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- South African Journal of Obstetrics and Gynaecology
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- Volume 13, Issue 1, 2007
South African Journal of Obstetrics and Gynaecology - Volume 13, Issue 1, 2007
Volume 13, Issue 1, 2007
Perinatal mortality at Frontier Hospital, Queenstown - a 6-year audit using the Perinatal Problem Identification Programme (PPIP) : research articleAuthor M.E. PatrickSource: South African Journal of Obstetrics and Gynaecology 13, pp 10 –14 (2007)More Less
Objectives. To determine the perinatal mortality rate (PNMR), the neonatal mortality rate (NNMR), the major obstetric and neonatal causes of death, the occurrence of avoidable factors in perinatal deaths, and syphilis serology at the time of delivery at Frontier Hospital, Queenstown.
Design. The study was an audit of perinatal deaths with retrospective and prospective periods.
Setting. Frontier Hospital is a designated Regional Hospital in the Northern Region of the Eastern Cape, South Africa.
Subjects. All perinatal deaths of infants weighing more than 499 g occurring from 1 January 1995 to 31 December 2000.
Methods. A retrospective hospital records review from 1 January 1995 to 30 June 1996, and a prospective assessment of perinatal deaths from 1 July 1996 to 31 December 2000.
Measures. PNMR, NNMR, causes of perinatal and neonatal death, avoidable factors, and syphilis serology.
Results. The retrospective PNMR was 33/1 000 deliveries and the NNMR 7/1 000. The prospective PNMR started at 51/1 000 deliveries and the NNMR at 19/1 000. The prospective data then showed a downward trend. The leading obstetric cause of death was unexplained stillbirths and the leading neonatal cause of death labour-related hypoxia. Health personnel-related avoidable factors occurred frequently. Of these, intrapartum care-related avoidable factors made the largest contribution. Syphilis serology at delivery was unknown in over 80% of deaths and declined to 56% over the 6-year period.
Conclusions. Both the PNMR and the NNMR dropped during the audit period. This may have been due to the general audit and feedback process itself, as well as to specific responses to problems that were identified through the audit process.
Impact of contraception use among women seeking tubal ligation in the rural Democratic Republic of the Congo : research articleSource: South African Journal of Obstetrics and Gynaecology 13, pp 15 –18 (2007)More Less
Introduction. Investing in health is recommended for economic growth and the reduction of inequity in developing countries. Family planning is one such investment that benefits women and children. But resource-constrained environments, such as countries in conflict, present logistical and other challenges to the implementation of health programmes. For this reason even a proven cost-effective health intervention still needs to be contextualised to assess the actual benefit or impact in resource-constrained settings.
Objectives. To describe user characteristics and analyse the impact of reversible contraception use among women who underwent tubal ligation in a rural health district of the Democratic Republic of Congo over a 4-year period.
Methods. A retrospective analysis of family planning programme registers for 4 years (1990 - 1994). During the study period, 400 women underwent tubal ligation. All records except for 76 that were incomplete were included in the study.
Results. A sample of 324 women was analysed. Most of the subjects (96%) were older than 30 years and of the Christian protestant faith (85%). Most had an education level less than secondary. Of the participants 99% were married; 98% of participants did not work outside the home. There was no significant difference in the average birth interval between contraceptive users and non-users (p = 0.246), but small families of less than 5 children were significantly more common (p = 0.006) in the small group of contraception users compared with non-users (10.1% and 2.8% respectively).
Conclusions. The demand for surgical contraception comes mainly from married women with low education and economic status. Previous use of contraception did not make a difference in terms of birth spacing, suggesting a high prevalence of inconsistent or incorrect use of contraception.