Levels and determinants of perinatal mortality in central Sudan

T. E. Taha, R. H. Gray, M. M. Abdelwahab, A. R. Abdelhafeez, A. B. Abdelsalam

Research output: Contribution to journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)109-115
Number of pages7
JournalInternational Journal of Gynecology and Obstetrics
Volume45
Issue number2
DOIs
StatePublished - May 1994
Externally publishedYes

Keywords

  • Early neonatal mortality
  • Perinatal mortality
  • Stillbirths

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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