TITLE:
Perinatal Morbidity and Mortality in Kinshasa: Prevalence and Risk Factors in Hospitals Environment
AUTHORS:
Pascal Mamenepi Atuba, Louise Lohatame Pala, Angel Ngongo Andjelani
KEYWORDS:
Morbidity, Mortality, Perinatal, Hospital Environment, Prevalence, Risk Factors
JOURNAL NAME:
Open Access Library Journal,
Vol.10 No.6,
June
30,
2023
ABSTRACT: Purpose: The purpose of this study is to determine the prevalence and risk factors of perinatal morbidity and mortality in hospitals in the City Province of Kinshasa. Material and Methods: We carried out a cross-sectional survey with a correlational aim among 456 mothers selected in two health zones of the Provincial Health Division of Kinshasa. Data were entered in Excel 2013 and then exported to SPSS 21 software for statistical analysis. The determination of risk factors for perinatal morbidity and mortality is made possible thanks to logistic regression at the significance level of 0.05. Results: The prevalence of prematurity in the hospital setting was 13.8%; that of low birth weight was 5.6% and the perinatal mortality rate was 50.4 per thousand live births. Logistic regression analysis showed that the risk factors for perinatal morbidity and mortality included polygamy, primigravida, heavy work during pregnancy, presence of at least two pathologies during gestation, lack of vaccination against tetanus, and childbirth outside of a health facility. Conclusion: In order to guarantee the security of perinatal life, it will be necessary to improve the socio-demographic, economic and cultural conditions of the mother and to offer her quality care during the pre-per and post-natal period.