No difference in perinatal mortality between home and facility delivery in rural Tanzania: a prospective community-based study (Record no. 19719)

MARC details
000 -LEADER
fixed length control field 04349nam a22003257a 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193737.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 221125b |||||||| |||| 00| 0 eng d
028 ## - PUBLISHER OR DISTRIBUTOR NUMBER
Source Phone: +255 28 298 3384
Source Fax: +255 28 298 3386
Source Email: vc@bugando.ac.tz
Source Website: www.bugando.ac.tz
040 ## - CATALOGING SOURCE
Language of cataloging English
Transcribing agency DLC
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Eveline T Konje
9 (RLIN) 23135
110 ## - MAIN ENTRY--CORPORATE NAME
9 (RLIN) 46020
245 ## - TITLE STATEMENT
Title No difference in perinatal mortality between home and facility delivery in rural Tanzania: a prospective community-based study
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. International Society of Global Health &
-- Catholic University of Health and Allied Sciences [CUHAS – Bugando]
Date of publication, distribution, etc. 2020/9/1
300 ## - PHYSICAL DESCRIPTION
Extent Pages e2020083
490 ## - SERIES STATEMENT
Volume/sequential designation Journal of Global Health Reports Volume 4
520 ## - SUMMARY, ETC.
Summary, etc. Abstract:<br/><br/>Background: Facility-based delivery with skilled birth attendants in an enabling environment is recommended for life-saving and for improving maternal and newborn health outcomes. Inconsistent results exist regarding the protective effects of facility delivery on maternal and perinatal mortality in developing countries. The primary objective of this study was to investigate the association between place of delivery and maternal and perinatal mortality. A secondary objective was to examine the association between place of delivery and maternal complications during pregnancy, labor and delivery, and 48 hours postpartum.<br/><br/>MethodsMethods: This community-based prospective study recruited a cohort of 1719 women in their third trimester of pregnancy through a door-to-door survey in randomly selected wards in rural Geita Northwest Tanzania between September 2016 and December 2017. A total of 1385 eligible mother-infant pairs were followed to seven days post-delivery.<br/><br/>ResultsResults: Half of the women delivered at a health facility (52.23%). A limited number of maternal deaths (n=7) were observed; 3 of these occurred at health facilities. No association was found between place of delivery and perinatal mortality (adjusted odds ratio, aOR=1.60, 95% confidence interval, CI=0.65-3.80). The prevalence of maternal complications during pregnancy, labor and delivery, and 48 hours postpartum were 6.14%, 8.74%, and 12.56%,<br/>respectively. A higher proportion of women who delivered at health facilities reported complications during labor and delivery (13.26% vs 3.78%) and 48 hours postnatally (14.78% vs 10.14%) than women who delivered at home.<br/><br/>ConclusionsConclusions: Health facility delivery was not associated with reduced perinatal mortality. A higher proportion of women who delivered at health facilities reported complications during labour and delivery. Controlling for maternal complications attenuated the association between place of delivery and perinatal mortality. Many health facilities in rural Geita Tanzania remain ill-equipped to deal with unpredictable complications during childbirth. Improving staff training, access to essential drugs and equipment, and quality care could reduce perinatal mortality.
Summary, etc. Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada, 2 Options Tanzania Ltd 76 Ali Hassan Mwinyi Road, Dar es Salaam Tanzania, 3 Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada, 4 Department of Paediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada, 5 Department of Paediatrics, Cumming School of Medicine University of Calgary, Calgary, Alberta Canada; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta Canada
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 46021
9 (RLIN) 23044
9 (RLIN) 23004
9 (RLIN) 23136
9 (RLIN) 22805
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://www.researchgate.net/profile/Deborah-Dewey/publication/344033373_No_difference_in_perinatal_mortality_between_home_and_facility_delivery_in_rural_Tanzania_a_prospective_community-based_study/links/5f734102458515b7cf57793a/No-difference-in-perinatal-mortality-between-home-and-facility-delivery-in-rural-Tanzania-a-prospective-community-based-study.pdf">https://www.researchgate.net/profile/Deborah-Dewey/publication/344033373_No_difference_in_perinatal_mortality_between_home_and_facility_delivery_in_rural_Tanzania_a_prospective_community-based_study/links/5f734102458515b7cf57793a/No-difference-in-perinatal-mortality-between-home-and-facility-delivery-in-rural-Tanzania-a-prospective-community-based-study.pdf</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type RESEARCH ARTICLES
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Collection Home library Current library Shelving location Date acquired Total checkouts Barcode Date last seen Copy number Price effective from Koha item type
            MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO   11/25/2022   RA0927 11/25/2022 RA0927 11/25/2022 RESEARCH ARTICLES
Catholic University of  Health and Allied Sciences - CUHAS
Directorate of ICT @ 2024