Factors Associated with Perinatal Mortality in Africa
15 Pages Posted: 13 Sep 2017
Date Written: September 10, 2017
Background: Pregnancy in the society is a typical sign and a promise to gain a new member of the family and celebrations as well, unlike in poor world pregnancy are sometimes associated with problems. Unfortunately cause death of the newborn immediately after birth or few days before delivery.
Critical Review: In this article review four articles were reviewed for the factors affecting perinatal mortality, according to Abdoulaye Hama DIALLO’s study titled as Epidemiology of perinatal mortality in rural Burkina Faso, three main risk factors were the young age of the mother where mothers younger than 20 had odds ratio of OR=2.93, the season of birth with OR of 1.85, and the intention to EBF with OR of 1.7., we argued that, the focus was to be cause of home delivery despite of 99% ANC attendance. According to two different retrospective studies conducted in Nigeria in years 2003, 2004, 2005, 2008 and 2013, which were Perinatal Mortality in Southern Nigeria and First-day and Early Neonatal Mortality in Nigeria, both studies demonstrated a constant perinatal mortality that doesn’t improve over the study period. unbooked pregnancies resulting in difficult labors, ruptured uterus, chorio-amnionitis, preterm or low-birth weight babies and severe neonatal asphyxia, outside the hospital deliveries , c-section delivery, being twins and low antenatal visits were risk factors highlighted , ANC again was an issue to be argued about to cause the constant mortalities.
According to d’Almeida M1, Noudamadjo A, Obossou AAA, Agossou J, Adedemy JD2 2013 describing perinatal morbidity and mortality in the Regional University Teaching Hospital of Borgou (Benin), the study identified acute fetal suffering and premature rupture of the membranes as the common morbidities and ½ of registered women come for delivery themselves among them only 58.90% attended ANC 4 times, which significantly poor follow up of pregnant women who were to be transferred in active ANC system. According to Aimable Musafili and his colleagues in 2013, conducted an audit research in Rwanda reviewing perinatal deaths at hospitals in Kigali, Rwanda, results showed that Out of 8424 births, there were 269 perinatal deaths giving a stillbirth rate of 20/1000 births and a perinatal mortality rate of 32/1000 births, furthermore factors contributing to mortality were highlighted as delay in care-seeking was identified in 39% of deaths, delay in arriving at the health facility in 10%, and provision of suboptimal care at the health facility in 37%. The argument was that, insufficient care is more likely to be brought by shortage of staff. Therefore concrete measures and their implementation should be put in place followed via multidimensional bnhuycollaborations to eliminate preventable causes of perinatal mortality.
Keywords: Birth, Mortality, Perinatal
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