Pregnancy Outcome In Rural Ethiopia With Emphasis To Perinatal Mortality

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A prospective community-based study of pregnant women wasrnconducted to assess pregnancy outcome with emphasis to perinatal mortal ity inrnrural communities of Meskan and Mareko district in Gurage zone in SouthernrnEth iop ia, between March 22 and August 2 1, 1997. Pregnant women werernidentified by trained enumerators through house - to - house visit and werernfollowed month Iy till del ivery, after wh ich both the neonates and the mothersrnwere visited at 7th and 28th days. Pretes ted standard questionnaires were usedrnto obtain information on socio-demograph ic characteristics, past obstetricrnhistory, health problems during the index pregnancy and labour, and therncondition of both the neonates and the mothers at the 7th and 28th days.rnAnalysis made on 428 singleton births showed a perinatal mortality rate ofrn44.4 per 1000 births. The stillbirth and early neonatal mortality rates werern21.0 per 1000 births and 23.9 per 1000 live births, respectively. The ratesrnwere found to be relatively low as compared to figures reported for other sub-rnSaharan Africa. Both bivariate and multivariate analysis showed that maternalrnheight and gestational age were significantly associated with perinatalrn~ - --rnmortality. The risk of death was signif icantly higher among neonates born tornshort statured mothers. Similarly the risk of perinatal death was higher inrnpreterm babies than term babies. Establishment of emergency obstetric carern(EOC) alongside with training of traditional birth attendants and educatingrnmothers for appropriate utilization of MCH services are recommended.

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Pregnancy Outcome In Rural Ethiopia With Emphasis To Perinatal Mortality

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