Bellington Vwalika1,2,3, Marie C D Stoner4, Mulindi Mwanahamuntu1,2, K Cherry Liu3, Eugene Kaunda1, Getrude G Tshuma1,2, Somwe W Somwe5,6, Yusuf Ahmed1,2, Elizabeth M Stringer3, Jeffrey S A Stringer3, Benjamin H Chi2,3. 1. Department of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia. 2. Department of Obstetrics and Gynaecology, University of Zambia School of Medicine, Lusaka, Zambia. 3. Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA. 4. Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA. 5. Department of Paediatrics, University Teaching Hospital, Lusaka, Zambia. 6. Department of Paediatrics, University of Zambia School of Medicine, Lusaka, Zambia.
Abstract
OBJECTIVE: To measure key obstetric and neonatal outcomes recorded at a tertiary hospital in Zambia over a 5-year period. METHODS: A retrospective analysis was conducted among women who had delivered at the University Teaching Hospital in Lusaka, between January 1, 2008, and December 31, 2012. Data were extracted from electronic medical records. The main outcomes were maternal mortality, cesarean delivery, prenatal or intrapartum hemorrhage, stillbirth, a 5-minute Apgar score of less than 7, and admission to the neonatal intensive care unit. RESULTS: A total of 62 470 deliveries were recorded. Rates of maternal mortality, cesarean delivery, and hemorrhage during pregnancy all declined over time. Decreased admissions to the neonatal intensive care unit were observed; however, the rate spiked temporarily in late 2011 and early 2012 before returning to previous levels. The proportion of stillbirths remained stable over time but reports of a 5-minute Apgar score of less than 7 rose. CONCLUSION: Routinely collected obstetric and neonatal data could aid ongoing program monitoring and should be used to guide quality improvement activities.
OBJECTIVE: To measure key obstetric and neonatal outcomes recorded at a tertiary hospital in Zambia over a 5-year period. METHODS: A retrospective analysis was conducted among women who had delivered at the University Teaching Hospital in Lusaka, between January 1, 2008, and December 31, 2012. Data were extracted from electronic medical records. The main outcomes were maternal mortality, cesarean delivery, prenatal or intrapartum hemorrhage, stillbirth, a 5-minute Apgar score of less than 7, and admission to the neonatal intensive care unit. RESULTS: A total of 62 470 deliveries were recorded. Rates of maternal mortality, cesarean delivery, and hemorrhage during pregnancy all declined over time. Decreased admissions to the neonatal intensive care unit were observed; however, the rate spiked temporarily in late 2011 and early 2012 before returning to previous levels. The proportion of stillbirths remained stable over time but reports of a 5-minute Apgar score of less than 7 rose. CONCLUSION: Routinely collected obstetric and neonatal data could aid ongoing program monitoring and should be used to guide quality improvement activities.
