151

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“…In the West African sub-region for example, SB accounts for 62% of perinatal deaths, out of which close to half are antepartum fetal death (AFD) [4,5]. Within the sub-region, on some occasions the baby's death is attributed to handiwork of evil spirits.…”

Section: Introductionmentioning

confidence: 99%

Socio-Demographic Determinants of Antepartum Fetal Death

Awoleke¹,

Adanikin²

2017

J Gynecol Res Obstet

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Background: Antepartum fetal death (AFD) contributes signifi cantly to stillbirths (SB) in low-and middle-income countries (LMIC). Modifying locally-prevalent demographic risk factors could lessen the burden of SB in the region.Objective: This study seeks to identify the prevalence and modifi able socio-demographic risks for antepartum fetal death (AFD) in a Nigerian setting with the aim of recommending appropriate interventions to reduce the burden. Method: Hospital-based 6 year (2009-2014) review of obstetric records at Ekiti State University Teaching Hospital (EKSUTH), Nigeria.Results: Stillbirth (SB) rate was 29/1000 births and AFD rate was 22.5/1000 birth. AFD was more among women with age ≤20years (93.8%), who had no antenatal care (83.2%), single (92.3%), with no formal education (95.6%), unskilled occupation (81.1%), parity ≥ 5 (92.3%), those with prior history of SB (81.0%) and Muslims (81.8%). Logistic regression analysis showed that absence of antenatal care (AOR: 3.32, 95% CI: 1.80-6.21, P<0.001) and lack of formal education (AOR: 0.18, 95% CI: 0.03-0.64, P= 0.005) signifi cantly predict likelihood of AFD. Conclusion:Absence of antenatal care and lack of formal education are associated with AFD during pregnancy. Educating women and health promotion towards improving the utilization of antenatal services can remarkably reduce the burden in low-resource settings. Research Article Socio-Demographic Determinants of Antepartum Fetal Death IntroductionDelivery of a still baby marks the tragic end of many months of joyful anticipation and the beginning of, sometimes un-abating, grief for the affected family. But, despite the serious adverse impact stillbirth (SB) could have on families, appropriate recognition is not given to it in the Global Burden of Disease, yet when compared with communicable and noncommunicable causes of death worldwide, SB would rank fi fth among the global health burdens -ahead of diarrhoea, HIV/ AIDS, tuberculosis, traffi c accidents and any form of cancer [1].Globally, up to three-quarters of all babies born dead died before labour began, with intra-partum deaths making up the remaining [2]. Estimates from a multi-centre intercontinental study show that 98% of the 3.2 million SB that occur annually are in low-and middle-income countries (LMIC) with the heaviest burdens occurring in South Asia and Africa [3].In the West African sub-region for example, SB accounts for 62% of perinatal deaths, out of which close to half are antepartum fetal death (AFD) [4,5]. Within the sub-region, on some occasions the baby's death is attributed to handiwork of evil spirits. However, often the grief of the families is compounded by social stigmatization that the SB was as a result of maternal sins [6].Some authors that evaluated strategies for prevention of SB concluded that recognition of risk factors, including modifi able socio-economic risk, will assist in identifying women in need of specialized care, surveillance and/or interventions to improve outcomes and prevent SB [7][8][9]. In spi...

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Maternal and perinatal health in Mali, Togo and Nigeria

Cited by 27 publications

References 8 publications

Maternal and obstetric risk factors for low birth weight and preterm birth in rural Gambia: a hospital-based study of 1579 deliveries

Maternal and obstetric risk factors for low birth weight and preterm birth in rural Gambia: a hospital-based study of 1579 deliveries

Stillbirth in developing countries

Socio-Demographic Determinants of Antepartum Fetal Death

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