Abstract
OBJECTIVES: To determine levels and risk factors for perinatal mortality in Central Sudan. METHODS: Hospital and community based studies were conducted during the period 1989-1990. Of 5328 births registered in the hospital, 197 stillborns and 812 live-born infants were included in a nested case-control study. In the community, a follow-up study was conducted on 1592 midwife-assisted home deliveries. Multivariate logistic regression analysis was used to identify predictors of perinatal mortality and adjusted population attributable risks were estimated to assess the contribution of each factor. RESULTS: The perinatal mortality rate was 85.4/1000 births in the hospital population and 29.4/1000 births in the community population. The major risk factors for perinatal mortality in the hospital and the community studies were similar and modifiable. CONCLUSIONS: To lower perinatal mortality, improvements in maternal nutrition, malaria treatment and control, avoidance of agricultural pesticides during pregnancy, and adequate antenatal and intrapartum care are recommended.
Original language | English (US) |
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Pages (from-to) | 109-115 |
Number of pages | 7 |
Journal | International Journal of Gynecology and Obstetrics |
Volume | 45 |
Issue number | 2 |
DOIs | |
State | Published - May 1994 |
Externally published | Yes |
Keywords
- Early neonatal mortality
- Perinatal mortality
- Stillbirths
ASJC Scopus subject areas
- Obstetrics and Gynecology