publication . Article . 2011

Challenge of Reducing Perinatal Mortality in Rural Congo: Findings of a Prospective, Population-based Study

Matendo, Richard M.; Engmann, Cyril M.; Ditekemena, John D.; Gado, Justin; Tshefu, Antoinette; Mcclure, Elizabeth M.; Moore, Janet; Marleen Boelaert; Carlo, Waldemar A.; Wright, Linda L.; ...
Open Access English
  • Published: 13 Nov 2011 Journal: Journal of Health, Population, and Nutrition, volume 29, issue 5, pages 532-540 (issn: 1606-0997, eissn: 2072-1315, Copyright policy)
  • Publisher: International Centre for Diarrhoeal Disease Research, Bangladesh
  • Country: Belgium
Abstract
Each year, an estimated six million perinatal deaths occur worldwide, and 98% of these deaths occur in low- and middle-income countries. These estimates are based on surveys in both urban and rural areas, and they may underrepresent the problem in rural areas. This study was conducted to quantify perinatal mortality, to identify the associated risk factors, and to determine the most common causes of early neonatal death in a rural area of the Democratic Republic of the Congo (DRC). Data were collected on 1,892 births. Risk factors associated with perinatal deaths were identified using multivariate analysis with logistic regression models. Causes of early neonata...
Subjects
free text keywords: Original Papers, Neonatal mortality, Observational studies, Perinatal mortality, Population-based studies, Prospective studies, Stillbirths, Congo, Epidemiology, Quantification, Risk factors, Causes of death, Mortality rates, Stillbirth, Low birth weight, Prenatal care, Parity, Prematurity, Breech presentation, Rural, Congo-Kinshasa, Africa, Central, Food Science, Public Health, Environmental and Occupational Health, Health, Toxicology and Mutagenesis
38 references, page 1 of 3

Stanton, C, Lawn, JE, Rahman, H, Wilczynska-Ketende, K, Hill, K. Stillbirth rates: delivering estimates in 190 countries. Lancet. 2006; 367: 1487-94 [PubMed]

Lawn, JE, Cousens, S, Zupan, J. 4 million neonatal deaths: when? Where? Why?. Lancet. 2005; 365: 891-900 [PubMed]

Lopez, AD, Mathers, CD. Measuring the global burden of disease and epidemiological transitions: 2002–2030. Ann Trop Med Parasitol. 2006; 100: 481-99 [PubMed]

Lopez, AD, Mathers, CD, Ezzati, M, Jamison, DT, Murray, CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet. 2006; 367: 1747-57 [PubMed]

Mathers, CD, Loncar, D. Projections of global mortali-ty and burden of disease from 2002 to 2030. PLoS Med. 2006; 3: e442 [OpenAIRE] [PubMed]

Zupan, J. Perinatal mortality in developing countries. N Engl J Med. 2005; 352: 2047-8 [PubMed]

Engmann, C, Matendo, R, Kinoshita, R, Ditekemena, J, Moore, J, Goldenberg, RL. Stillbirth and early neonatal mortality in rural Central Africa. Int J Gynaecol Obstet. 2009; 105: 112-7 [OpenAIRE] [PubMed]

Rapport mondial de développement humain. 2005: 234

Enquête démographique et de santé, République Démocratique du Congo 2007. 2008: 157-9

Carlo, WA, Goudar, SS, Jehan, I, Chomba, E, Tshefu, A, Garces, A. Newborn-care training and perinatal mortality in communities in developing countries. N Engl J Med. 2010; 362: 614-23 [OpenAIRE] [PubMed]

Health status statistics: mortality. 2003: 2

Lee, ACC, Mullany, LC, Tielsch, JM, Katz, J, Khatry, SK, LeClerg, SC. Risk factors for neonatal mortality due to birth asphyxia in southern Nepal: a prospective, community-based cohort study. Pediatrics. 2008; 121: e1381-90 [OpenAIRE] [PubMed]

