Perinatal mortality at the Ogun State University Teaching Hospital, Sagamu, Nigeria.

Department of Paediatrics, Ogun State University Teaching Hospital, Sagamu, Nigeria.
Journal of Tropical Pediatrics (Impact Factor: 1.01). 05/1994; 40(2):78-81.
Source: PubMed

ABSTRACT A study of perinatal mortality at the Ogun State University Teaching Hospital during the first 30 months (March 1989 to August, 1991) of the establishment of a separate neonatal unit was made. One-hundred-and-sixty-two (87.5/1000) of the 1852 deliveries were stillborn and 60 (35.5/1000) of the 1690 live births died in the early neonatal period. The overall perinatal mortality rate was 119.9/1000 deliveries. Of stillbirths, 82 per cent occurred in unbooked mothers and were diagnosed at presentation. The major causes of stillbirths were teenage pregnancy, elderly motherhood, high maternal parity, and prolonged, obstructed labour. The major causes of early neonatal death were low birth weight, breech delivery, and severe birth asphyxia. The need for increased utilization, improvement, and regionalization of antenatal and perinatal services is emphasized.

  • [Show abstract] [Hide abstract]
    ABSTRACT: Stillbirths often are not seen as a major public health problem, for despite increasing attention and investment on maternal, neonatal, and child health, stillbirths remain invisible. The objective of this study was to determine the stillbirth rate at the Imo State University Teaching Hospital, Orlu. Analysis of the case records of stillbirths that occurred in the institution over a 5-year period from 1(st) July 2005 to 30(th) June 2010 was made. Data retrieved was analyzed for age of the women, parity, presumptive risk factor for the stillbirth, and booking status of the women. Also, the total births during the period of study were obtained. A P-value of <0.05 is said to be significant at confidence level of 95% (95/100). There were a total of 1,142 deliveries within the study period, out of which 206 resulted in stillbirths. This gave an institutional stillbirth rate of 18% (180/1000 deliveries). One-hundred and fifty-five 75.2% (155/206) of the stillbirths were macerated stillbirth. The age range of the women was 15-44 years. The modal age was 31 years. The age group of 26-30 years had the highest prevalence rate of stillbirths of 79 (38.3%, 79/206), while age group of more than 40 years contributed the least with four stillbirths 4 (1.9%, 4/206). The stillbirth rate at the institution is too high and efforts must be made to reduce it.
    Annals of medical and health sciences research. 07/2012; 2(2):176-9.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To estimate the perinatal mortality rate (PMR) in Al-Ramadi city, Iraq, and study its associated causative factors following the 2003 Coalition Forces occupation of Iraq. All the hospital stillbirth, and early neonatal death deliveries at the Al-Ramadi Maternity and Children's Hospital, Al-Anbar Governorate, western Iraq, from 15th June to 15th December 2005 were included in the study. Data collected for the mother includes: age, residence, parity, plurality, mode of delivery, medical and obstetrical history, antenatal care (ANC), and previous perinatal death. For dead babies: gestational age, gender, birth weight, and Apgar scores were also collected. The total studied deliveries were 3,249 births. The perinatal mortalities were 125 (43 stillbirths, and 82 neonatal deaths), giving an overall PMR of (38.5/1000). Males showed higher PMR (45.9/1000) than females (29.1/1000). Low birth weight babies among live births were 939 (29.2%), and were of higher (95.8/1000) PMR than normal (15.1/1000) weight births. Significant association was found between the gestational age, Apgar score, maternal age, residence, previous medical history, previous perinatal death, and plurality with the PMR. While no association was found between the mode of delivery, parity, ANC, and PMR. This study showed lower rates than some Iraqi studies applied before 2003, but still was of higher PMR when compared with the rates of most neighboring Arab and other developed countries.
    Saudi medical journal 10/2009; 30(10):1296-300. · 0.62 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: In Nigeria, over 900,000 children under the age of five years die every year. Early neonatal death is responsible for a little over 20% of these deaths. Prematurity remains a significant cause of these early neonatal deaths. In some series, it is reported to be responsible for 60-70% of these deaths. This study aimed to determine the prevalence and determinants of pre-term deliveries at the University of Ilorin Teaching Hospital, Ilorin. This was a prospective cohort study conducted over a 9-month period at the University of Ilorin Teaching Hospital. Records of deliveries and data on maternal socio-biological and antenatal variables were collected during this period in order to determine the prevalence and determinants of pre-term deliveries. Out of the 2,489 deliveries that took place over a 9-month period, there were 293 pre-terms, giving a pre-term delivery rate of 120 per 1,000 deliveries. Of the total deliveries, 1,522 singleton deliveries that satisfied inclusion criteria were recruited; 185 of them were pre-term deliveries giving a case:control ratio of 1:7. Significant determinants of pre-term delivery identified were previous pre-term delivery (P=0.001; OR=3.55; 95% CI=1.71-7.30), antepartum hemorrhage (P=0.000; OR=8.95; 95%CI=4.06-19.78), premature rupture of the membranes (P=0.000; OR=6.48; 95%CI=4.33-9.67), maternal urinary tract infection (P=0.006; OR=5.89; 95%CI=1.16-27.57), pregnancy induced hypertension (P=0.007; OR=3.23; 95%CI=2.09-4.99), type of labor (P=0.000; OR=6.44; 95%CI=4.42-9.38) and booking status (P=0.000; OR=4.67; 95%CI=3.33-6.56). The prevalence of pre-term delivery was 120 per 1,000 live births. Factors significantly associated with pre-term delivery were low socio-economic class, previous pre-term delivery, antepartum hemorrhage, premature rupture of fetal membranes, urinary tract infection, pregnancy induced hypertension, induced labor, and booking elsewhere outside the teaching hospital.
    Pediatric reports 01/2010; 2(1):e3.