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Clinical Characteristics and Causes of Perinatal Death Among Women Who Delivered at SekouToure Regional Referral Hospital, Mwanza Region, Northwestern Tanzania

Received: 11 September 2024     Accepted: 29 September 2024     Published: 18 October 2024
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Abstract

Background: Perinatal deaths and neonatal deaths are major public health concern worldwide. They are unexpected tragedy which brings bad experience to the pregnant mothers and the families in general. Occurrences of these deaths may be used to evaluate the quality of obstetric care given to pregnant women in the hospital. They shows good quality of obstetric care when they are low in number. Therefore, more efforts must be directed in preventing these deaths. Methods: This was a one-year retrospective descriptive hospital based study conducted in one of the tertiary regional referral hospital. Women who had perinatal deaths between the studied periods and meet the inclusion criteria were included. Results: There were 7336 deliveries in the study, 81.1% (n =5953) had vagina deliveries and 18.9% (n=1383) had Caesarean section. Total of 169 cases of perinatal deaths identified, making a rate of perinatal deaths of 23 cases per 1000 deliveries (2.3%). Among perinatal death 40% (n=67) were early neonatal deaths and there was an identified association between referral from lower health facilities with early neonatal deaths. Conclusion: The rate of perinatal deaths in this study was relatively low compared to other studies. This reflect the quality of obstetrics care pregnant women received in our facility. And most of these women with early neonatal deaths were referred to our facility from lower health facilities with complications.

Published in Journal of Gynecology and Obstetrics (Volume 12, Issue 5)
DOI 10.11648/j.jgo.20241205.13
Page(s) 104-109
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), 2024. Published by Science Publishing Group

Keywords

Perinatal Deaths, Obstetric Complications, Neonatal Care

References
[1] United Nations Inter-agency Group for Child Mortality Estimation (UN IGME). A neglected tragedy: the global burden of stillbirths. New York: United Nations Children’s Fund; 2020.
[2] Rodríguez JG, Trobo AR, García ML, Martínez MC, Millán CP, Vázquez MC, et al. The effect of performance feedback on wound infection rate in abdominal hysterectomy. American journal of infection control. 2006; 34(4): 182-7.
[3] Organization WH. Postpartum care of the mother and the newborn: a practical guide. Geneva: World Health Organization, 1998. 81 p. WHO/RHT/MSM/98.3.
[4] Gold K. J., Boggs M. E. & Lieberman R. W., 2014. Assessment of “fresh” versus “macerated” as accurate markers of time since intrauterine fetal demise in low-income. International Journal of Gynecology and Obstetrics, 125(3), pp. 223–227.
[5] Stillbirths: Where? When? Why? How to make the data count? The Lancet. 2011; 377(9775): 1448–63.
[6] Reinebrant HE, Leisher SH, Coory M, Henry S, Wojcieszek AM, Gardener G, et al. Making stillbirths visible: a systematic review of globally reported causes of stillbirth. BJOG. 2018; 125: 212–24.
[7] Ugwa EA, Ashimi A. An assessment of stillbirths in a tertiary hospital in northern Nigeria. J Matern Fetal Neonatal Med. 2015; 28: 1585–8.
[8] Musafili A, Persson L-Å, Baribwira C, Påfs J, Mulindwa PA, Essén B. Case review of perinatal deaths at hospitals in Kigali, Rwanda: perinatal audit with application of a three-delays analysis. Musafili et al. BMC Pregnancy Childbirth. 2017; 17: 85.
[9] Lori JR, Rominski S, Osher BF, Boyd CJ. A case series study of perinatal deaths at one referral center in rural post-conflict Liberia. Matern Child Health J. 2014; 18: 45–51.
[10] Manjavidze T, Rylander C, Skjeldestad FE, et al. Incidence and causes of perinatal mortality in Georgia. J Epidemiol Glob Health. 2019; 9: 163–168.
[11] Mbonye AK, Mutabazi MG, et al. Declining maternal mortality ratio in Uganda: Priority interventions to achieve the Millennium Development Goal. International Journal of Gynaecology and Obstetrics 2007. 96: 285-290.
[12] Tine BS, Charlotte CHH et al. Risk factors of stillbirths in four district hospitals on Pemba Island, Tanzania: a prospective cohort study. BMC Pregnancy and childbirth 2023. 23: 288.
[13] Chacha DM, Susan FR et al. Trends, patterns and cause-specific neonatal mortality in Tanzania: a hospital-based retrospective survey. 2021; 13: 334-343.
[14] Francisca SC, Amasha HM et al. Maternal and fetal risk factors for stillbirth in Northern Tanzania: A registry-based retrospective cohort stud 2017; 12(8): e0182250.
[15] NBS O. 2012 population and housing census: Population distribution by administrative units: Key findings. National Bureau of Statistics and Office of Chief Government Statistician Zanzibar, Dar es Salaam; 2013.
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  • APA Style

    Kaiza, I. L., Mvungi, E. D., Munema, F. K., Machangu, N. S., Mabega, N. G. (2024). Clinical Characteristics and Causes of Perinatal Death Among Women Who Delivered at SekouToure Regional Referral Hospital, Mwanza Region, Northwestern Tanzania. Journal of Gynecology and Obstetrics, 12(5), 104-109. https://doi.org/10.11648/j.jgo.20241205.13