Authors: W Mphatswe; K S Mate; B Bennett; H Ngidi; J Reddy; P M Barker; N Rollins Journal: Bull World Health Organ Date: 2011-12-05 Impact factor: 9.408
Authors: Maxwell O Akanbi; Amaka N Ocheke; Patricia A Agaba; Comfort A Daniyam; Emmanuel I Agaba; Edith N Okeke; Christiana O Ukoli Journal: J Med Trop Date: 2012
Authors: Haidong Wang; Chelsea A Liddell; Matthew M Coates; Meghan D Mooney; Carly E Levitz; Austin E Schumacher; Henry Apfel; Marissa Iannarone; Bryan Phillips; Katherine T Lofgren; Logan Sandar; Rob E Dorrington; Ivo Rakovac; Troy A Jacobs; Xiaofeng Liang; Maigeng Zhou; Jun Zhu; Gonghuan Yang; Yanping Wang; Shiwei Liu; Yichong Li; Ayse Abbasoglu Ozgoren; Semaw Ferede Abera; Ibrahim Abubakar; Tom Achoki; Ademola Adelekan; Zanfina Ademi; Zewdie Aderaw Alemu; Peter J Allen; Mohammad AbdulAziz AlMazroa; Elena Alvarez; Adansi A Amankwaa; Azmeraw T Amare; Walid Ammar; Palwasha Anwari; Solveig Argeseanu Cunningham; Majed Masoud Asad; Reza Assadi; Amitava Banerjee; Sanjay Basu; Neeraj Bedi; Tolesa Bekele; Michelle L Bell; Zulfiqar Bhutta; Jed D Blore; Berrak Bora Basara; Soufiane Boufous; Nicholas Breitborde; Nigel G Bruce; Linh Ngoc Bui; Jonathan R Carapetis; Rosario Cárdenas; David O Carpenter; Valeria Caso; Ruben Estanislao Castro; Ferrán Catalá-Lopéz; Alanur Cavlin; Xuan Che; Peggy Pei-Chia Chiang; Rajiv Chowdhury; Costas A Christophi; Ting-Wu Chuang; Massimo Cirillo; Iuri da Costa Leite; Karen J Courville; Lalit Dandona; Rakhi Dandona; Adrian Davis; Anand Dayama; Kebede Deribe; Samath D Dharmaratne; Mukesh K Dherani; Uğur Dilmen; Eric L Ding; Karen M Edmond; Sergei Petrovich Ermakov; Farshad Farzadfar; Seyed-Mohammad Fereshtehnejad; Daniel Obadare Fijabi; Nataliya Foigt; Mohammad H Forouzanfar; Ana C Garcia; Johanna M Geleijnse; Bradford D Gessner; Ketevan Goginashvili; Philimon Gona; Atsushi Goto; Hebe N Gouda; Mark A Green; Karen Fern Greenwell; Harish Chander Gugnani; Rahul Gupta; Randah Ribhi Hamadeh; Mouhanad Hammami; Hilda L Harb; Simon Hay; Mohammad T Hedayati; H Dean Hosgood; Damian G Hoy; Bulat T Idrisov; Farhad Islami; Samaya Ismayilova; Vivekanand Jha; Guohong Jiang; Jost B Jonas; Knud Juel; Edmond Kato Kabagambe; Dhruv S Kazi; Andre Pascal Kengne; Maia Kereselidze; Yousef Saleh Khader; Shams Eldin Ali Hassan Khalifa; Young-Ho Khang; Daniel Kim; Yohannes Kinfu; Jonas M Kinge; Yoshihiro Kokubo; Soewarta Kosen; Barthelemy Kuate Defo; G Anil Kumar; Kaushalendra Kumar; Ravi B Kumar; Taavi Lai; Qing Lan; Anders Larsson; Jong-Tae Lee; Mall Leinsalu; Stephen S Lim; Steven E Lipshultz; Giancarlo Logroscino; Paulo A Lotufo; Raimundas Lunevicius; Ronan Anthony Lyons; Stefan Ma; Abbas Ali Mahdi; Melvin Barrientos Marzan; Mohammad Taufiq Mashal; Tasara T Mazorodze; John J McGrath; Ziad A Memish; Walter Mendoza; George A Mensah; Atte Meretoja; Ted R Miller; Edward J Mills; Karzan Abdulmuhsin Mohammad; Ali H Mokdad; Lorenzo Monasta; Marcella Montico; Ami R Moore; Joanna Moschandreas; William T Msemburi; Ulrich O