Abstract
Introduction: Perinatal mortality is still high in the developing countries, with a significant proportion for early neonatal mortality. Its reduction depends on identification of causes in view of priority actions to achieve the fourth Millennium Development Goal. Objective: Describe perinatal morbidity and mortality in the major hospital facility of North-Benin. Settings and method: It was a cross-sectional, descriptive and prospective study conducted over the period from March 1 through August 31, 2013 in the Mother & Child Unit of the Borgou Regional University Hospital (CHUD-Borgou) located in Parakou i.e. in the North-Benin. Findings: Perinatal mortality rate was 153.55% still birth rate 87.39% and early neonatal mortality rate 66.16%. Fetal suffering (48.21%), morbidity associated with fetal membranes, through premature rupture of the membranes (60.58%) and neonatal morbidity through neonatal infections (26.32%) were the leading causes of fetal morbidity. Fetal suffering (31.43%) was the leading cause of late fetal deaths; and neonatal infections (33.96%), prematurity (28.30%) and perinatal asphyxia (18.87%) were the leading causes of early neonatal deaths. Conclusion: Perinatal mortality is high in the Borgou Regional University Teaching Hospital (CHUD). Its reduction requires a holistic approach based on new-born care policy
Highlights
Perinatal mortality is still high in the developing countries, with a significant proportion for early neonatal mortality
Perinatal mortality is high in the Borgou Regional University Teaching Hospital (CHUD)
In Benin, a study performed in the National University Teaching Hospital of Cotonou (CNHU- Cotonou) in 2009 reported a 122% perinatal mortality (PM) [4]
Summary
Perinatal mortality is still high in the developing countries, with a significant proportion for early neonatal mortality. Perinatal mortality rate (PMR) is a reliable indicator of the quality of obstetrical and paediatric care [1]. According to the 2009 UNICEF Report, neonatal mortality declines more slowly than mortality of children under five years of age [1]. The 3/4 of those deaths occurs during the first week [2]. About two thirds of those deaths occur in Africa and in Southeast Asia against one third for the rest of the world, showing the gap existing between rich and poor countries [3]. In Benin, a study performed in the National University Teaching Hospital of Cotonou (CNHU- Cotonou) in 2009 reported a 122% perinatal mortality (PM) [4]. CHD-Borgou is the major hospital facility in North-Benin and perinatal mortality which is the lower indicator of a country’s obstetrical and health status is little known there; the interest of this research work which aimed to describe perinatal morbidity and mortality in the major hospital facility in the North-Benin
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