NDLI: A multi-country study of the 'intrapartum stillbirth and early neonatal death indicator' in hospitals in low-resource settings.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Goldenberg, Robert L. McClure, Elizabeth M. Kodkany, Bhala Wembodinga, Gilbert Pasha, Omrana Esamai, Fabian Tshefu, Antoinette Patel, Archana Mabaye, Hillary Goudar, Shivaparasad Saleem, Sarah Waikar, Manjushri Langer, Ana Bose, Carl L. Rubens, Craig E. Wright, Linda L. Moore, Janet Blanc, Ann
Description	Country affiliation: United States Author Affiliation: Goldenberg RL ( Department of Obstetrics and Gynecology, Columbia University, NY 10032, USA. rlg88@columbia.edu)
Abstract	OBJECTIVE: To determine the feasibility of introducing a simple indicator of quality of obstetric and neonatal care and to determine the proportion of potentially avoidable perinatal deaths in hospitals in low-income countries. METHODS: Between September 1, 2011, and February 29, 2012, data were collected from consecutive women who were admitted to the labor ward of 1 of 6 hospitals in 4 low-income countries. Fetal heart tones on admission were monitored, and demographic and birth data were recorded. RESULTS: Data were obtained for 3555 women and 3593 neonates (including twins). The doptone was used on 97% of women admitted. The overall perinatal mortality rate was 34 deaths per 1000 deliveries. Of the perinatal deaths, 40%-45% occurred in the hospital and were potentially preventable by better hospital care. CONCLUSION: The results demonstrated that it is possible to accurately determine fetal viability on admission via a doptone. Implementation of doptone use, coupled with a concise data record, might form the basis of a low-cost and sustainable program to monitor and evaluate efforts to improve quality of care and ultimately might help to reduce the in-hospital component of perinatal mortality in low-income countries.
File Format	HTM / HTML
ISSN	00207292
e-ISSN	18793479
DOI	10.1016/j.ijgo.2013.04.008
Journal	International Journal of Gynecology & Obstetrics
Issue Number	3
Volume Number	122
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2013-09-01
Publisher Place	Ireland
Access Restriction	Open
Subject Keyword	Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't Hospital Mortality Infant Mortality Prevention & Control Discipline Obstetrics Stillbirth Quality Indicators, Health Care Epidemiology Feasibility Studies Pregnancy Fetal Death Quality Of Health Care Multicenter Study Physiology Discipline Gynecology Fetal Heart Infant, Newborn Fetal Monitoring
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology

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