2 research outputs found

    The current pattern of facility-based perinatal and neonatal mortality in Sagamu, Nigeria

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    Background: Perinatal and neonatal mortality rates have been described as sensitive indices of the quality of health care services. Regular audits of perinatal and neonatal mortalities are desirable to evaluate the various global interventions. Objective: To describe the current pattern of perinatal and neonatal mortality in a Nigerian tertiary health facility. Methods: Using a prospective audit method, the socio-demographic parameters of all perinatal and neonatal deaths recorded in a Nigerian tertiary facility between February 2017 and January 2018 were studied. Results: There were 1,019 deliveries with stillbirth rate of 27.5/1000 total births and early neonatal death (END) rate among in-born babies of 27.2/1000 live births. The overall perinatal mortality rate for in-facility deliveries was 53.9/1000 total births and neonatal mortality (till the end of 28 days) rate of 27.2/1000 live births. Severe perinatal asphyxia and prematurity were the leading causes of neonatal deaths while obstructed labour and intra-partum eclampsia were the two leading maternal conditions related to stillbirths (25.0% and 21.4% respectively). Gestational age < 32 weeks, age < 24 hours and inborn status were significantly associated with END (p = 0.002, p <0.001 and p = 0.002 respectively). Conclusion: The in-facility perinatal mortality rate was high though stillbirth rate was relatively low. There is a need to improve the quality of emergency obstetric and neonatal services prior to referral to tertiary facilities

    Profile of congenital malformations in Sagamu, Nigeria

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    The profile of congenital malformations seen in Sagamu, Southwestern Nigeria during a period of eight years is described. The result of this retrospective cross sectional study showed an incidence of congenital malformation of 10.7 per 1000 live births. Low order of parity (1 and 2) was mostly affected (65.8%), and 80.0% of mothers were aged between 20 and 34 years. Gastro intestinal malformations were the commonest (38.4%). In the largest number of cases (95.8%), diagnosis was made in the postnatal period, with the most frequent method of diagnosis being by clinical examination (93.6%). The male female ratio was 1.5: 1.0. Down's syndrome was usually associated with multiple malformations. The study identifies the need for early and skilled ultrasound evaluation of pregnant women, particularly those with risk factors and the need for good record keeping in all institutions with delivery facilities. Keywords: congenital malformations (CM), Sagamu, Nigeria Nigerian Medical Practitioner Vol. 49(4) 2006: 65-6
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