[Prenatal consultations and perinatal mortality in Madagascar].

Autor: Rakotoseheno H; Institut national de santé publique et communautaire, B.P. 176, Befelatanana, 101 Antananarivo, Madagascar., Rakotonirina EJ, Randriatsarafara FM, Rakotonantoanina J, Randrianarimanana VD, Rakotomanga JD, Ranjalahy Rasolofomanana J
Jazyk: francouzština
Zdroj: Journal de gynecologie, obstetrique et biologie de la reproduction [J Gynecol Obstet Biol Reprod (Paris)] 2008 Sep; Vol. 37 (5), pp. 505-9. Date of Electronic Publication: 2008 Jun 18.
DOI: 10.1016/j.jgyn.2008.04.006
Abstrakt: Objectives: One of the contributions for improving maternal and child health consists in reducing the perinatal death rate. This rate reaches 20.5 per 1000 births in the health district of Fianarantsoa-II. This study is carried out to determine the factors related to this problem.
Materials and Methods: A case control study included mothers having had perinatal death and mothers having had a live birth in 2005.
Results: Our findings show significant relationship of certain factors with perinatal mortality: complications during the pregnancy, no medical care for these complications, poor knowledge about complications and symptoms, inadequate iron intake. Differences were also found on message transmitters and dissemination means.
Conclusion: In rural areas, it is necessary to address the antenatal care quality by early risk management. A project entitled Plan périnatalité is proposed, so as to reduce by 50% the perinatal mortality rate in the health district of Fianarantsoa-II.
Databáze: MEDLINE
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