000 04349nam a22003257a 4500
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028 _b Phone: +255 28 298 3384
028 _b Fax: +255 28 298 3386
028 _b Email: vc@bugando.ac.tz
028 _b Website: www.bugando.ac.tz
040 _bEnglish
_cDLC
041 _aEnglish
100 _aEveline T Konje
_923135
110 _a
_946020
245 _aNo difference in perinatal mortality between home and facility delivery in rural Tanzania: a prospective community-based study
260 _aMwanza, Tanzania:
_bInternational Society of Global Health &
_bCatholic University of Health and Allied Sciences [CUHAS – Bugando]
_c2020/9/1
300 _a Pages e2020083
490 _v Journal of Global Health Reports Volume 4
520 _aAbstract: 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. 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. 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%, 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. 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.
520 _aDepartment 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 _a Moke T Magoma
_946021
700 _aJennifer Hatfield
_923044
700 _a Susan Kuhn
_923004
700 _a Reginald S Sauve
_923136
700 _a Deborah Dewey
_922805
856 _uhttps://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
942 _2ddc
_cVM
999 _c19719
_d19719