Department of Obstetrics and Gynecology, Faculty of Medicine, Kassala University, Sudan.
J Trop Pediatr. 2014 Feb;60(1):79-82. doi: 10.1093/tropej/fmt075. Epub 2013 Sep 19.
This study investigated the factors associated with perinatal mortality in eastern Sudan from 2010 to 2011. Among 808 deliveries, there were 15 pairs of twins, giving 823 babies at risk of perinatal deaths. There were 761 live births and 62 perinatal deaths. Of the 62 perinatal deaths, 25 (40.3%) were stillbirths and 37 (59.7%) were early neonatal deaths. The stillbirth risk, early neonatal mortality risk and perinatal mortality rate were 30.9 per 1000 pregnancies, 48.6 per 1000 live births and 75.3 per 1000 births, respectively. In the logistic regression model, home delivery [odds ratio (OR) = 5.1; confidence interval CI = 1.8-14; p = 0.001] and parity ≥3 (OR = 4.5; CI = 2.2-8.8; p < 0.001) were predictors for perinatal deaths, whereas use of antenatal care (OR = 0.3; CI = 0.1-0.6; p = 0.002), use of a mosquito net (OR = 0.07; CI = 0.03-0.1; p < 0.001) and antenatal iron supplementation for at least 3 months (OR = 0.06; CI = 0.02-0.1; p < 0.001) were significant protective factors of perinatal deaths.
本研究调查了 2010 年至 2011 年期间苏丹东部围产期死亡的相关因素。在 808 例分娩中，有 15 对双胞胎，共有 823 例婴儿有围产期死亡的风险。有 761 例活产和 62 例围产儿死亡。在 62 例围产儿死亡中，25 例（40.3%）为死产，37 例（59.7%）为早期新生儿死亡。死产风险、早期新生儿死亡率和围产儿死亡率分别为每 1000 例妊娠 30.9 例、每 1000 例活产 48.6 例和每 1000 例出生 75.3 例。在逻辑回归模型中，家庭分娩[比值比（OR）=5.1；置信区间（CI）=1.8-14；p=0.001]和产次≥3（OR=4.5；CI=2.2-8.8；p<0.001）是围产儿死亡的预测因素，而产前保健的使用[比值比（OR）=0.3；CI=0.1-0.6；p=0.002]、使用蚊帐[比值比（OR）=0.07；CI=0.03-0.1；p<0.001]和至少 3 个月的产前铁补充[比值比（OR）=0.06；CI=0.02-0.1；p<0.001]是围产儿死亡的显著保护因素。
