ArticleJournal of global health2018
Can facility delivery reduce the risk of intrapartum complications-related perinatal mortality? Findings from a cohort study.
Article in Journal of global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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23 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Interventions to reduce preterm birth and stillbirth, and improve outcomes for babies born preterm in low- and middle-income countries: A systematic review.Journal of global health · 2021Pooled it
- Nationwide Trends in Newborn Anthropometric Indicators in Kazakhstan, 2013-2022: A Population-Level Time-Trend Analysis.Children (Basel, Switzerland) · 2026Article
- Intrapartum Obstetric Violence and Associated Factors Among Women Attending Delivery Care at Public Health Facilities of Gondar City: A Cross-Sectional Study.Health science reports · 2026Article
- Prevalence and risk factors of low birth weight in a rural district of Bangladesh: a prospective cohort study.BMC pediatrics · 2026Article
- Midwives practices and mothers' experiences during intrapartum midwifery care: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Spatial scanning for the identification of risk areas for fetal death: an ecological study in Pernambuco.Revista da Escola de Enfermagem da U S P · 2026Article
- The effects of government-led cash transfer programmes on behavioural and health determinants of mortality: a difference-in-differences study.Lancet (London, England) · 2025Article
- Young Infant Mortality Associated with Preterm and Small-for-Gestational-Age Births in Rural Bangladesh: A Prospective Cohort Study.The Journal of pediatrics · 2024Article
- A biosocial analysis of perinatal and late neonatal mortality among Indigenous Maya Kaqchikel communities in Tecpán, Guatemala: a mixed-methods study.BMJ global health · 2024Article
- Development of capability lists for neonatal critical care at three levels in China: a modified Delphi study.BMJ paediatrics open · 2024Article
- Factors associated with perinatal mortality in sub-Saharan Africa: A multilevel analysis.PloS one · 2024Article
- Maternal interventions to decrease stillbirths and neonatal mortality in Tanzania: evidence from the 2017-18 cross-sectional Tanzania verbal and social autopsy study.BMC pregnancy and childbirth · 2023Article
- Article
- 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
- Global, regional, and national causes of under-5 mortality in 2000-19: an updated systematic analysis with implications for the Sustainable Development Goals.The Lancet. Child & adolescent health · 2022Article
- Determinants of stillbirth among reviewed perinatal deaths in Ethiopia.Frontiers in pediatrics · 2022Article
- Measuring facility readiness to provide childbirth care: a comparison of indices using data from a health facility survey in Ethiopia.BMJ global health · 2021Article
- Institutional deliveries and stillbirth and neonatal mortality in the Global Network's Maternal and Newborn Health Registry.Reproductive health · 2020Article
- Prevalence and factors associated with hypertension among adults in rural Sylhet district of Bangladesh: a cross-sectional study.BMJ open · 2019Article
- Maternal short stature and under-weight status are independent risk factors for preterm birth and small for gestational age in rural Bangladesh.European journal of clinical nutrition · 2019Article
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntrapartum complications increase the risk of perinatal deaths. However, population-based data from developing countries assessing the contribution of intrapartum complications to perinatal deaths is scarce.
methodsUsing data from a cohort of pregnant women followed between 2011 and 2013 in Bangladesh, this study examined the rate and types of intrapartum complications, the association of intrapartum complications with perinatal mortality, and if facility delivery modified the risk of intrapartum-related perinatal deaths. Trained community health workers (CHWs) made two-monthly home visits to identify pregnant women, visited them twice during pregnancy and 10 times in the first two months postpartum. During prenatal visits, CHWs collected data on women's prior obstetric history, socio-demographic status, and complications during pregnancy. They collected data on intrapartum complications, delivery care, and pregnancy outcome during the first postnatal visit within 7 days of delivery. We examined the association of intrapartum complications and facility delivery with perinatal mortality by estimating odds ratios (OR) and 95% confidence intervals (CI) adjusting for covariates using multivariable logistic regression analysis.
resultsThe overall facility delivery rate was low (3922/24 271; 16.2%). Any intrapartum complications among pregnant women were 20.9% (5,061/24,271) and perinatal mortality was 64.7 per 1000 birth. Compared to women who delivered at home, the risk of perinatal mortality was 2.4 times higher (OR = 2.40; 95% CI = 2.08-2.76) when delivered in a public health facility and 1.3 times higher (OR = 1.32, 95% CI = 1.06-1.64) when delivered in a private health facility. Compared to women who had no intrapartum complications and delivered at home, women with intrapartum complications who delivered at home had a substantially higher risk of perinatal mortality (OR = 3.45; 95% CI = 3.04-3.91). Compared to women with intrapartum complications who delivered at home, the risk of perinatal mortality among women with intrapartum complications was 43.0% lower for women who delivered in a public health facility (OR = 0.57; 95% CI = 0.42-0.78) and 58.0% lower when delivered in a private health facility (OR = 0.42; 95% CI = 0.28-0.63).
conclusionsMaternal health programs need to promote timely recognition of intrapartum complications and delivery in health facilities to improve perinatal outcomes, particularly in populations where overall facility delivery rates are low. The differential risk between public and private health facilities may be due to differences in quality of care. Efforts should be made to improve the quality of care in all health facilities.
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