ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2009
Stillbirth and early neonatal mortality in rural Central Africa.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Burden of early neonatal mortality in Sub-Saharan Africa. A systematic review and meta-analysis.PloS one · 2024Pooled it
- Effect of antenatal care on low birth weight: a systematic review and meta-analysis in Africa, 2022.Frontiers in public health · 2023Pooled it
- The effect of antenatal care on perinatal outcomes in Ethiopia: A systematic review and meta-analysis.PloS one · 2021Pooled it
- The impact of antenatal care on neonatal mortality in sub-Saharan Africa: A systematic review and meta-analysis.PloS one · 2019Pooled it
- Reduced perinatal mortality following enhanced training of birth attendants in the Democratic Republic of Congo: a time-dependent effect.BMC medicine · 2011Trial
- Predictors of neonatal mortality in Ghana: evidence from 2017 Ghana maternal health survey.BMC pregnancy and childbirth · 2023Article
- Prevalence and determinants of early neonatal mortality in Ethiopia: findings from the Ethiopian Demographic and Health Survey 2016.BMJ paediatrics open · 2023Article
- Incidence of Stillbirth in Relation to Period of Delivery, Socioeconomic Status and Period of Gestation in a Rural Tertiary Care Hospital-MGIMS, Sewagram Within Study Period of Three Years (2013-2016).Journal of obstetrics and gynaecology of India · 2022Article
- Increasing nursing student interest in rural healthcare: lessons from a rural rotation program in Democratic Republic of the Congo.Human resources for health · 2021Article
- The effect of teaching religious principles on the infants' growth and development.Journal of education and health promotion · 2019Article
- Article
- Institutional maternal and perinatal deaths: a review of 40 low and middle income countries.BMC pregnancy and childbirth · 2017Article
- Incidence and determinants of stillbirth among women who gave birth in Jimma University specialized hospital, Ethiopia.The Pan African medical journal · 2017Article
- Incidence of intrapartum stillbirth and associated risk factors in tertiary care setting of Nepal: a case-control study.Reproductive health · 2016Article
- Understanding Misclassification between Neonatal Deaths and Stillbirths: Empirical Evidence from Malawi.PloS one · 2016Article
- Logistic regression analysis on the determinants of stillbirth in Ethiopia.Maternal health, neonatology and perinatology · 2016Article
- Factors associated with post-cesarean stillbirth in 12 hospitals in Benin: a cross-sectional.The Pan African medical journal · 2016Article
- A case-control study of risk factors for fetal and early neonatal deaths in a tertiary hospital in Kenya.BMC pregnancy and childbirth · 2014Article
- Stillbirths and very low Apgar scores among vaginal births in a tertiary hospital in Ghana: a retrospective cross-sectional analysis.BMC pregnancy and childbirth · 2014Article
- Individual and community determinants of neonatal mortality in Ghana: a multilevel analysis.BMC pregnancy and childbirth · 2014Article
Corrections and comments
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Authors and funding
11 authors at 6 institutions in 2 countries.
Funding
Abstract
objectiveTo develop a prospective perinatal registry that characterizes all deliveries, differentiates between stillbirths and early neonatal deaths (ENDs), and determines the ratio of fresh to macerated stillbirths in the northwest Democratic Republic of Congo.
methodBirth outcomes were obtained from 4 rural health districts.
resultsA total of 8230 women consented, END rate was 32 deaths per 1000 live births, and stillbirth rate was 33 deaths per 1000 deliveries. The majority (75%) of ENDs and stillbirths occurred in neonates weighing 1500 g or more. Odds of stillbirth and END increased in mothers who were single or who did not receive prenatal care, and among premature, low birth weight, or male infants. The ratio of fresh to macerated stillbirths was 4:1.
conclusionNeonates weighing 1500 g or more at birth represent a group with a high likelihood of survival in remote areas, making them potentially amenable to targeted intervention packages. The ratio of fresh to macerated stillbirths was approximately 10-fold higher than expected, suggesting a more prominent role for improved intrapartum obstetric interventions.
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