Verhoeff, FH, Milligan, P, Brabin, BJ, Mlanga, S, Nakoma, V. Gestational age assessment by nurses in a developing country using the Ballard method, external criteria only. Ann Trop Paediatr. 1997; 17: 333-42 [OpenAIRE] [PubMed]

Neonatal and perinatal mortality: country, regional and global estimates. 2006: 69

Annuaire sanitaire exercice 2004. 2004: 74-8

38 references, page 1 of 3
Abstract
Each year, an estimated six million perinatal deaths occur worldwide, and 98% of these deaths occur in low- and middle-income countries. These estimates are based on surveys in both urban and rural areas, and they may underrepresent the problem in rural areas. This study was conducted to quantify perinatal mortality, to identify the associated risk factors, and to determine the most common causes of early neonatal death in a rural area of the Democratic Republic of the Congo (DRC). Data were collected on 1,892 births. Risk factors associated with perinatal deaths were identified using multivariate analysis with logistic regression models. Causes of early neonata...
Subjects
free text keywords: Original Papers, Neonatal mortality, Observational studies, Perinatal mortality, Population-based studies, Prospective studies, Stillbirths, Congo, Epidemiology, Quantification, Risk factors, Causes of death, Mortality rates, Stillbirth, Low birth weight, Prenatal care, Parity, Prematurity, Breech presentation, Rural, Congo-Kinshasa, Africa, Central, Food Science, Public Health, Environmental and Occupational Health, Health, Toxicology and Mutagenesis
38 references, page 1 of 3

Stanton, C, Lawn, JE, Rahman, H, Wilczynska-Ketende, K, Hill, K. Stillbirth rates: delivering estimates in 190 countries. Lancet. 2006; 367: 1487-94 [PubMed]

Lawn, JE, Cousens, S, Zupan, J. 4 million neonatal deaths: when? Where? Why?. Lancet. 2005; 365: 891-900 [PubMed]

Lopez, AD, Mathers, CD. Measuring the global burden of disease and epidemiological transitions: 2002–2030. Ann Trop Med Parasitol. 2006; 100: 481-99 [PubMed]

Lopez, AD, Mathers, CD, Ezzati, M, Jamison, DT, Murray, CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet. 2006; 367: 1747-57 [PubMed]

Mathers, CD, Loncar, D. Projections of global mortali-ty and burden of disease from 2002 to 2030. PLoS Med. 2006; 3: e442 [OpenAIRE] [PubMed]

Zupan, J. Perinatal mortality in developing countries. N Engl J Med. 2005; 352: 2047-8 [PubMed]

Engmann, C, Matendo, R, Kinoshita, R, Ditekemena, J, Moore, J, Goldenberg, RL. Stillbirth and early neonatal mortality in rural Central Africa. Int J Gynaecol Obstet. 2009; 105: 112-7 [OpenAIRE] [PubMed]

Rapport mondial de développement humain. 2005: 234

Enquête démographique et de santé, République Démocratique du Congo 2007. 2008: 157-9

Carlo, WA, Goudar, SS, Jehan, I, Chomba, E, Tshefu, A, Garces, A. Newborn-care training and perinatal mortality in communities in developing countries. N Engl J Med. 2010; 362: 614-23 [OpenAIRE] [PubMed]

Health status statistics: mortality. 2003: 2

Lee, ACC, Mullany, LC, Tielsch, JM, Katz, J, Khatry, SK, LeClerg, SC. Risk factors for neonatal mortality due to birth asphyxia in southern Nepal: a prospective, community-based cohort study. Pediatrics. 2008; 121: e1381-90 [OpenAIRE] [PubMed]

Verhoeff, FH, Milligan, P, Brabin, BJ, Mlanga, S, Nakoma, V. Gestational age assessment by nurses in a developing country using the Ballard method, external criteria only. Ann Trop Paediatr. 1997; 17: 333-42 [OpenAIRE] [PubMed]

Neonatal and perinatal mortality: country, regional and global estimates. 2006: 69

Annuaire sanitaire exercice 2004. 2004: 74-8

38 references, page 1 of 3
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