Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count
Abstract Objective The objective of this study was to perform a population-based estimation of the preterm birth (PTB) rate in regions surrounding Lilongwe, Malawi. Study Design We partnered with obstetrician specialists, community health workers, local midwives, and clinicians in a 50 km region s...
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Veröffentlicht in: | American journal of perinatology reports 2020-01, Vol.10 (1), p.e78-e86 |
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Sprache: | eng |
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Zusammenfassung: | Abstract
Objective
The objective of this study was to perform a population-based estimation of the preterm birth (PTB) rate in regions surrounding Lilongwe, Malawi.
Study Design
We partnered with obstetrician specialists, community health workers, local midwives, and clinicians in a 50 km region surrounding Lilongwe, Malawi, to perform a population-based estimation of the PTB rate during the study period from December 1, 2012 to May 19, 2015.
Results
Of the 14,792 births captured, 19.3% of births were preterm, including preterm early neonatal deaths. Additional PTB risk factors were similarly prevalent including domestic violence, HIV, malaria, anemia, and malnutrition.
Conclusion
When performing a population-based estimation of the rate of PTB, including women without antenatal care and women delivering at home, the 19.3% rate of PTB is among the highest recorded globally. This is accompanied by a high rate of risk factors and comorbid conditions. |
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ISSN: | 2157-6998 2157-7005 |
DOI: | 10.1055/s-0040-1708491 |