PMID- 1644026 OWN - NLM STAT- MEDLINE DCOM- 19920908 LR - 20041117 IS - 0012-835X (Print) IS - 0012-835X (Linking) VI - 69 IP - 4 DP - 1992 Apr TI - Factors influencing early perinatal mortality in a rural district hospital. PG - 181-7 AB - Early perinatal mortality (EPM) was prospectively analysed in a rural District Hospital during a 4 month period. 2,171 deliveries were recorded with an early perinatal mortality rate (EPMR) of 53/1000. Factors significantly influencing EPM included maternal age, education, marital and socio-economic status. Antenatal care, gestation at delivery, birthweight, pregnancy and labour complications were other significant factors. A maternal mortality rate of 2.8/1000 was also recorded. The study findings and possible lines of intervention are discussed. FAU - Kavoo-Linge AU - Kavoo-Linge AD - Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, Kenya. FAU - Rogo, K O AU - Rogo KO LA - eng PT - Journal Article PL - Kenya TA - East Afr Med J JT - East African medical journal JID - 0372766 SB - IM MH - Adolescent MH - Adult MH - Delivery, Obstetric/methods MH - Educational Status MH - Female MH - Hospitals, District MH - Hospitals, Rural MH - Humans MH - *Infant Mortality MH - Infant, Newborn MH - Kenya/epidemiology MH - Marriage/statistics & numerical data MH - Maternal Age MH - Parity MH - Prospective Studies MH - Risk Factors MH - Socioeconomic Factors OID - PIP: 079141 OID - POP: 00218044 OAB - The examination of early perinatal mortality (between 28 weeks gestation and 1 week after birth) was conducted in the Machakos District Hospital in Kenya over a 4-month period. The hospital provides full gynecological and obstetric services and family planning. Out of 2171 deliveries recorded that early perinatal mortality rate (EPMR) was 53/1000 (114 losses). The maternal mortality rate was 2.7/1000 due to 3 ruptured uteri, 1 postpartum hemorrhage, 1 case of cerebral malaria, and 1 care of anesthetic complications. In the analysis of factors associated with EPMR, the findings showed that there was a statistically significant difference between married and single/separated status with regard to EPMR. Although not statistically significant, EPMR was lowest at a parity of 2. Maternal educational level and socioeconomic status had a statistically significant impact on EPMR. 70% of the mothers were in the low socioeconomic group, which had the highest rates of mortality. 5% of the birthing mothers did not receive prenatal care and contributed 22% of the perinatal mortality. There was also an unexpected number of perinatal deaths for mothers who had received prenatal car at a sub-district hospital. There was a very low EPMR (34/1000) for mothers without any complications, which constituted 81.4% of pregnancies. The highest EPMR of 315/1000 was found among those mothers with "threatened abortion." Malpresentation accounted for an EPMR of 242/1000, and prepartum hemorrhage, for an EPMR of 210/1000. 1.1% of mothers had a urinary tract infection, .1% had cardiac disease, and .1% had diabetes, but these complications were not associated with EPMR. 17% were premature births; 10% were births after 42 weeks. Mortality was highest among babies of less tan 28 weeks gestation. Among the 82% with the uncomplicated labor the EPMR was 10/1000. The 6% with prolonged labor had an EPMR of 177/1000. The highest EPMR was found among women with a ruptured uterus an cord collapse. The birth weight groups of 3000 to 3494 had the lowest EPMR. The recommendations pertained to improvements in the health care system. OABL- eng OTO - PIP OT - Africa OT - Africa South Of The Sahara OT - Age Factors OT - Delivery Of Health Care OT - Demographic Factors OT - Developing Countries OT - Diseases OT - Eastern Africa OT - English Speaking Africa OT - Health OT - Health Services OT - Health Services Evaluation OT - Infant OT - Infant Mortality OT - *Infant, Premature OT - Kenya OT - Maternal Health Services OT - *Maternal-child Health Services OT - Mortality OT - *Neonatal Mortality OT - Organization And Administration OT - Population OT - Population Characteristics OT - Population Dynamics OT - Pregnancy OT - *Pregnancy Complications OT - *Pregnancy Outcomes OT - *Prenatal Care OT - Primary Health Care OT - Program Evaluation OT - Programs OT - *Prospective Studies OT - *Quality Of Health Care OT - Reproduction OT - Research Methodology OT - Studies OT - Youth GN - PIP: TJ: EAST AFRICAN MEDICAL JOURNAL. EDAT- 1992/04/01 00:00 MHDA- 1992/04/01 00:01 CRDT- 1992/04/01 00:00 PHST- 1992/04/01 00:00 [pubmed] PHST- 1992/04/01 00:01 [medline] PHST- 1992/04/01 00:00 [entrez] PST - ppublish SO - East Afr Med J. 1992 Apr;69(4):181-7.