Weiner Renay, Ronsmans Carine, Dorman Ed, Jilo Hilton, Muhoro Anne, Shulman Caroline
School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Bull World Health Organ. 2003;81(8):561-6. Epub 2003 Oct 14.
To identify and quantify risk factors for perinatal mortality in a Kenyan district hospital and to assess the proportion of perinatal deaths attributable to labour complications, maternal undernutrition, malaria, anaemia and human immunodeficiency virus (HIV).
A cross-sectional study of 910 births was conducted between January 1996 and July 1997 and risk factors for perinatal mortality were analysed.
The perinatal mortality rate was 118 per 1000 births. Complications of labour such as haemorrhage, premature rupture of membranes/premature labour, and obstructed labour/ malpresentation increased the risk of death between 8- and 62-fold, and 53% of all perinatal deaths were attributable to labour complications. Placental malaria and maternal HIV, on the other hand, were not associated with perinatal mortality.
Greater attention needs to be given to the quality of obstetric care provided in the rural district-hospital setting.
确定并量化肯尼亚一家区级医院围产期死亡的风险因素,并评估因分娩并发症、孕产妇营养不良、疟疾、贫血和人类免疫缺陷病毒(HIV)导致的围产期死亡比例。
于1996年1月至1997年7月间对910例分娩进行了横断面研究,并分析了围产期死亡的风险因素。
围产期死亡率为每1000例分娩中有118例死亡。诸如出血、胎膜早破/早产以及产程梗阻/胎位异常等分娩并发症使死亡风险增加了8至62倍,并且所有围产期死亡中有53%归因于分娩并发症。另一方面,胎盘疟疾和孕产妇感染HIV与围产期死亡率无关。
需要更加关注农村区级医院提供的产科护理质量。