Stillbirths and early neonatal mortality in rural Northern Ghana
Stillbirths and early neonatal mortality in rural Northern Ghana
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DOI：
10.1111/j.1365-3156.2011.02931.x
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发表时间：
2012-03-01
影响因子：
3.3
通讯作者：
Hodgson, Abraham
中科院分区：
文献类型：
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作者：
Engmann, Cyril;Walega, Paul;Hodgson, Abraham
目的计算加纳上东部地区的围产儿死亡率(死产和早期新生儿死亡：结束)，并从时间、死因和母婴危险因素等方面描述社区死产和结束的特征。方法从Navrongo健康和人口监测系统获得7年的分娩结果。结果登记在册孕妇2.04万97人。围产儿死亡率为39/1000，死产率为23/1000，活产儿终止率为16/1000。大多数死产的孕周在31周或以下。早产、第一次分娩和多胎妊娠都显著增加了围产儿死亡的几率。约70%的死亡发生在出生后3天内，最常见的死亡原因是出生窒息和损伤、感染和早产。结论在纳夫隆戈，死产和结局仍然是一个严重的问题。终止的主要原因发生在前3天，可通过简单的有针对性的围产期政策进行修改。
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.