Labour complications remain the most important risk factors for perinatal mortality in rural Kenya


Weiner, R; Ronsmans, C; Dorman, E; Jilo, H; Muhoro, A; Shulman, C; (2003) Labour complications remain the most important risk factors for perinatal mortality in rural Kenya. Bulletin of the World Health Organization, 81 (8). pp. 561-6. ISSN 0042-9686

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Abstract

OBJECTIVES: To identify and quantify risk factors for perinatal mortality in a Kenyan district hospital and to assess the proportion of perinatal deaths attributable to labour complications, maternal undernutrition, malaria, anaemia and human immunodeficiency virus (HIV). METHODS: A cross-sectional study of 910 births was conducted between January 1996 and July 1997 and risk factors for perinatal mortality were analysed. FINDINGS: The perinatal mortality rate was 118 per 1000 births. Complications of labour such as haemorrhage, premature rupture of membranes/premature labour, and obstructed labour/ malpresentation increased the risk of death between 8- and 62-fold, and 53% of all perinatal deaths were attributable to labour complications. Placental malaria and maternal HIV, on the other hand, were not associated with perinatal mortality. CONCLUSIONS: Greater attention needs to be given to the quality of obstetric care provided in the rural district-hospital setting.

Item Type: Article
Keywords: infant mortality, labor complications/mortality, maternal, nutrition, prenatal care, HIV infections, risk factors, rural, population, cross-sectional studies, Kenya, Placental malaria, antenatal care, malawi, infection, pregnancy, africa, trial
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Maternal Health Group
PubMed ID: 14576887
Web of Science ID: 185162800004
URI: http://researchonline.lshtm.ac.uk/id/eprint/15895

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