کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3954283 1600339 2013 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A multi-country study of the “intrapartum stillbirth and early neonatal death indicator” in hospitals in low-resource settings
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
A multi-country study of the “intrapartum stillbirth and early neonatal death indicator” in hospitals in low-resource settings
چکیده انگلیسی

ObjectiveTo 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.MethodsBetween 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.ResultsData 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.ConclusionThe 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.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Gynecology & Obstetrics - Volume 122, Issue 3, September 2013, Pages 230–233
نویسندگان
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