Kahiririaa Mathe Julien, Namyalo Josephine, Mubarak Nasur, Otieno Emmanuel
Department of Public Health, Uganda Christian University, Mukono, Uganda.
Department of Public Health, Official University of Ruwenzori, Butembo City, Democratic Republic of Congo.
Matern Health Neonatol Perinatol. 2024 Jul 5;10(1):14. doi: 10.1186/s40748-024-00184-6.
Globally, perinatal mortality rates have decreased considerably in the last 30 years. However, in sub-Saharan African countries perinatal mortality remains a public health burden. Therefore, this study aimed to determine the Perinatal Mortality Rate and the factors associated with perinatal mortality in Beni City, Northeastern Democratic Republic of Congo.
A hospital-based retrospective cross-sectional study was conducted among 1394 deliveries that were documented in Beni General Referral Hospital from 2 January to May 31, 2022. The study was done in the conflict-ridden Beni city of the North Kivu Province. Analysis was done using Open Epi and SPSS version 22. Binary and Multivariate logistic regression analyses were performed. Odds ratio with 95% confidence interval was used to measure strength of association.
Findings indicate that 60.7% of 1394 participants were below the age of 21 years, and 95.1% (1325) Beni residents. The Perinatal Mortality Rate was 42.3 per 1000 live births. Majority (51) of the postpartum women who experienced perinatal mortality didn`t have a history of perinatal mortality as compared to their counterparts. Multivariable analysis revealed that birth weight (AoR = 0.082, 95% CI 0.014-0.449, p < 0.05) and Apgar score in the 10th minute (AoR = 0.082, 95% CI 0.000- 0.043, p < 0.05) were significantly associated with Perinatal mortality.
The high perinatal mortality rate in Beni General Referral Hospital, approximately four in every 100 births remains a disturbing public health concern of which is attributable to low birth weight and Apgar score. This study may help policy-makers and healthcare providers to design preventive interventions.
在全球范围内，围产期死亡率在过去30年中已大幅下降。然而，在撒哈拉以南非洲国家，围产期死亡率仍然是一项公共卫生负担。因此，本研究旨在确定刚果民主共和国东北部贝尼市的围产期死亡率以及与围产期死亡率相关的因素。
对2022年1月2日至5月31日在贝尼综合转诊医院记录的1394例分娩进行了一项基于医院的回顾性横断面研究。该研究在北基伍省冲突频发的贝尼市进行。使用Open Epi和SPSS 22版进行分析。进行了二元和多变量逻辑回归分析。采用95%置信区间的比值比来衡量关联强度。
研究结果表明，1394名参与者中有60.7%年龄在21岁以下，95.1%（1325人）是贝尼居民。围产期死亡率为每1000例活产42.3例。与其他产后妇女相比，经历围产期死亡的大多数（51名）产后妇女没有围产期死亡史。多变量分析显示，出生体重（调整后比值比=0.082，95%置信区间0.014-0.449，p<0.05）和第10分钟的阿氏评分（调整后比值比=0.082，95%置信区间0.000-0.043，p<0.05）与围产期死亡率显著相关。
贝尼综合转诊医院的围产期死亡率很高，每100例分娩中约有4例，这仍然是一个令人不安的公共卫生问题，其原因是低出生体重和阿氏评分。本研究可能有助于政策制定者和医疗服务提供者设计预防性干预措施。
