Stillbirths and early neonatal mortality in rural Northern Ghana
dc.contributor.author | Engmann, Cyril | en_US |
dc.contributor.author | Walega, Paul | en_US |
dc.contributor.author | Aborigo, Raymond A. | en_US |
dc.contributor.author | Adongo, Philip | en_US |
dc.contributor.author | Moyer, Cheryl A. | en_US |
dc.contributor.author | Lavasani, Layla | en_US |
dc.contributor.author | Williams, John | en_US |
dc.contributor.author | Bose, Carl | en_US |
dc.contributor.author | Binka, Fred | en_US |
dc.contributor.author | Hodgson, Abraham | en_US |
dc.date.accessioned | 2012-03-16T15:55:18Z | |
dc.date.available | 2013-05-01T17:24:42Z | en_US |
dc.date.issued | 2012-03 | en_US |
dc.identifier.citation | Engmann, Cyril; Walega, Paul; Aborigo, Raymond A.; Adongo, Philip; Moyer, Cheryl A.; Lavasani, Layla; Williams, John; Bose, Carl; Binka, Fred; Hodgson, Abraham (2012). "Stillbirths and early neonatal mortality in rural Northern Ghana." Tropical Medicine & International Health 17(3). <http://hdl.handle.net/2027.42/90140> | en_US |
dc.identifier.issn | 1360-2276 | en_US |
dc.identifier.issn | 1365-3156 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/90140 | |
dc.description.abstract | 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. Objectif: Calculer les taux de mortalité périnatale (mortinaissances et décès néonataux précoces: DNP) dans la région Upper East du Ghana et caractériser les mortinaissances et DNP dans la communauté, en termes de période, causes des décès et facteurs de risque maternels et infantiles. Méthode: Les résultats des naissances ont été obtenus à partir du système de surveillance démographique et de santé de Navrongo sur une période de 7 ans. Résultats: 20.497 femmes enceintes ont été incluses dans l’étude. Le taux de mortalité périnatale était de 39 décès/1000 accouchements (taux de mortinatalité 23/1000 accouchements et taux de DPN 16/1000 naissances vivantes). La plupart des mortinaissances étaient à 31 semaines de gestation ou moins. La prématurité, le premier accouchement et les grossesses multiples augmentaient tous considérablement la probabilité de mortalité périnatale. Approximativement, 70% des DNP sont survenus au cours des 3 premiers jours post‐natal et les causes les plus fréquentes de décès étaient l’asphyxie et les blessures à la naissance, les infections et la prématurité. Conclusions: Les mortinaissances et les DNP demeurent un problème important à Navrongo. Les principales causes de DNP surviennent au cours des 3 premiers jours et peuvent être améliorées avec de simples politiques périnatales ciblées. Objetivo: Calcular las tasas de mortalidad perinatal (mortinatos y muerte neonatal temprana: MNT) en la región del Alto Este de Ghana, y caracterizar los mortinatos en la comunidad y la MNT en términos de tiempo de ocurrencia, causa de muerte y factores de riesgo, tanto maternos como infantiles. Métodos: Los resultados de los nacimientos se obtuvieron del sistema de vigilancia demográfica y sanitaria de Navrongo durante un periodo de 7 años. Resultados: Se registraron 20 497 mujeres embarazadas en el estudio. La tasa de muerte perinatal era de 39 muertes/1000 partos, la tasa de mortinatos de 23/1000 partos, y la tasa de MNT de 16/1000 nacimientos vivos. La mayoría de los mortinatos eran de 31 semanas de gestación o menos. La prematuridad, el ser el primer parto y la gestación múltiple, aumentaban todas de forma significativa la probabilidad de una muerte perinatal. Aproximadamente un 70% de la MNT ocurría durante los 3 días post parto, y las causas más comunes de muerte eran asfixia y heridas, infecciones y prematuridad. Conclusiones: Los mortinatos y las MNT continúan siendo un problema significativo en Navrongo. Las principales causas de MNT ocurren durante los 3 primeros días, y se podrían modificar con simples políticas perinatales focalizadas. | en_US |
dc.publisher | Wiley Periodicals, Inc. | en_US |
dc.publisher | Blackwell Publishing Ltd | en_US |
dc.subject.other | Mortalidad Perinatal | en_US |
dc.subject.other | Autopsia Verbal | en_US |
dc.subject.other | Comunitario | en_US |
dc.subject.other | Ghana | en_US |
dc.subject.other | Ghana | en_US |
dc.subject.other | Stillbirth | en_US |
dc.subject.other | Early Neonatal Death | en_US |
dc.subject.other | Perinatal Mortality | en_US |
dc.subject.other | Verbal Autopsy | en_US |
dc.subject.other | Community‐Based | en_US |
dc.subject.other | Mortinaissance | en_US |
dc.subject.other | DéCèS NéOnatal PréCoce | en_US |
dc.subject.other | Mortalité PéRinatale | en_US |
dc.subject.other | Autopsie Verbale | en_US |
dc.subject.other | Basé Sur La Communauté | en_US |
dc.subject.other | Ghana | en_US |
dc.subject.other | Mortinatos | en_US |
dc.subject.other | Muerte Neonatal Temprana | en_US |
dc.title | Stillbirths and early neonatal mortality in rural Northern Ghana | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Medicine (General) | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | University of Michigan, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationother | University of Ghana, Legon, Ghana | en_US |
dc.contributor.affiliationother | Navrongo Health Research Centre, Navrongo, Ghana | en_US |
dc.contributor.affiliationother | University of North Carolina, Chapel Hill, NC, USA | en_US |
dc.identifier.pmid | 22175764 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/90140/1/j.1365-3156.2011.02931.x.pdf | |
dc.identifier.doi | 10.1111/j.1365-3156.2011.02931.x | en_US |
dc.identifier.source | Tropical Medicine & International Health | en_US |
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dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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