ArticleBMC pregnancy and childbirth2012
Causes of perinatal death at a tertiary care hospital in Northern Tanzania 2000-2010: a registry based study.
Article in BMC pregnancy and childbirth, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Perinatal mortality in eastern Africa: A systematic review and meta-analysis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Pooled it
- A meta-analysis of selected maternal and fetal factors for perinatal mortality.Ethiopian journal of health sciences · 2014Pooled it
- Using fetal scalp stimulation with Doppler ultrasonography to enhance intermittent auscultation in low-resource settings: a diagnostic trial from Tanzania.BMC pregnancy and childbirth · 2019Trial
- Magnitude of Adverse Birth Outcomes and Predictors Among Newborns Delivered at Public Hospitals in Benadir Region, Somalia.Journal of epidemiology and global health · 2026Article
- Epidemiology of congenital malformations in Tunisian liveborns: a retrospective study.African health sciences · 2024Article
- Advancing primary care: Establishing family medicine specialty in Tanzania.African journal of primary health care & family medicine · 2023Article
- Modeling clinical and non-clinical determinants of intrapartum stillbirths in singletons in six public hospitals in the Greater Accra Region of Ghana: a case-control study.Scientific reports · 2023Article
- The utility of delivery ward register data for determining the causes of perinatal mortality in one specialized and one general hospital in south Ethiopia.BMC pediatrics · 2022Article
- The perspectives of nurse-midwives and doctors on clinical challenges of prolonged labor: A qualitative study from Tanzania.European journal of midwifery · 2022Article
- Perinatal mortality audit in a rural referral hospital in Tanzania to inform future interventions: A descriptive study.PloS one · 2022Article
- SaferBirths bundle of care protocol: a stepped-wedge cluster implementation project in 30 public health-facilities in five regions, Tanzania.BMC health services research · 2021Article
- Incidence and determinants of neonatal mortality in the first three days of delivery in northwestern Ethiopia: a prospective cohort study.BMC pregnancy and childbirth · 2021Article
- Joint Modeling of Singleton Preterm Birth and Perinatal Death Using Birth Registry Cohort Data in Northern Tanzania.Frontiers in pediatrics · 2021Article
- Predictors of Intrapartum Stillbirths among Women Delivering at Mulago Hospital, Kampala, Uganda.International journal of MCH and AIDS · 2021Article
- Magnitude and Determinants of Adverse Perinatal Outcomes in Tefera Hailu Memorial Hospital, Sekota Town, Northern Ethiopia.Global pediatric health · 2021Article
- Article
- Placental pathology and maternal factors associated with stillbirth: An institutional based case-control study in Northern Tanzania.PloS one · 2020Article
- Predictors of perinatal death in the presence of missing data: A birth registry-based study in northern Tanzania.PloS one · 2020Article
- Challenges in classification and assignment of causes of stillbirths in low- and lower middle-income countries.Seminars in perinatology · 2019Review
- Global Network for Women's and Children's Health Research: probable causes of stillbirth in low- and middle-income countries using a prospectively defined classification system.BJOG : an international journal of obstetrics and gynaecology · 2018Observational
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6 authors.
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Abstract
backgroundPerinatal mortality reflects maternal health as well as antenatal, intrapartum and newborn care, and is an important health indicator. This study aimed at classifying causes of perinatal death in order to identify categories of potentially preventable deaths.
methodsWe studied a total of 1958 stillbirths and early neonatal deaths above 500 g between July 2000 and October 2010 registered in the Medical Birth Registry and neonatal registry at Kilimanjaro Christian Medical Centre (KCMC) in Northern Tanzania. The deaths were classified according to the Neonatal and Intrauterine deaths Classification according to Etiology (NICE).
resultsOverall perinatal mortality was 57.7/1000 (1958 out of 33 929), of which 1219 (35.9/1000) were stillbirths and 739 (21.8/1000) were early neonatal deaths. Major causes of perinatal mortality were unexplained asphyxia (n=425, 12.5/1000), obstetric complications (n=303, 8.9/1000), maternal disease (n=287, 8.5/1000), unexplained antepartum stillbirths after 37 weeks of gestation (n= 219, 6.5/1000), and unexplained antepartum stillbirths before 37 weeks of gestation (n=184, 5.4/1000). Obstructed/prolonged labour was the leading condition (251/303, 82.8%) among the obstetric complications. Preeclampsia/eclampsia was the leading cause (253/287, 88.2%) among the maternal conditions. When we excluded women who were referred for delivery at KCMC due to medical reasons (19.1% of all births and 36.0% of all deaths), perinatal mortality was reduced to 45.6/1000. This reduction was mainly due to fewer deaths from obstetric complications (from 8.9 to 2.1/1000) and maternal conditions (from 8.5 to 5.5/1000).
conclusionThe distribution of causes of death in this population suggests a great potential for prevention. Early identification of mothers at risk of pregnancy complications through antenatal care screening, teaching pregnant women to recognize signs of pregnancy complications, timely access to obstetric care, monitoring of labour for fetal distress, and proper newborn resuscitation may reduce some of the categories of deaths.
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