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Open Access 01-12-2010 | Research article

Perinatal mortality in rural Burkina Faso: a prospective community-based cohort study

Authors: Abdoulaye Hama Diallo, Nicolas Meda, Emmanuel Zabsonré, Halvor Sommerfelt, Simon Cousens, Thorkild Tylleskär, the PROMISE-EBF study group

Published in: BMC Pregnancy and Childbirth | Issue 1/2010

Abstract

Background

There is a scarcity of reliable data on perinatal mortality (PNM) in Sub-Saharan Africa. The PROMISE-EBF trial, during which we promoted exclusive breastfeeding, gave us the opportunity to describe the epidemiology of PNM in Banfora Health District, South-West in Burkina Faso.

Study objectives

To measure the perinatal mortality rate (PNMR) in the PROMISE-EBF cohort in Banfora Health District and to identify potential risk factors for perinatal death.

Methods

We used data collected prospectively during the PROMISE-EBF-trial to estimate the stillbirth rate (SBR) and early neonatal mortality rate (ENMR). We used binomial regression with generalized estimating equations to identify potential risk factors for perinatal death.

Results

895 pregnant women were enrolled for data collection in the EBF trial and followed-up to 7 days after birth. The PNMR, the SBR and the ENMR, were 79 per 1000 (95% CI: 59-99), 54 per 1000 (95% CI: 38-69) and 27 per 1000 (95% CI: 9-44), respectively. In a multivariable analysis, nulliparous women (RR = 2.90, 95% CI: 1.6-5.0), primiparae mothers (RR = 2.20, 95% CI: 1.2-3.9), twins (RR = 4.0, 95% CI: 2.3-6.9) and giving birth during the dry season (RR = 2.1 95% CI: 1.3-3.3) were factors associated with increased risk of perinatal death. There was no evidence that risk of perinatal death differed between deliveries at home and at a health centre

Conclusion

Our study observed the highest PNMR ever reported in Burkina. There is an urgent need for sustainable interventions to improve maternal and newborn health in the country.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2393/10/45/prepub

Title: Perinatal mortality in rural Burkina Faso: a prospective community-based cohort study
Authors: Abdoulaye Hama Diallo
Nicolas Meda
Emmanuel Zabsonré
Halvor Sommerfelt
Simon Cousens
Thorkild Tylleskär
the PROMISE-EBF study group
Publication date: 01-12-2010
Publisher: BioMed Central
Published in: BMC Pregnancy and Childbirth / Issue 1/2010
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/1471-2393-10-45

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Perinatal mortality in rural Burkina Faso: a prospective community-based cohort study

Abstract

Background

Study objectives

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Study objectives

Methods

Results

Conclusion

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