ArticleMaternal health, neonatology and perinatology2021
Incidence and determinants of perinatal mortality among women with obstructed labour in eastern Uganda: a prospective cohort study.
Article in Maternal health, neonatology and perinatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 18 citations in OpenAlex.
- Maternal and umbilical cord blood lactate for predicting perinatal death: a secondary analysis of data from a randomized controlled trial.BMC pediatrics · 2023Trial
- Improved maternal-fetal outcomes among emergency obstetric referrals following phone call communication at a teaching hospital in south western Uganda: a quasi-experimental study.BMC pregnancy and childbirth · 2022Trial
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- Effectiveness of a community health worker-led education intervention on knowledge, attitude, and antenatal care attendance among pregnant women in Eastern Uganda.Journal of health, population, and nutrition · 2025Article
- Incidence and factors associated with immediate adverse neonatal outcomes among emergency obstetric referrals in labor at a tertiary hospital in Uganda: a prospective cohort study.BMC pregnancy and childbirth · 2024Article
- Determinants of stillbirth among deliveries conducted at west Shoa zone public hospitals, central Ethiopia: a case-control study.BMC pediatrics · 2024Article
- Decreased renal function among children born to women with obstructed labour in Eastern Uganda: a cohort study.BMC nephrology · 2024Article
- Perinatal care and its association with perinatal death among women attending care in three district hospitals of western Uganda.BMC pregnancy and childbirth · 2024Article
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- Exposure to different types of mass media and timing of antenatal care initiation: insights from the 2016 Uganda Demographic and Health Survey.BMC women's health · 2022Article
- Article
- Mortality Rate and Predictors Among Women With Obstructed Labor in a Tertiary Academic Medical Center of Ethiopia: A Retrospective Cohort Study.SAGE open nursingArticle
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Authors and funding
13 authors at 7 institutions in 3 countries.
Funding
Abstract
backgroundIn Uganda, the incidence and determinants of perinatal death in obstructed labour are not well documented. We determined the incidence and determinants of perinatal mortality among women with obstructed labour in Eastern Uganda.
methodsBetween July 2018 and September 2019, 584 with obstructed labour were recruited and followed up to the 7th day postnatal. Information on maternal characteristics, obstetric factors and laboratory parameters was collected. Each patient received the standard perioperative care. We used a generalized linear model for the Poisson family, with a log link and robust variance estimation to determine the association between the exposure variables and perinatal death.
resultsOf the 623 women diagnosed with obstructed labour, 584 met the eligibility criteria. There were 24 fresh still births (FSB) and 32 early neonatal deaths (ENND) giving an FSB rate of 43.8 (95% CI 28.3-64.4) deaths per 1000 total births; early neonatal death rate of 58.4 (95% CI 40.3-81.4) deaths per 1000 and an overall perinatal mortality rate of 102.2 (95% CI 79.4-130.6) deaths in the first 7 days of life. A mother being referred in active labour adjusted risk ratio of 2.84 (95% CI: 1.35-5.96) and having high blood lactate levels at recruitment adjusted risk ratio 2.71 (95% CI: 1.26-4.24) were the determinants of perinatal deaths.
conclusionsThe incidence of perinatal death was four times the regional and national average. Babies to women referred in active labour and those with high maternal blood lactate were more likely to die.
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