PERINATAL OUTCOMES OF NEWBORNS DELIVERED BY WOMEN WITH MATERNAL COMPLICATIONS- A PAIRED COHORT STUDY AT KITUI COUNTY REFERRAL HOSPITAL
Introduction:
Maternal complications during pregnancy and labor are the leading cause of maternal and neonatal deaths globally. Despite existing efforts by the Kenyan Government on maternal and newborn health there have been high mortality rates amounting to 22 neonatal deaths per 1000 live births. These are far too high compared to the global strategy target of 12 deaths per 1000 live births
Objectives:
The Broad Objective was to determine the perinatal outcomes of newborns delivered by women with maternal complications at Kitui County Referral Hospital
Methodology:
The study design was a prospective Cohort Hospital-Based study. A total of five hundred and ten 510 pregnant womenrnwere recruited for the study and followed up to determine the perinatal outcomes of their newborns. One hundred and two 102 were women with complications and 408 were women without complications. Three hundred and ninety six 396 of the women without complications were followed up until 28 days post-delivery out of whom 32 women were allowed to cross-over living a total of 364. One hundred 100 women with complications in pregnancy were followed up until 28 days postdelivery making a total of 132 women with complications both in pregnancy and labor. Hence a total of 496 respondents participated to the end of follow-up making a 98 response rate. Participants were recruited consecutively to obtain the required number of participants. SPSS version 21.0 was used to analyze the data. Pearsons chi-square was used to determine the association between exposure having or not having complications and the perinatal outcomes of newborns. Logistic regression was used to determine the relationship between perinatal outcomes and obstetric factors. Relative risk was used to measure the association of perinatal outcomes between exposed and un-exposed neonates
Findings:
Results:
The risk of having a low APGAR score among neonates born of mothers with maternal complications was eight times those born of mothers without complications RR: 8.0 95 CI 3.427 18.677 P-value 0.001. The majority 84.4 n27 of the newborns by women with complications were born alive while 15.6 n5 were born dead and had died before labor
Conclusion:
Having history of multiple pregnancy was found to be the significant obstetric factors contributing to neonatal outcomes at Kitui County referral Hospital Women presenting with maternal complications were likely to give birth tornunderweight newborns. Obstructed labor due to mal-presentation and contracted pelvis were the leadingrncomplications in labor that also contributed to high rate of caesarean sections among women developing maternal complications at Kitui County Referral Hospital. The high risk of being born dead with a low Apgar score being born underweight via caesarean section developing diseases within twenty eight days and dying were the poor perinatal outcomes found after comparing newborns from the exposed and un-exposed groups at Kitui County Referral Hospital.
Publication Information
Author(s):
Focus County(s):
Kitui County
Programme Area(s):
Sexual, Reproductive, Adolescent & Child Health
Research Priority Area(s):
Disease Domain(s):
maternal and neonatal health
Document History:
Publication Date: 16.May.2022
Conference Title:
Venue: