W.P Flora, R.K Kamau, M.M James, O. Ogutu, J. Karanja, A. Osoti, O. Kireki, A. Kihara, R. Kosgei, M. Obimbo, A. Bosire, P.K Koigi, P. M. Ndavi
{"title":"南苏丹朱巴教学医院产妇的早期围产期死亡率和特征:横断面研究","authors":"W.P Flora, R.K Kamau, M.M James, O. Ogutu, J. Karanja, A. Osoti, O. Kireki, A. Kihara, R. Kosgei, M. Obimbo, A. Bosire, P.K Koigi, P. M. Ndavi","doi":"10.59692/jogeca.v32i1.199","DOIUrl":null,"url":null,"abstract":"Background/Objectives: Perinatal mortality rates are highest in Africa where it is more than five times higher than in developed regions. South Sudan has some of the worst health outcome indicators globally, in spite of modest improvements over the last five years. The aim of this study is to determine the magnitude and characteristic of women with early perinatal mortality at Juba Teaching Hospital, South Sudan. \nMethodology \nStudy design: A cross-sectional study. \nStudy site/setting: Juba Teaching Hospital maternal word. \nStudy population: Comprised of mothers and their newborn babies delivered at JTH during the study period. \nSampling: Consecutive sampling techniques was most appropriate for the selection of mothers who delivered their babies during the study period. \nData collection & management: Data was analyzed using SPSS, version 23. Descriptive analysis was conducted to summarize characteristics of participants. Multivariable analysis conducted using binary logistic regression analysis to identify the predictors of EPNM. Statistical significance based on a p value of 0.05. \nResult: Early perinatal mortality rate was 122.3 per 1000 total birth with stillbirth rate of 82.7 per 1000 total births with majority attributable to fresh still births 14(41%). Factors associated with early perinatal mortality: Non-formal education ( OR=5; 95% CI 2.1-10.1 P val. <0.000) , pervious history of stillbirth, (OR = 2.6; 95% CI 1.1-6.3; p val. 0.04), ANC < 4 visit (OR=3.2, 95% CI 1.5-7.0; p val, 0.0005) and gestation age ≤ 36 weeks (OR= 5.1; 95% CI 2.4-11; p val. 0.0001), were associated with increased risk of EPNM. While parity of ≥ 4 (OR= 0.4; 95% CI 0.2-0.09; p val. 0.04), appeared to significantly, reduce EPNM among women delivered at JTH during the study period. \nConclusions: The lack of formal education, younger maternal age, previous history of stillbirth, low antenatal clinic attendance and pre-term gestation increased the risk of early perinatal mortality among mothers delivered in JTH. \n ","PeriodicalId":517202,"journal":{"name":"Journal of Obstetrics and Gynaecology of Eastern and Central Africa","volume":" 42","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Early Perinatal Mortality and characteristic of mothers delivered at Juba Teaching Hospital, South Sudan: A Cross Sectional Study\",\"authors\":\"W.P Flora, R.K Kamau, M.M James, O. Ogutu, J. Karanja, A. Osoti, O. Kireki, A. Kihara, R. Kosgei, M. Obimbo, A. Bosire, P.K Koigi, P. M. Ndavi\",\"doi\":\"10.59692/jogeca.v32i1.199\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background/Objectives: Perinatal mortality rates are highest in Africa where it is more than five times higher than in developed regions. South Sudan has some of the worst health outcome indicators globally, in spite of modest improvements over the last five years. The aim of this study is to determine the magnitude and characteristic of women with early perinatal mortality at Juba Teaching Hospital, South Sudan. \\nMethodology \\nStudy design: A cross-sectional study. \\nStudy site/setting: Juba Teaching Hospital maternal word. \\nStudy population: Comprised of mothers and their newborn babies delivered at JTH during the study period. \\nSampling: Consecutive sampling techniques was most appropriate for the selection of mothers who delivered their babies during the study period. \\nData collection & management: Data was analyzed using SPSS, version 23. Descriptive analysis was conducted to summarize characteristics of participants. Multivariable analysis conducted using binary logistic regression analysis to identify the predictors of EPNM. Statistical significance based on a p value of 0.05. \\nResult: Early perinatal mortality rate was 122.3 per 1000 total birth with stillbirth rate of 82.7 per 1000 total births with majority attributable to fresh still births 14(41%). Factors associated with early perinatal mortality: Non-formal education ( OR=5; 95% CI 2.1-10.1 P val. <0.000) , pervious history of stillbirth, (OR = 2.6; 95% CI 1.1-6.3; p val. 0.04), ANC < 4 visit (OR=3.2, 95% CI 1.5-7.0; p val, 0.0005) and gestation age ≤ 36 weeks (OR= 5.1; 95% CI 2.4-11; p val. 0.0001), were associated with increased risk of EPNM. 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引用次数: 0
摘要
背景/目标:非洲的围产期死亡率最高,是发达地区的五倍多。南苏丹的一些健康结果指标在全球最差,尽管在过去五年中略有改善。本研究旨在确定南苏丹朱巴教学医院围产期早期死亡妇女的数量和特征。方法 研究设计:横断面研究。 研究地点/环境:朱巴教学医院的产妇。研究人群:包括研究期间在朱巴教学医院分娩的母亲及其新生儿。抽样:连续抽样技术最适合选择在研究期间分娩的母亲。数据收集与管理:数据使用 SPSS 23 版本进行分析。对参与者的特征进行了描述性分析。使用二元逻辑回归分析进行多变量分析,以确定 EPNM 的预测因素。统计意义以 p 值 0.05 为基础。结果早期围产期死亡率为每 1 000 例新生儿中有 122.3 例死亡,死胎率为每 1 000 例新生儿中有 82.7 例死亡,其中 14 例(41%)为死胎。与围产期早期死亡相关的因素有非正规教育(OR=5;95% CI 2.1-10.1;P 值 <0.000)、死胎史(OR=2.6;95% CI 1.1-6.3;P 值 0.04)、ANC < 4 次(OR=3.2;95% CI 1.5-7.0;P 值 0.0005)和孕龄小于 36 周(OR=5.1;95% CI 2.4-11;P 值 0.0001)与围产期早期死亡风险增加有关。而在研究期间,在 JTH 分娩的妇女中,奇数≥ 4(OR= 0.4;95% CI 0.2-0.09;P 值 0.04)似乎可显著降低 EPNM。结论缺乏正规教育、产妇年龄较小、曾有死胎史、产前门诊就诊率低以及早产等因素增加了在 JTH 分娩的产妇围产期早期死亡的风险。
Early Perinatal Mortality and characteristic of mothers delivered at Juba Teaching Hospital, South Sudan: A Cross Sectional Study
Background/Objectives: Perinatal mortality rates are highest in Africa where it is more than five times higher than in developed regions. South Sudan has some of the worst health outcome indicators globally, in spite of modest improvements over the last five years. The aim of this study is to determine the magnitude and characteristic of women with early perinatal mortality at Juba Teaching Hospital, South Sudan.
Methodology
Study design: A cross-sectional study.
Study site/setting: Juba Teaching Hospital maternal word.
Study population: Comprised of mothers and their newborn babies delivered at JTH during the study period.
Sampling: Consecutive sampling techniques was most appropriate for the selection of mothers who delivered their babies during the study period.
Data collection & management: Data was analyzed using SPSS, version 23. Descriptive analysis was conducted to summarize characteristics of participants. Multivariable analysis conducted using binary logistic regression analysis to identify the predictors of EPNM. Statistical significance based on a p value of 0.05.
Result: Early perinatal mortality rate was 122.3 per 1000 total birth with stillbirth rate of 82.7 per 1000 total births with majority attributable to fresh still births 14(41%). Factors associated with early perinatal mortality: Non-formal education ( OR=5; 95% CI 2.1-10.1 P val. <0.000) , pervious history of stillbirth, (OR = 2.6; 95% CI 1.1-6.3; p val. 0.04), ANC < 4 visit (OR=3.2, 95% CI 1.5-7.0; p val, 0.0005) and gestation age ≤ 36 weeks (OR= 5.1; 95% CI 2.4-11; p val. 0.0001), were associated with increased risk of EPNM. While parity of ≥ 4 (OR= 0.4; 95% CI 0.2-0.09; p val. 0.04), appeared to significantly, reduce EPNM among women delivered at JTH during the study period.
Conclusions: The lack of formal education, younger maternal age, previous history of stillbirth, low antenatal clinic attendance and pre-term gestation increased the risk of early perinatal mortality among mothers delivered in JTH.