Author:
Kahiririaa Mathe Julien,Namyalo Josephine,Mubarak Nasur,Otieno Emmanuel
Abstract
Abstract
Background
Globally, perinatal mortality rates have decreased considerably in the last 30 years. However, in sub-Saharan African countries perinatal mortality remains a public health burden. Therefore, this study aimed to determine the Perinatal Mortality Rate and the factors associated with perinatal mortality in Beni City, Northeastern Democratic Republic of Congo.
Methods
A hospital-based retrospective cross-sectional study was conducted among 1394 deliveries that were documented in Beni General Referral Hospital from 2 January to May 31, 2022. The study was done in the conflict-ridden Beni city of the North Kivu Province. Analysis was done using Open Epi and SPSS version 22. Binary and Multivariate logistic regression analyses were performed. Odds ratio with 95% confidence interval was used to measure strength of association.
Results
Findings indicate that 60.7% of 1394 participants were below the age of 21 years, and 95.1% (1325) Beni residents. The Perinatal Mortality Rate was 42.3 per 1000 live births. Majority (51) of the postpartum women who experienced perinatal mortality didn`t have a history of perinatal mortality as compared to their counterparts. Multivariable analysis revealed that birth weight (AoR = 0.082, 95% CI 0.014–0.449, p < 0.05) and Apgar score in the 10th minute (AoR = 0.082, 95% CI 0.000- 0.043, p < 0.05) were significantly associated with Perinatal mortality.
Conclusion
The high perinatal mortality rate in Beni General Referral Hospital, approximately four in every 100 births remains a disturbing public health concern of which is attributable to low birth weight and Apgar score. This study may help policy-makers and healthcare providers to design preventive interventions.
Publisher
Springer Science and Business Media LLC
Reference27 articles.
1. Jena BH, Biks GA, Gelaye KA, Gete YK. Magnitude and trend of perinatal mortality and its relationship with inter-pregnancy interval in Ethiopia: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2020;20:432. https://doi.org/10.1186/s12884-020-03089.
2. Dheresa M, Daraje G, Fekadu G, Ayana GM, Balis B, Negash B, et al. Perinatal mortality and its predictors in Kersa Health and demographic Surveillance System, Eastern Ethiopia: population-based prospective study from 2015 to 2020. BMJ open. 2022;12:e054975. https://doi.org/10.1136/bmjopen-2021-054975.
3. World Health Organization. (WHO 2016). Recommendations on Antenatal Care for a Positive Pregnancy Experience. Geneva: World Health Organization;2016 ISBN-13: 978-92-4-154991-2 https://www.ncbi.nlm.nih.gov/books/NBK409108/. [Accessed November 17, 2023].
4. Girma D, Abita Z, Fetene G, Birie B. Individual and community-level factors of perinatal mortality in the high mortality regions of Ethiopia: a multilevel mixed-effect analysis. BMC Public Health. 2022;22:247. https://doi.org/10.1186/s12889-022-12695-y.
5. Healthy Newborn Network. Democratic Republic of Congo. Key Indicators. 2023. https://www.healthynewbornnetwork.org/country/congo-democratic-republic-of-the/ [Accessed November 22, 2023].