2 research outputs found
The current pattern of facility-based perinatal and neonatal mortality in Sagamu, Nigeria
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
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