Mueller; Magdalena M Muszynska; Mohsen Naghavi; Kovin S Naidoo; K M Venkat Narayan; Chakib Nejjari; Marie Ng; Jean de Dieu Ngirabega; Mark J Nieuwenhuijsen; Luke Nyakarahuka; Takayoshi Ohkubo; Saad B Omer; Angel J Paternina Caicedo; Victoria Pillay-van Wyk; Dan Pope; Farshad Pourmalek; Dorairaj Prabhakaran; Sajjad U R Rahman; Saleem M Rana; Robert Quentin Reilly; David Rojas-Rueda; Luca Ronfani; Lesley Rushton; Mohammad Yahya Saeedi; Joshua A Salomon; Uchechukwu Sampson; Itamar S Santos; Monika Sawhney; Jürgen C Schmidt; Marina Shakh-Nazarova; Jun She; Sara Sheikhbahaei; Kenji Shibuya; Hwashin Hyun Shin; Kawkab Shishani; Ivy Shiue; Inga Dora Sigfusdottir; Jasvinder A Singh; Vegard Skirbekk; Karen Sliwa; Sergey S Soshnikov; Luciano A Sposato; Vasiliki Kalliopi Stathopoulou; Konstantinos Stroumpoulis; Karen M Tabb; Roberto Tchio Talongwa; Carolina Maria Teixeira; Abdullah Sulieman Terkawi; Alan J Thomson; Andrew L Thorne-Lyman; Hideaki Toyoshima; Zacharie Tsala Dimbuene; Parfait Uwaliraye; Selen Begüm Uzun; Tommi J Vasankari; Ana Maria Nogales Vasconcelos; Vasiliy Victorovich Vlassov; Stein Emil Vollset; Stephen Waller; Xia Wan; Scott Weichenthal; Elisabete Weiderpass; Robert G Weintraub; Ronny Westerman; James D Wilkinson; Hywel C Williams; Yang C Yang; Gokalp Kadri Yentur; Paul Yip; Naohiro Yonemoto; Mustafa Younis; Chuanhua Yu; Kim Yun Jin; Maysaa El Sayed Zaki; Shankuan Zhu; Theo Vos; Alan D Lopez; Christopher J L Murray Journal: Lancet Date: 2014-05-02 Impact factor: 79.321
Authors: Nicholas J Kassebaum; Amelia Bertozzi-Villa; Megan S Coggeshall; Katya A Shackelford; Caitlyn Steiner; Kyle R Heuton; Diego Gonzalez-Medina; Ryan Barber; Chantal Huynh; Daniel Dicker; Tara Templin; Timothy M Wolock; Ayse Abbasoglu Ozgoren; Foad Abd-Allah; Semaw Ferede Abera; Ibrahim Abubakar; Tom Achoki; Ademola Adelekan; Zanfina Ademi; Arsène Kouablan Adou; José C Adsuar; Emilie E Agardh; Dickens Akena; Deena Alasfoor; Zewdie Aderaw Alemu; Rafael Alfonso-Cristancho; Samia Alhabib; Raghib Ali; Mazin J Al Kahbouri; François Alla; Peter J Allen; Mohammad A AlMazroa; Ubai Alsharif; Elena Alvarez; Nelson Alvis-Guzmán; Adansi A Amankwaa; Azmeraw T Amare; Hassan Amini; Walid Ammar; Carl A T Antonio; Palwasha Anwari; Johan Arnlöv; Valentina S Arsic Arsenijevic; Ali Artaman; Majed Masoud Asad; Rana J Asghar; Reza Assadi; Lydia S Atkins; Alaa Badawi; Kalpana Balakrishnan; Arindam Basu; Sanjay Basu; Justin Beardsley; Neeraj Bedi; Tolesa Bekele; Michelle L Bell; Eduardo Bernabe; Tariku J Beyene; Zulfiqar Bhutta; Aref Bin Abdulhak; Jed D Blore; Berrak Bora Basara; Dipan Bose; Nicholas Breitborde; Rosario Cárdenas; Carlos A Castañeda-Orjuela; Ruben Estanislao Castro; Ferrán Catalá-López; Alanur Cavlin; Jung-Chen Chang; Xuan Che; Costas A Christophi; Sumeet S Chugh; Massimo Cirillo; Samantha M Colquhoun; Leslie Trumbull Cooper; Cyrus Cooper; Iuri da Costa Leite; Lalit Dandona; Rakhi Dandona; Adrian Davis; Anand Dayama; Louisa Degenhardt; Diego De Leo; Borja