A multi-country study of the "intrapartum stillbirth and early neonatal death indicator" in hospitals in low-resource settings.
Objective: To determine the feasibility of introducing a simple indicator of quality of obstetric and neonatal care and to determine the proportion of potentially avoidable perinatal deaths in hospitals in low-income countries.Methods: Between September 1, 2011, and February 29, 2012, data were coll...
| Published in: | International Journal of Gynecology & Obstetrics Vol. 122; no. 3; pp. 230 - 234 |
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| Main Authors: | , , , , , , , , , , , , , , , , , |
| Format: | research Journal Article |
| Published: |
Wiley-Blackwell
Sep2013
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104084527&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104084527 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00207292 3LX jtl: International Journal of Gynecology & Obstetrics issn: 00207292 maglogo: N pubinfo: dt: Sep2013 vid: 122 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104084527 104084527 NLM23796259 2012205032 10.1016/j.ijgo.2013.04.008 NLM23796259 PMC3893914 104084527 ppf: 230 ppct: 4 formats: tig: atl: A multi-country study of the "intrapartum stillbirth and early neonatal death indicator" in hospitals in low-resource settings. aug: au: Goldenberg, Robert L McClure, Elizabeth M Kodkany, Bhala Wembodinga, Gilbert Pasha, Omrana Esamai, Fabian Tshefu, Antoinette Patel, Archana Mabaye, Hillary Goudar, Shivaparasad Saleem, Sarah Waikar, Manjushri Langer, Ana Bose, Carl L Rubens, Craig E Wright, Linda L Moore, Janet Blanc, Ann affil: Department of Obstetrics and Gynecology, Columbia University, NY, USA. Electronic address: rlg88@columbia.edu. sug: subj: Perinatal Death Epidemiology Fetal Monitoring Methods Quality of Health Care Developing Countries Pilot Studies Female Perinatal Death Prevention and Control Fetal Heart Physiology Hospital Mortality Human Infant Mortality Infant, Newborn Pregnancy Clinical Indicators Infant, Newborn: birth-1 month Female ab: Objective: To determine the feasibility of introducing a simple indicator of quality of obstetric and neonatal care and to determine the proportion of potentially avoidable perinatal deaths in hospitals in low-income countries.Methods: Between September 1, 2011, and February 29, 2012, data were collected from consecutive women who were admitted to the labor ward of 1 of 6 hospitals in 4 low-income countries. Fetal heart tones on admission were monitored, and demographic and birth data were recorded.Results: Data were obtained for 3555 women and 3593 neonates (including twins). The doptone was used on 97% of women admitted. The overall perinatal mortality rate was 34 deaths per 1000 deliveries. Of the perinatal deaths, 40%-45% occurred in the hospital and were potentially preventable by better hospital care.Conclusion: The results demonstrated that it is possible to accurately determine fetal viability on admission via a doptone. Implementation of doptone use, coupled with a concise data record, might form the basis of a low-cost and sustainable program to monitor and evaluate efforts to improve quality of care and ultimately might help to reduce the in-hospital component of perinatal mortality in low-income countries. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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