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Avoidaee Perinatal Deaths as Seen at Muhimbili National Hospital, Dar-es-Salaam Tanzania.

Marandu, S., G. (2007) Avoidaee Perinatal Deaths as Seen at Muhimbili National Hospital, Dar-es-Salaam Tanzania. Masters thesis, Muhimbili University of Health and Allied Science.

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Abstract

In developing countries perinatal mortality is still very high and remains a challenge in the care of pregnant women. In a poor resource country like Tanzania knowing the avoidable causes of perinatal deaths can greatly have an impact on perinatal mortality and designing effective and measurable interventions with the available resources. To determine factors contributing to avoidable perinatal death at Muhimbili National Hospital from 1st November 2006 to 31st January 2007. This was a cross sectional descriptive study. All pregnant women admitted in the labour ward and aclampsia ward for delivery during the study period and had perinatal death weight ≥1500gm were included in the study. There were 2628 deliveries during the study period with 192 perinatal death Among them 129 were stillbirths where by 80 were and 49 MSBs. There were 63 first week neonatal deaths. The perinatal mortality rate was 73/1000 births. Stillbirth and early neonatal death rates were 49/1000 births and 24/1000 live births respectively. Twenty five birth weights of <1500gm amd were exclude from the study. The median age of the study population was 26±1.86, where 61.7% (103/…) had primary school education. Most of the women attended their antenatal care at health centre and dispensary level; 77% (129) and 18% (30) at hospital level while 8?..(5%0) women did not attend at all. Suboptimal factors identified in 134 (80.2) mothers who had perinatal deaths 36(21.5%) deaths were possibly avoidable while 57(34.1%) were likely avoidable. To 41(24.6%) mothers the suboptimal factors unlikely contributed to perinatal deaths. Pre-eclampsia/ eclampsia, severe anaemia, malaria and HIV/AIDS were the most common medical conditions observed in mothers who had perinatal deaths. Birth asphyxia and prematurity were the leading causes of deaths. Pre-eclampsia/eclampsia, severe anaemia, malaria, and HIV/AIDS were the common medical conditions that contributed to perinatal deaths. Improving antenatal care at health centers and dispensaries level and intrapartum care at MNH is essential in order to prevent avoidable perinatal deaths.

Item Type: Thesis (Masters)
Keywords: Perinatal Deaths, Eclampsia, Antenatal Care, Health Centers and Dispensaries, Muhimbili National Hospital, Dar es Salaam, Tanzania
Subjects: Maternal & Neonatal Health > Maternal Mortality & Morbidity
Maternal & Neonatal Health > Antenatal care
Divisions: Muhimbili University of Health and Allied Sciences (MUHAS)
Depositing User: Mr Joseph Madata
Date Deposited: 11 Sep 2013 07:00
Last Modified: 11 Sep 2013 07:00
URI: http://ihi.eprints.org/id/eprint/2073

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