del Pozo-Cruz; Kebede Deribe; Muluken Dessalegn; Gabrielle A deVeber; Samath D Dharmaratne; Uğur Dilmen; Eric L Ding; Rob E Dorrington; Tim R Driscoll; Sergei Petrovich Ermakov; Alireza Esteghamati; Emerito Jose A Faraon; Farshad Farzadfar; Manuela Mendonca Felicio; Seyed-Mohammad Fereshtehnejad; Graça Maria Ferreira de Lima; Mohammad H Forouzanfar; Elisabeth B França; Lynne Gaffikin; Ketevan Gambashidze; Fortuné Gbètoho Gankpé; Ana C Garcia; Johanna M Geleijnse; Katherine B Gibney; Maurice Giroud; Elizabeth L Glaser; Ketevan Goginashvili; Philimon Gona; Dinorah González-Castell; Atsushi Goto; Hebe N Gouda; Harish Chander Gugnani; Rahul Gupta; Rajeev Gupta; Nima Hafezi-Nejad; Randah Ribhi Hamadeh; Mouhanad Hammami; Graeme J Hankey; Hilda L Harb; Rasmus Havmoeller; Simon I Hay; Ileana B Heredia Pi; Hans W Hoek; H Dean Hosgood; Damian G Hoy; Abdullatif Husseini; Bulat T Idrisov; Kaire Innos; Manami Inoue; Kathryn H Jacobsen; Eiman Jahangir; Sun Ha Jee; Paul N Jensen; Vivekanand Jha; Guohong Jiang; Jost B Jonas; Knud Juel; Edmond Kato Kabagambe; Haidong Kan; Nadim E Karam; André Karch; Corine Kakizi Karema; Anil Kaul; Norito Kawakami; Konstantin Kazanjan; Dhruv S Kazi; Andrew H Kemp; Andre Pascal Kengne; Maia Kereselidze; Yousef Saleh Khader; Shams Eldin Ali Hassan Khalifa; Ejaz Ahmed Khan; Young-Ho Khang; Luke Knibbs; Yoshihiro Kokubo; Soewarta Kosen; Barthelemy Kuate Defo; Chanda Kulkarni; Veena S Kulkarni; G Anil Kumar; Kaushalendra Kumar; Ravi B Kumar; Gene Kwan; Taavi Lai; Ratilal Lalloo; Hilton Lam; Van C Lansingh; Anders Larsson; Jong-Tae Lee; James Leigh; Mall Leinsalu; Ricky Leung; Xiaohong Li; Yichong Li; Yongmei Li; Juan Liang; Xiaofeng Liang; Stephen S Lim; Hsien-Ho Lin; Steven E Lipshultz; Shiwei Liu; Yang Liu; Belinda K Lloyd; Stephanie J London; Paulo A Lotufo; Jixiang Ma; Stefan Ma; Vasco Manuel Pedro Machado; Nana Kwaku Mainoo; Marek Majdan; Christopher Chabila Mapoma; Wagner Marcenes; Melvin Barrientos Marzan; Amanda J Mason-Jones; Man Mohan Mehndiratta; Fabiola Mejia-Rodriguez; Ziad A Memish; Walter Mendoza; Ted R Miller; Edward J Mills; Ali H Mokdad; Glen Liddell Mola; Lorenzo Monasta; Jonathan de la Cruz Monis; Julio Cesar Montañez Hernandez; Ami R Moore; Maziar Moradi-Lakeh; Rintaro Mori; Ulrich O Mueller; Mitsuru Mukaigawara; Aliya Naheed; Kovin S Naidoo; Devina Nand; Vinay Nangia; Denis Nash; Chakib Nejjari; Robert G Nelson; Sudan Prasad Neupane; Charles R Newton; Marie Ng; Mark J Nieuwenhuijsen; Muhammad Imran Nisar; Sandra Nolte; Ole F Norheim; Luke Nyakarahuka; In-Hwan Oh; Takayoshi Ohkubo; Bolajoko O Olusanya; Saad B Omer; John Nelson Opio; Orish Ebere Orisakwe; Jeyaraj D Pandian; Christina Papachristou; Jae-Hyun Park; Angel J Paternina Caicedo; Scott B Patten; Vinod K Paul; Boris Igor Pavlin; Neil Pearce; David M Pereira; Konrad Pesudovs; Max Petzold; Dan Poenaru; Guilherme V Polanczyk; Suzanne Polinder; Dan Pope; Farshad Pourmalek; Dima Qato; D Alex Quistberg; Anwar Rafay; Kazem Rahimi; Vafa