Literature DB >> 22175764

Stillbirths and early neonatal mortality in rural Northern Ghana.

Cyril Engmann1, Paul Walega, Raymond A Aborigo, Philip Adongo, Cheryl A Moyer, Layla Lavasani, John Williams, Carl Bose, Fred Binka, Abraham Hodgson.   

Abstract

OBJECTIVE: To calculate perinatal mortality (stillbirth and early neonatal death: END) rates in the Upper East region of Ghana and characterize community-based stillbirths and END in terms of timing, cause of death, and maternal and infant risk factors.
METHODS: Birth outcomes were obtained from the Navrongo Health and Demographic Surveillance System over a 7-year period.
RESULTS: Twenty thousand four hundred and ninty seven pregnant women were registered in the study. The perinatal mortality rate was 39 deaths/1000 deliveries, stillbirth rate 23/1000 deliveries and END rates 16/1000 live births. Most stillbirths were 31 weeks gestation or less. Prematurity, first-time delivery and multiple gestation all significantly increased the odds of perinatal death. Approximately 70% of END occurred during the first 3 postnatal days, and the most common causes of death were birth asphyxia and injury, infections and prematurity.
CONCLUSION: Stillbirths and END remain a significant problem in Navrongo. The main causes of END occur during the first 3 days and may be modifiable with simple targeted perinatal policies.
© 2011 Blackwell Publishing Ltd.

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Year:  2011        PMID: 22175764     DOI: 10.1111/j.1365-3156.2011.02931.x

Source DB:  PubMed          Journal:  Trop Med Int Health        ISSN: 1360-2276            Impact factor:   2.622


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