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Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care

Received: 8 March 2023     Accepted: 4 April 2023     Published: 15 April 2023
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Abstract

Purpose: Intrauterine fetal death (IUFD) is a problem frequently encountered in obstetrical practice in developing countries. The objectives of this study were to identify maternal risk factors for IUFD in the third trimester of pregnancy and to establish its relationship with the norms of periodicity of antenatal care in Kamina. Materiel and methods: This is a case-control study conducted in 6 health facilities in Kamina from January 2021 to May 2022. The effects of the socio-demographic characteristics and obstetrical history of mothers, number of prenatal attendances, age of pregnancy at the first prenatal attendance and number of consultations in third trimester of pregnancy on the occurrence of IUFD were studied. A total of 78 cases of IUFD were linked to 234 controls. Results: The adjustment allowed us to retain 5 parameters significantly associated with IUFD: residence in a rural environment (aOR=2.25; CI= [1.23-4.48]), absence of a history of abortion (aOR=2.97; CI=[1.21-7.26]), history of stillbirth (aOR=2.97; CI =[1.21-7.26]), non-follow up of prenatal care (aOR=3.69; CI=[1.78-7.68]) and insufficient number of prenatal attendances in the third trimester of pregnancy (aOR= 2.22; CI=[1.04 -4.73]). The values of the area under the ROC curve (AUC) found indicate a good capacity of the model (80.3%). Conclusion: The modifiable maternal determinants and those related to identified ANC should serve providers to reduce the occurrence of IUFD in Kamina and its surroundings.

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 2)
DOI 10.11648/j.jgo.20231102.13
Page(s) 41-46
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Intrauterine Fetal Death, Risk Factors, Antenatal Care

References
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Cite This Article
  • APA Style

    Ignace Bwana Kangulu, Albert Mwembo Tambwe A'Nkoy, Michel Kabamba Nzaji, Alain Mbayo Kazadi, Elie Kilolo Ngoy Umba, et al. (2023). Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care. Journal of Gynecology and Obstetrics, 11(2), 41-46. https://doi.org/10.11648/j.jgo.20231102.13

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    ACS Style

    Ignace Bwana Kangulu; Albert Mwembo Tambwe A'Nkoy; Michel Kabamba Nzaji; Alain Mbayo Kazadi; Elie Kilolo Ngoy Umba, et al. Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care. J. Gynecol. Obstet. 2023, 11(2), 41-46. doi: 10.11648/j.jgo.20231102.13

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    AMA Style

    Ignace Bwana Kangulu, Albert Mwembo Tambwe A'Nkoy, Michel Kabamba Nzaji, Alain Mbayo Kazadi, Elie Kilolo Ngoy Umba, et al. Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care. J Gynecol Obstet. 2023;11(2):41-46. doi: 10.11648/j.jgo.20231102.13

