Pregnancy outcomes in facility deliveries in Kenya and Uganda: A large cross-sectional analysis of maternity registers illuminating opportunities for mortality prevention
| العنوان: | Pregnancy outcomes in facility deliveries in Kenya and Uganda: A large cross-sectional analysis of maternity registers illuminating opportunities for mortality prevention |
|---|---|
| المؤلفون: | Elizabeth Butrick, Dilys Walker, Paul Mubiri, Peter Waiswa, Brennan V. Higgins, Nancy L. Sloan, Leah Kirumbi, Rikita Merai |
| المساهمون: | Sacks, Emma |
| المصدر: | PloS one, vol 15, iss 6 PLoS ONE, Vol 15, Iss 6, p e0233845 (2020) PLoS ONE |
| بيانات النشر: | eScholarship, University of California, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Physiology, Cross-sectional study, Maternal Health, Preterm Birth Initiative Kenya & Uganda Implementation Research Collaborative, Reproductive health and childbirth, 030204 cardiovascular system & hematology, Miscarriage, Low Birth Weight and Health of the Newborn, Labor and Delivery, Families, 0302 clinical medicine, Pregnancy, Infant Mortality, Medicine and Health Sciences, Birth Weight, Uganda, 030212 general & internal medicine, Registries, Children, Pediatric, Cross-sectional data, Multidisciplinary, Obstetrics, Mortality rate, Pregnancy Outcome, Obstetrics and Gynecology, Gestational age, Quality Improvement, Hospitals, Maternal Mortality, Physiological Parameters, Medicine, Female, Infants, Delivery, Stillbirths, Research Article, Adult, medicine.medical_specialty, Pediatric Research Initiative, Death Rates, General Science & Technology, Birth weight, Science, Maternity, MEDLINE, Hospitals, Maternity, 03 medical and health sciences, Population Metrics, Preterm, medicine, Humans, Conditions Affecting the Embryonic and Fetal Periods, Population Biology, business.industry, Prevention, Contraception/Reproduction, Body Weight, Infant, Newborn, Biology and Life Sciences, Neonates, Infant, Obstetric, Perinatal Period - Conditions Originating in Perinatal Period, Delivery, Obstetric, medicine.disease, Newborn, Kenya, Pregnancy Complications, Good Health and Well Being, Age Groups, People and Places, Birth, Women's Health, Population Groupings, business, Developmental Biology |
| الوصف: | INTRODUCTION:As facility-based deliveries increase globally, maternity registers offer a promising way of documenting pregnancy outcomes and understanding opportunities for perinatal mortality prevention. This study aims to contribute to global quality improvement efforts by characterizing facility-based pregnancy outcomes in Kenya and Uganda including maternal, neonatal, and fetal outcomes at the time of delivery and neonatal discharge outcomes using strengthened maternity registers. METHODS:Cross sectional data were collected from strengthened maternity registers at 23 facilities over 18 months. Data strengthening efforts included provision of supplies, training on standard indicator definitions, and monthly feedback on completeness. Pregnancy outcomes were classified as live births, early stillbirths, late stillbirths, or spontaneous abortions according to birth weight or gestational age. Discharge outcomes were assessed for all live births. Outcomes were assessed by country and by infant, maternal, and facility characteristics. Maternal mortality was also examined. RESULTS:Among 50,981 deliveries, 91.3% were live born and, of those, 1.6% died before discharge. An additional 0.5% of deliveries were early stillbirths, 3.6% late stillbirths, and 4.7% spontaneous abortions. There were 64 documented maternal deaths (0.1%). Preterm and low birthweight infants represented a disproportionate number of stillbirths and pre-discharge deaths, yet very few were born at ≤1500g or |
| وصف الملف: | application/pdf |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7b1527e0aea27291188f9122a6317c62 https://escholarship.org/uc/item/90k757ws |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....7b1527e0aea27291188f9122a6317c62 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |