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dc.contributor.authorDiallo, Abdoulaye Hamaen_US
dc.contributor.authorMeda, Nicolasen_US
dc.contributor.authorZabsonré, Emmanuelen_US
dc.contributor.authorSommerfelt, Halvoren_US
dc.contributor.authorCousens, Simonen_US
dc.contributor.authorTylleskär, Thorkilden_US
dc.date.accessioned2013-01-21T09:11:17Z
dc.date.available2013-01-21T09:11:17Z
dc.date.issued2010-08-17eng
dc.PublishedBMC Pregnancy and Childbirth 2010, 10:45eng
dc.identifier.issn1471-2393
dc.identifier.otherhttp://www.biomedcentral.com/1471-2393/10/45eng
dc.identifier.urihttps://hdl.handle.net/1956/6279
dc.description.abstractBackground: There is a scarcity of reliable data on perinatal mortality (PNM) in Sub-Saharan Africa. The PROMISEEBF 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.en_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/6281" target="blank">Perinatal and infant mortality in rural Burkina Faso. A prospective community-based cohort study</a>eng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/2.0eng
dc.titlePerinatal mortality in rural Burkina Faso: a prospective community-based cohort studyen_US
dc.typePeer reviewed
dc.typeJournal article
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2010 Diallo et al; licensee BioMed Central Ltd.
dc.identifier.cristin889533


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