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  • @article{10.11648/j.jgo.20231102.13,
      author = {Ignace Bwana Kangulu and Albert Mwembo Tambwe A'Nkoy and Michel Kabamba Nzaji and Alain Mbayo Kazadi and Elie Kilolo Ngoy Umba and John Ngoy Lumbule and Eric Kiwele Zongwe and Xavier Kinenkinda Kalume and Jules Ngwe Thaba Moyambe and Jean-Baptiste Kakoma Sakatolo and Prosper Kalenga Muenze Kayamba},
      title = {Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {2},
      pages = {41-46},
      doi = {10.11648/j.jgo.20231102.13},
      url = {https://doi.org/10.11648/j.jgo.20231102.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231102.13},
      abstract = {Purpose: Intrauterine fetal death (IUFD) is a problem frequently encountered in obstetrical practice in developing countries. The objectives of this study were to identify maternal risk factors for IUFD in the third trimester of pregnancy and to establish its relationship with the norms of periodicity of antenatal care in Kamina. Materiel and methods: This is a case-control study conducted in 6 health facilities in Kamina from January 2021 to May 2022. The effects of the socio-demographic characteristics and obstetrical history of mothers, number of prenatal attendances, age of pregnancy at the first prenatal attendance and number of consultations in third trimester of pregnancy on the occurrence of IUFD were studied. A total of 78 cases of IUFD were linked to 234 controls. Results: The adjustment allowed us to retain 5 parameters significantly associated with IUFD: residence in a rural environment (aOR=2.25; CI= [1.23-4.48]), absence of a history of abortion (aOR=2.97; CI=[1.21-7.26]), history of stillbirth (aOR=2.97; CI =[1.21-7.26]), non-follow up of prenatal care (aOR=3.69; CI=[1.78-7.68]) and insufficient number of prenatal attendances in the third trimester of pregnancy (aOR= 2.22; CI=[1.04 -4.73]). The values of the area under the ROC curve (AUC) found indicate a good capacity of the model (80.3%). Conclusion: The modifiable maternal determinants and those related to identified ANC should serve providers to reduce the occurrence of IUFD in Kamina and its surroundings.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care
    AU  - Ignace Bwana Kangulu
    AU  - Albert Mwembo Tambwe A'Nkoy
    AU  - Michel Kabamba Nzaji
    AU  - Alain Mbayo Kazadi
    AU  - Elie Kilolo Ngoy Umba
    AU  - John Ngoy Lumbule
    AU  - Eric Kiwele Zongwe
    AU  - Xavier Kinenkinda Kalume
    AU  - Jules Ngwe Thaba Moyambe
    AU  - Jean-Baptiste Kakoma Sakatolo
    AU  - Prosper Kalenga Muenze Kayamba
    Y1  - 2023/04/15
    PY  - 2023
    N1  - https://doi.org/10.11648/j.jgo.20231102.13
    DO  - 10.11648/j.jgo.20231102.13
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 41
    EP  - 46
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20231102.13
    AB  - Purpose: Intrauterine fetal death (IUFD) is a problem frequently encountered in obstetrical practice in developing countries. The objectives of this study were to identify maternal risk factors for IUFD in the third trimester of pregnancy and to establish its relationship with the norms of periodicity of antenatal care in Kamina. Materiel and methods: This is a case-control study conducted in 6 health facilities in Kamina from January 2021 to May 2022. The effects of the socio-demographic characteristics and obstetrical history of mothers, number of prenatal attendances, age of pregnancy at the first prenatal attendance and number of consultations in third trimester of pregnancy on the occurrence of IUFD were studied. A total of 78 cases of IUFD were linked to 234 controls. Results: The adjustment allowed us to retain 5 parameters significantly associated with IUFD: residence in a rural environment (aOR=2.25; CI= [1.23-4.48]), absence of a history of abortion (aOR=2.97; CI=[1.21-7.26]), history of stillbirth (aOR=2.97; CI =[1.21-7.26]), non-follow up of prenatal care (aOR=3.69; CI=[1.78-7.68]) and insufficient number of prenatal attendances in the third trimester of pregnancy (aOR= 2.22; CI=[1.04 -4.73]). The values of the area under the ROC curve (AUC) found indicate a good capacity of the model (80.3%). Conclusion: The modifiable maternal determinants and those related to identified ANC should serve providers to reduce the occurrence of IUFD in Kamina and its surroundings.
    VL  - 11
    IS  - 2
    ER  - 

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Author Information
  • Department of Gynecology and Obstetrics, Faculty of Medicine, University of Kamina, Kamina, Democratic Republic of Congo

  • Department of Gynecology and Obstetrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Faculty of Medecine, School of Public Health, University of Kamina, Kamina, Democratic Republic of Congo

  • Department of Gynecology and Obstetrics, Faculty of Medicine, University of Kamina, Kamina, Democratic Republic of Congo

  • Faculty of Medecine, School of Public Health, University of Kamina, Kamina, Democratic Republic of Congo

  • Faculty of Medecine, School of Public Health, University of Kamina, Kamina, Democratic Republic of Congo

  • Department of Gynecology and Obstetrics, Faculty of Medicine, University of Kamina, Kamina, Democratic Republic of Congo

  • Department of Gynecology and Obstetrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Gynecology and Obstetrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Gynecology and Obstetrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Gynecology and Obstetrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

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