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Causes of stillbirths at Kgapane hospital, Limpopo province.
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- Author(s): Marincowitz, Gert J. O.; Marincowitz, Clara
- Source:
South African Family Practice; 2024, Vol. 66 Issue 1, Part 2, p1-7, 7p- Subject Terms:
AUDITING; RISK assessment; COMMUNICABLE diseases; RURAL health; HEALTH service areas; VIRAL load; RURAL hospitals; FETAL growth retardation; CONGENITAL, hereditary, & infantile syphilis; PERINATAL death; HIV infections; WORLD health; HYPERTENSION in pregnancy; WORKING hours; PUBLIC health; ASPHYXIA neonatorum; PREGNANCY complications; QUALITY assurance; PREMATURE labor; COVID-19; MEDICAL referrals; HEALTH care rationing; DISEASE complications - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: Stillbirths are a global public health challenge, predominantly affecting low- and middle-income countries. The causes of most stillbirths are preventable. Objectives: this study reviewed perinatal clinical audit data from Kgapane Hospital over a 4-year period with a special focus on the factors associated with stillbirths. Methods: File audits were done for all stillbirths occurring at Kgapane Hospital and its catchment area from 2018 to 2021. The data from these audits were analysed to identify factors associated with stillbirths. Results: A total of 392 stillbirths occurred during the study period at Kgapane Hospital and its surrounding clinics, resulting in a stillborn rate of 19.06/1000 births. Of the 392 stillbirths recorded, audits were conducted on 354 of the maternal case records. The five most common causes of stillbirths identified were: hypertensive disorders in pregnancy (HDP) (29.7%), intrauterine growth restriction without HDP (11.6%), birth asphyxia (7.1%), premature labour (< 1000 g) (6.5%) and maternal infections (5.9%) including HIV with unsuppressed VL, intrauterine infection, coronavirus disease (COVID) and syphilis. Modifiable factors that can form the basis of improvement strategies should include training, timeous referral, plus improved resources and staffing. Conclusion: Understanding the causes of stillbirths can guide improvement strategies to reduce this heart-breaking complication of pregnancy. Contribution: Family physicians working in rural hospitals are also responsible for perinatal care. Understanding the factors associated with stillbirths will guide them to develop improvement strategies to reduce these preventable deaths. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of South African Family Practice is the property of African Online Scientific Information System PTY LTD and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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