OBJECTIVE: To characterize prenatal and delivery care in an urban African setting. METHODS: The Zambia Electronic Perinatal Record System (ZEPRS) was implemented to record demographic characteristics, past medical and obstetric history, prenatal care, and delivery and newborn care for pregnant women across 25 facilities in the Lusaka public health sector. RESULTS: From June 1, 2007, to January 31, 2010, 115552 pregnant women had prenatal and delivery information recorded in ZEPRS. Median gestation age at first prenatal visit was 23weeks (interquartile range [IQR] 19-26). Syphilis screening was documented in 95663 (83%) pregnancies: 2449 (2.6%) women tested positive, of whom 1589 (64.9%) were treated appropriately. 111108 (96%) women agreed to HIV testing, of whom 22% were diagnosed with HIV. Overall, 112813 (98%) of recorded pregnancies resulted in a live birth, and 2739 (2%) in a stillbirth. The median gestational age was 38weeks (IQR 35-40) at delivery; the median birth weight of newborns was 3000g (IQR 2700-3300g). CONCLUSION: The results demonstrate the feasibility of using a comprehensive electronic medical record in an urban African setting, and highlight its important role in ongoing efforts to improve clinical care.
OBJECTIVE: To characterize prenatal and delivery care in an urban African setting. METHODS: The Zambia Electronic Perinatal Record System (ZEPRS) was implemented to record demographic characteristics, past medical and obstetric history, prenatal care, and delivery and newborn care for pregnant women across 25 facilities in the Lusaka public health sector. RESULTS: From June 1, 2007, to January 31, 2010, 115552 pregnant women had prenatal and delivery information recorded in ZEPRS. Median gestation age at first prenatal visit was 23weeks (interquartile range [IQR] 19-26). Syphilis screening was documented in 95663 (83%) pregnancies: 2449 (2.6%) women tested positive, of whom 1589 (64.9%) were treated appropriately. 111108 (96%) women agreed to HIV testing, of whom 22% were diagnosed with HIV. Overall, 112813 (98%) of recorded pregnancies resulted in a live birth, and 2739 (2%) in a stillbirth. The median gestational age was 38weeks (IQR 35-40) at delivery; the median birth weight of newborns was 3000g (IQR 2700-3300g). CONCLUSION: The results demonstrate the feasibility of using a comprehensive electronic medical record in an urban African setting, and highlight its important role in ongoing efforts to improve clinical care.
Authors: Robert Pattinson; Kate Kerber; Peter Waiswa; Louise T Day; Felicity Mussell; S K Asiruddin; Hannah Blencowe; Joy E Lawn Journal: Int J Gynaecol Obstet Date: 2009-10 Impact factor: 3.561
Authors: Elizabeth M Stringer; Moses Sinkala; Jeffrey S Stringer; Elizabeth Mzyece; Ida Makuka; Robert L Goldenberg; Pascal Kwape; Martha Chilufya; Sten H Vermund Journal: AIDS Date: 2003-06-13 Impact factor: 4.177
Authors: John D Piette; K C Lun; Lincoln A Moura; Hamish S F Fraser; Patricia N Mechael; John Powell; Shariq R Khoja Journal: Bull World Health Organ Date: 2012-05-01 Impact factor: 9.408
Authors: Marcela C Smid; Yusuf Ahmed; Marie C D Stoner; Bellington Vwalika; Elizabeth M Stringer; Jeffrey S A Stringer Journal: Int J Gynaecol Obstet Date: 2016-11-30 Impact factor: 3.561
Authors: Bellington Vwalika; Marie C D Stoner; Mulindi Mwanahamuntu; K Cherry Liu; Eugene Kaunda; Getrude G Tshuma; Somwe W Somwe; Yusuf Ahmed; Elizabeth M Stringer; Jeffrey S A Stringer; Benjamin H Chi Journal: Int J Gynaecol Obstet Date: 2016-11-24 Impact factor: 3.561
Authors: Marie C D Stoner; Bellington Vwalika; Marcela Smid; Andrew Kumwenda; Elizabeth Stringer; Benjamin H Chi; Jeff S A Stringer Journal: Am J Trop Med Hyg Date: 2016-10-31 Impact factor: 2.345
Authors: Angela M Bengtson; Carla J Chibwesha; Daniel Westreich; Mwangelwa Mubiana-Mbewe; Bellington Vwalika; William C Miller; Muntanga Mapani; Patrick Musonda; Audrey Pettifor; Benjamin H Chi Journal: J Acquir Immune Defic Syndr Date: 2016-04-15 Impact factor: 3.731
Authors: Marie C D Stoner; Bellington Vwalika; Marcela C Smid; Shalin George; Benjamin H Chi; Elizabeth M Stringer; Jeffrey S A Stringer Journal: Int J Gynaecol Obstet Date: 2016-05-25 Impact factor: 3.561