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Related Experiment Videos

Perinatal mortality in rural Malawi

J McDermott1, R Steketee, J Wirima

  • 1Malaria Branch, National Center for Infectious Diseases, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.

Bulletin of the World Health Organization
|January 1, 1996
PubMed
Summary

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Perinatal death in Malawi was 68.3 per 1000 births. Key risk factors included syphilis, nulliparity, and low socioeconomic status, highlighting areas for intervention in antenatal and intrapartum care.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Epidemiology

Background:

  • Perinatal mortality remains a significant challenge in low-resource settings.
  • Understanding local risk factors is crucial for effective intervention strategies.

Purpose of the Study:

  • To determine the prevalence and identify risk factors for perinatal death in Malawi.
  • To inform targeted interventions for reducing perinatal mortality.

Main Methods:

  • Retrospective analysis of singleton pregnancies in Malawi (1987-1990).
  • Statistical assessment of risk factors associated with perinatal mortality.

Main Results:

  • A perinatal mortality rate of 68.3 per 1000 births was observed.
Keywords:
AfricaAfrica South Of The SaharaBiologyBody Height--womenDelivery Of Health CareDemographic FactorsDeveloping CountriesDiseasesEastern AfricaEconomic FactorsEnglish Speaking AfricaFertilityFertility MeasurementsFetal Death--determinantsHealthHealth ServicesInfant MortalityInfectionsMalawiMedicineMortalityMortality DeterminantsNeonatal Mortality--determinantsNulliparityParityPhysiologyPopulationPopulation CharacteristicsPopulation DynamicsPregnant WomenPreventive MedicineReproductive Tract InfectionsResearch ReportRisk FactorsSexually Transmitted DiseasesSocioeconomic FactorsSocioeconomic Status--womenSyphilis

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  • Identified risk factors include reactive syphilis serology, nulliparity, prior late fetal/neonatal death, short maternal height (<150 cm), home delivery, and low socioeconomic status.
  • Conclusions:

    • Perinatal mortality in Malawi is associated with several identifiable risk factors.
    • Targeted interventions, including syphilis screening/treatment and facility-based management of high-risk pregnancies, can reduce perinatal deaths.