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    ACS Style

    Kaiza, I. L.; Mvungi, E. D.; Munema, F. K.; Machangu, N. S.; Mabega, N. G. Clinical Characteristics and Causes of Perinatal Death Among Women Who Delivered at SekouToure Regional Referral Hospital, Mwanza Region, Northwestern Tanzania. J. Gynecol. Obstet. 2024, 12(5), 104-109. doi: 10.11648/j.jgo.20241205.13

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    AMA Style

    Kaiza IL, Mvungi ED, Munema FK, Machangu NS, Mabega NG. Clinical Characteristics and Causes of Perinatal Death Among Women Who Delivered at SekouToure Regional Referral Hospital, Mwanza Region, Northwestern Tanzania. J Gynecol Obstet. 2024;12(5):104-109. doi: 10.11648/j.jgo.20241205.13

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  • @article{10.11648/j.jgo.20241205.13,
      author = {Innocent Lutakyamilwa Kaiza and Emmiliana Dismas Mvungi and Furaha Katende Munema and Nakiete Samuel Machangu and Ndakibae Gabriel Mabega},
      title = {Clinical Characteristics and Causes of Perinatal Death Among Women Who Delivered at SekouToure Regional Referral Hospital, Mwanza Region, Northwestern Tanzania
    },
      journal = {Journal of Gynecology and Obstetrics},
      volume = {12},
      number = {5},
      pages = {104-109},
      doi = {10.11648/j.jgo.20241205.13},
      url = {https://doi.org/10.11648/j.jgo.20241205.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20241205.13},
      abstract = {Background: Perinatal deaths and neonatal deaths are major public health concern worldwide. They are unexpected tragedy which brings bad experience to the pregnant mothers and the families in general. Occurrences of these deaths may be used to evaluate the quality of obstetric care given to pregnant women in the hospital. They shows good quality of obstetric care when they are low in number. Therefore, more efforts must be directed in preventing these deaths. Methods: This was a one-year retrospective descriptive hospital based study conducted in one of the tertiary regional referral hospital. Women who had perinatal deaths between the studied periods and meet the inclusion criteria were included. Results: There were 7336 deliveries in the study, 81.1% (n =5953) had vagina deliveries and 18.9% (n=1383) had Caesarean section. Total of 169 cases of perinatal deaths identified, making a rate of perinatal deaths of 23 cases per 1000 deliveries (2.3%). Among perinatal death 40% (n=67) were early neonatal deaths and there was an identified association between referral from lower health facilities with early neonatal deaths. Conclusion: The rate of perinatal deaths in this study was relatively low compared to other studies. This reflect the quality of obstetrics care pregnant women received in our facility. And most of these women with early neonatal deaths were referred to our facility from lower health facilities with complications.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Clinical Characteristics and Causes of Perinatal Death Among Women Who Delivered at SekouToure Regional Referral Hospital, Mwanza Region, Northwestern Tanzania
    
    AU  - Innocent Lutakyamilwa Kaiza
    AU  - Emmiliana Dismas Mvungi
    AU  - Furaha Katende Munema
    AU  - Nakiete Samuel Machangu
    AU  - Ndakibae Gabriel Mabega
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    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 104
    EP  - 109
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20241205.13
    AB  - Background: Perinatal deaths and neonatal deaths are major public health concern worldwide. They are unexpected tragedy which brings bad experience to the pregnant mothers and the families in general. Occurrences of these deaths may be used to evaluate the quality of obstetric care given to pregnant women in the hospital. They shows good quality of obstetric care when they are low in number. Therefore, more efforts must be directed in preventing these deaths. Methods: This was a one-year retrospective descriptive hospital based study conducted in one of the tertiary regional referral hospital. Women who had perinatal deaths between the studied periods and meet the inclusion criteria were included. Results: There were 7336 deliveries in the study, 81.1% (n =5953) had vagina deliveries and 18.9% (n=1383) had Caesarean section. Total of 169 cases of perinatal deaths identified, making a rate of perinatal deaths of 23 cases per 1000 deliveries (2.3%). Among perinatal death 40% (n=67) were early neonatal deaths and there was an identified association between referral from lower health facilities with early neonatal deaths. Conclusion: The rate of perinatal deaths in this study was relatively low compared to other studies. This reflect the quality of obstetrics care pregnant women received in our facility. And most of these women with early neonatal deaths were referred to our facility from lower health facilities with complications.
    
    VL  - 12
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Author Information
  • Department of Obstetrics and Gynecology, SekouToure Regional Referral Hospital, Mwanza, United Republic of Tanzania

  • Department of Obstetrics and Gynecology, SekouToure Regional Referral Hospital, Mwanza, United Republic of Tanzania

  • Department of Surgery, SekouToure Regional Refferal Hospital, Mwanza, United Republic of Tanzania

  • Department of Paediatrics and Child Health, SekouToure Regional Referral Hospital, Mwanza, United Republic of Tanzania

  • Department of Clinical Research, National Institute for Medical Research, Mwanza Research Centre, Mwanza, United Republic of Tanzania

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