A qualitative perinatal audit at a rural health facility in Eldoret, Kenya
| dc.contributor.author | Omwodo, Kimbley | en_US |
| dc.date.accessioned | 2020-05-06T09:52:55Z | |
| dc.date.available | 2020-05-06T09:52:55Z | |
| dc.date.issued | 2020-02 | |
| dc.description.abstract | Background: Objectives of the study were to ascertain the pattern of occurrence of perinatal mortality by applying the World Health Organization (WHO), International Classification of Diseases, tenth revision (ICD-10) to deaths during the perinatal period, ICD perinatal mortality (ICD-PM), following the introduction of a qualitative perinatal audit process at a rural health facility in Kenya.Methods: A single centre retrospective analysis demonstrating the application of the WHO, ICD-PM. Data pertaining to perinatal deaths for the period from 1st May 2017 to 31st August 2018 was obtained from Plateau Mission Hospital perinatal audit records.Results: There were 22 perinatal deaths during the study period, 17 were included in the study. The overall perinatal death rate was 11 per 1000 births. Antepartum deaths were as a consequence of fetal growth related problems (33.3%), infection (33.3%) or unexplained (33.3%) with pregnancy-related hypertensive disorders (gestational hypertension, pre-eclampsia and eclampsia) being the most frequent medical condition associated with the mortalities. Neonatal deaths (47.1%) were the most frequent in the study and were a consequence of low birth weight and prematurity (25.0%), Convulsions and disorders of cerebral status (25.0%). The maternal condition in most of these cases being complications of placenta, cord and membranes. Acute intrapartum events and were least in this setting accounting for 17.4% of deaths.Conclusions: The ICD-PM is generalizable and its use in perinatal death classification emphasises focus on both mother and baby. Our study showed the majority of perinatal deaths occurred in the early neonatal period & affected mostly preterm infants. | en_US |
| dc.identifier.affiliations | Department of Obstetrics and Gynaecology, Plateau Mission Hospital, Eldoret, Kenya | en_US |
| dc.identifier.citation | Omwodo Kimbley. A qualitative perinatal audit at a rural health facility in Eldoret, Kenya. International Journal of Community Medicine and Public Health. 2020 Feb; 7(2): 449-454 | en_US |
| dc.identifier.issn | 2394-6032 | |
| dc.identifier.issn | 2394-6040 | |
| dc.identifier.place | India | en_US |
| dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/202097 | |
| dc.language | en | en_US |
| dc.publisher | Medip Academy | en_US |
| dc.relation.issuenumber | 2 | en_US |
| dc.relation.volume | 7 | en_US |
| dc.source.uri | https://dx.doi.org/10.18203/2394-6040.ijcmph20200413 | en_US |
| dc.subject | Kenya | en_US |
| dc.subject | Perinatal audit | en_US |
| dc.subject | Perinatal mortality | en_US |
| dc.subject | Rural facility | en_US |
| dc.title | A qualitative perinatal audit at a rural health facility in Eldoret, Kenya | en_US |
| dc.type | Journal Article | en_US |
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