Rahimi-Movaghar; Sajjad ur Rahman; Murugesan Raju; Saleem M Rana; Amany Refaat; Luca Ronfani; Nobhojit Roy; Tania Georgina Sánchez Pimienta; Mohammad Ali Sahraian; Joshua A Salomon; Uchechukwu Sampson; Itamar S Santos; Monika Sawhney; Felix Sayinzoga; Ione J C Schneider; Austin Schumacher; David C Schwebel; Soraya Seedat; Sadaf G Sepanlou; Edson E Servan-Mori; Marina Shakh-Nazarova; Sara Sheikhbahaei; Kenji Shibuya; Hwashin Hyun Shin; Ivy Shiue; Inga Dora Sigfusdottir; Donald H Silberberg; Andrea P Silva; Jasvinder A Singh; Vegard Skirbekk; Karen Sliwa; Sergey S Soshnikov; Luciano A Sposato; Chandrashekhar T Sreeramareddy; Konstantinos Stroumpoulis; Lela Sturua; Bryan L Sykes; Karen M Tabb; Roberto Tchio Talongwa; Feng Tan; Carolina Maria Teixeira; Eric Yeboah Tenkorang; Abdullah Sulieman Terkawi; Andrew L Thorne-Lyman; David L Tirschwell; Jeffrey A Towbin; Bach X Tran; Miltiadis Tsilimbaris; Uche S Uchendu; Kingsley N Ukwaja; Eduardo A Undurraga; Selen Begüm Uzun; Andrew J Vallely; Coen H van Gool; Tommi J Vasankari; Monica S Vavilala; N Venketasubramanian; Salvador Villalpando; Francesco S Violante; Vasiliy Victorovich Vlassov; Theo Vos; Stephen Waller; Haidong Wang; Linhong Wang; XiaoRong Wang; Yanping Wang; Scott Weichenthal; Elisabete Weiderpass; Robert G Weintraub; Ronny Westerman; James D Wilkinson; Solomon Meseret Woldeyohannes; John Q Wong; Muluemebet Abera Wordofa; Gelin Xu; Yang C Yang; Yuichiro Yano; Gokalp Kadri Yentur; Paul Yip; Naohiro Yonemoto; Seok-Jun Yoon; Mustafa Z Younis; Chuanhua Yu; Kim Yun Jin; Maysaa El Sayed Zaki; Yong Zhao; Yingfeng Zheng; Maigeng Zhou; Jun Zhu; Xiao Nong Zou; Alan D Lopez; Mohsen Naghavi; Christopher J L Murray; Rafael Lozano Journal: Lancet Date: 2014-05-02 Impact factor: 79.321
Authors: Elizabeth M McClure; Sarah Saleem; Shivaprasad S Goudar; Janet L Moore; Ana Garces; Fabian Esamai; Archana Patel; Elwyn Chomba; Fernando Althabe; Omrana Pasha; Bhalachandra S Kodkany; Carl L Bose; Mabel Berreuta; Edward A Liechty; K Hambidge; Nancy F Krebs; Richard J Derman; Patricia L Hibberd; Pierre Buekens; Albert Manasyan; Waldemar A Carlo; Dennis D Wallace; Marion Koso-Thomas; Robert L Goldenberg Journal: Reprod Health Date: 2015-06-08 Impact factor: 3.223
Authors: Kévin Contrepois; Songjie Chen; Mohammad S Ghaemi; Ronald J Wong; Gary Shaw; David K Stevenson; Nima Aghaeepour; Michael P Snyder Journal: Sci Rep Date: 2022-05-16 Impact factor: 4.996
Authors: Joan T Price; Bellington Vwalika; Katelyn J Rittenhouse; Humphrey Mwape; Jennifer Winston; Bethany L Freeman; Ntazana Sindano; Elizabeth M Stringer; Margaret P Kasaro; Benjamin H Chi; Jeffrey Sa Stringer Journal: Gates Open Res Date: 2020-01-24
Authors: Marcela C Castillo; Nurain M Fuseini; Katelyn Rittenhouse; Joan T Price; Bethany L Freeman; Humphrey Mwape; Jennifer Winston; Ntazana Sindano; Courtney Baruch-Gravett; Benjamin H Chi; Margaret P Kasaro; James A Litch; Jeffrey S A Stringer; Bellington Vwalika Journal: Gates Open Res Date: 2018-12-04