ArticleBMC pregnancy and childbirth2016
Better than nothing? maternal, newborn, and child health services and perinatal mortality, Lubumbashi, democratic republic of the Congo: a cohort study.
Article in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Community- based maternal and newborn interventions in Africa: Systematic review.Journal of clinical nursing · 2021Pooled it
- Causes of maternal mortality in Sub-Saharan Africa: A systematic review of studies published from 2015 to 2020.Journal of global health · 2021Pooled it
- Economic evaluation of financial incentives for maternal and child health in the Democratic Republic of the Congo (DRC): a decision-tree modelling based on a cluster randomized controlled trial.Global health research and policy · 2025Trial
- Antenatal Care and Perinatal Mortality in Low- and Middle-Income Countries: Insights for Maternal and Newborn Health System.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026Article
- Perinatal mortality and its predictors in Beni City, Democratic Republic of Congo: a cross-sectional study.Maternal health, neonatology and perinatology · 2024Article
- Article
- Modeling the spatial patterns of antenatal care utilization in Nigeria with inference based on Pólya-Gamma mixtures.Journal of applied statistics · 2024Article
- Magnitude, disparity, and predictors of poor-quality antenatal care service: A systematic review and meta-analysis.SAGE open medicine · 2024Review
- Factors associated with perinatal mortality in sub-Saharan Africa: A multilevel analysis.PloS one · 2024Article
- Assessment of antenatal care satisfaction amongst postpartum women at the University College Hospital, Ibadan, Nigeria.European journal of obstetrics & gynecology and reproductive biology: X · 2023Article
- Demand and supply analysis for maternal and child health services at the primary healthcare level in Nigeria.BMC health services research · 2023Article
- Factors impacting antenatal care utilization: a systematic review of 37 fragile and conflict-affected situations.Conflict and health · 2022Review
- Perinatal Mortality Analysis in Espírito Santo, Brazil, 2008 to 2017.International journal of environmental research and public health · 2021Article
- Magnitude and risk of neonatal death in neonatal intensive care unit at referral hospital in Godeo Zone: a prospective cohort study.The Pan African medical journal · 2021Article
- Article
- Unattended Pregnancies and Perinatal Mortality in Georgia.Risk management and healthcare policy · 2020Article
- Perinatal and newborn care in a two years retrospective study in a first level peripheral hospital in Sicily (Italy).Italian journal of pediatrics · 2019Article
- Facility conditions, obstetric and neonatal care practices, and availability of emergency obstetric and neonatal care in 72 rural health facilities in the Democratic Republic of the Congo: A cross-sectional study.Gates open research · 2019Article
- Antenatal care satisfaction in a developing country: a cross-sectional study from Nigeria.BMC public health · 2018Article
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5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Democratic Republic of Congo (DRC) has a high rate of perinatal mortality (PMR), and health measures that could reduce this high rate of mortality are not accessible to all women. Where they are in place, their quality is not optimal. This study was initiated to assess the relationship between these suboptimal maternal, newborn and child health (MNCH) services and perinatal mortality (PM) in Lubumbashi, DRC's second-largest city.
methodsWe conducted a prospective cohort study, comparing women who had no, low, moderate, or high numbers of antenatal care (ANC) visits; three different levels of delivery care; and who did or did not attend postnatal care (PNC). Women were followed for 50 days after delivery, with PM as the primary endpoint.
resultsUptake of recommended prenatal interventions was between 11-43% among ANC attenders, regardless of the frequency of their visits. PM was 26 per 1000. ANC attendance was associated with PM. Newborns of mothers who had the lowest attendance had a mortality two times higher than newborns of women who had not attended ANC (low visits: adjusted odds ratio (aOR) = 2.2; 95% confidence interval (CI) = 1.4-3.8). However, moderate (aOR = 1.4; 95% CI =0.7-2.2) and high (aOR = 1.3; 95% CI 0.7-2.2) attendance were not statistically significantly associated with PM. PNC attendance was not significantly associated with lower PM (relative risk 0.4, 95% CI 0.1-2.6). Emergency obstetric and newborn care (EmONC) was significantly associated with a reduction in mortality (aOR = 0.2; 95% CI = 0.2-0.8), with an 84.4% reduction among newborns at risk, and an overall reduction in mortality of 10% for all births.
conclusionPerinatal mortality was high among the infants of women in the cohort under study (26 per 1000 live births). Availability of MNCH, specifically EmONC, was associated with lower perinatal mortality, and if this association is causal, might avert 84.4% of perinatal deaths among newborns at high-risk.
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