Premium
Perinatal mortality in rural Tanzania
Author(s) -
ROOSMALEN J.
Publication year - 1989
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1989.tb03323.x
Subject(s) - medicine , tanzania , medical record , obstructed labour , pediatrics , infant mortality , obstetrics , pregnancy , perinatal mortality , guideline , cause of death , population , environmental health , surgery , disease , fetus , environmental science , environmental planning , pathology , biology , caesarean section , genetics
Summary. Prolonged labour was the most frequent cause of perinatal death in a rural hospital in the south western highlands of Tanzania. After the introduction of an obstetric policy aiming to prevent pro longed labour by making use of the guidelines of the partogram, perinatal mortality was reduced from 71 to 39 per 1000 births. Baird's clinico‐pathological classification is still considered a useful instrument for the discovery of avoidable factors in perinatal deaths. The concept of the partogram should be an integral part of the training of medical auxiliaries in the field of maternal and child health (MCH).