ArticleBMC pregnancy and childbirth2015
Causes of perinatal mortality and associated maternal complications in a South African province: challenges in predicting poor outcomes.
Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.
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Who cites it
48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 117 citations in OpenAlex.
- The burden of hypertensive disorders of pregnancy in Africa: A systematic review and meta-analysis.Journal of clinical hypertension (Greenwich, Conn.) · 2019Pooled it
- Prevalence of hypertensive disorders of pregnancy and pregnancy outcomes in Sub-Saharan Africa: A systematic review and meta-analysis.Women's health (London, England)Pooled it
- Intermittent fetal heart rate monitoring using a fetoscope or hand held Doppler in rural Tanzania: a randomized controlled trial.BMC pregnancy and childbirth · 2018Trial
- Adverse Materno-Foetal Outcomes of Pre-Eclampsia at a Rural Tertiary Hospital in the Eastern Cape Province of South Africa.International journal of environmental research and public health · 2025Article
- Determinants of neonatal mortality at Kamenge Teaching Hospital, Burundi: a prospective cohort study.BMC public health · 2025Article
- Spatial variation, pooled prevalence, and factors associated with perinatal mortality in Sub-Saharan Africa, evidence from demographic and health surveys 2015-2023: a geospatial regression approach.EClinicalMedicine · 2025Article
- Space-time trends in fetal mortality in Brazil, 1996-2021.Revista de saude publica · 2025Article
- Determinants of stillbirth among deliveries conducted at west Shoa zone public hospitals, central Ethiopia: a case-control study.BMC pediatrics · 2024Article
- Causes of stillbirths at Kgapane hospital, Limpopo province.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Predictors of neonatal mortality among neonates in Tigray regional state, Ethiopia: A cross-sectional study.PloS one · 2024Article
- Maternal Health Beyond Delivery: action to address multifactorial health inequity.EClinicalMedicine · 2024Article
- Neonatal death audits at Kgapane Hospital, Limpopo province.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- Modified Pathway to Survival highlights importance of rapid access to quality institutional delivery care to decrease neonatal mortality in Serang and Jember districts, Java, Indonesia.Journal of global health · 2023Article
- Preventing antenatal stillbirths: An innovative approach for primary health care.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- Investigation of technical quality of antenatal and perinatal services in a nationally representative sample of health facilities in Nepal.Archives of public health = Archives belges de sante publique · 2022Article
- Identifying the High-Risk Fetus in the Low-Risk Mother Using Fetal Doppler Screening.Global health, science and practice · 2022Article
- Conformation-dependent anti-Aβ monoclonal antibody signatures of disease status and severity in urine of women with preeclampsia.Pregnancy hypertension · 2022Article
- 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
- A comparison of weight gain between HIV exposed uninfected and HIV unexposed uninfected infants who received KMC at Chris Hani Baragwanath Academic Hospital.Frontiers in pediatrics · 2022Article
- The midwives' experiences of the use of obstetric triage and obstetric triage tool during labour in Bojanala district.Health SA = SA Gesondheid · 2022Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReviews of perinatal deaths are mostly facility based. Given the number of women who, globally, deliver outside of facilities, this data may be biased against total population data. We aimed to analyse population based perinatal mortality data from a LMIC setting (Mpumalanga, South Africa) to determine the causes of perinatal death and the rate of maternal complications in the setting of a perinatal death.
methodsA secondary analysis of the South African Perinatal Problems Identification Program (PPIP) database for the Province of Mpumalanga was undertaken for the period October 2013 to January 2014, inclusive. Data on each individual late perinatal death was reviewed. We examined the frequencies of maternal and fetal or neonatal characteristics in late fetal deaths and analysed the relationships between maternal condition and fetal and/or neonatal outcomes. IBM SPSS Statistics 22.0 was used for data analysis.
resultsThere were 23503 births and 687 late perinatal deaths (stillbirths of ≥ 1000gr or ≥ 28 weeks gestation and early neonatal deaths up to day 7 of neonatal life) in the study period. The rate of maternal complication in macerated stillbirths, fresh stillbirths and early neonatal deaths was 50.4%, 50.7% and 25.8% respectively. Mothers in the other late perinatal deaths were healthy. Maternal hypertension and obstetric haemorrhage were more likely in stillbirths (p = <0.01 for both conditions), whereas ENNDs were more likely to have a healthy mother (p < 0.01). The main causes of neonatal death were related to immaturity (48.7%) and hypoxia (40.6%). 173 (25.2%) of all late perinatal deaths had a birth weight less than the 10(th) centile for gestational age.
conclusionA significant proportion of women have no recognisable obstetric or medical condition at the time of a late perinatal death; we may be limited in our ability to predict poor perinatal outcome if emphasis is put on detecting maternal complications prior to a perinatal death. Intrapartum care and hypertensive disease remain high priority areas for addressing perinatal mortality. Consideration needs to be given to novel ways of detecting growth restriction in a LMIC setting.
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