Perinatal death audit and classification of stillbirths in two provinces in Papua New Guinea: A retrospective analysis.

Vallely, LM; Smith, R; Bolnga, JW; Babona, D; Riddell, MA; Mengi, A; Au, L; Polomon, C; Vogel, JP; Pomat, WS; Vallely, AJ; Homer, CSE

Perinatal death audit and classification of stillbirths in two provinces in Papua New Guinea: A retrospective analysis.

Vallely, LM Smith, R

Bolnga, JW Babona, D Riddell, MA Mengi, A Au, L Polomon, C Vogel, JP Pomat, WS Vallely, AJ Homer, CSE

Permalink

Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: International Journal of Gynecology and Obstetrics, 2021, 153, (1), pp. 160-168
Issue Date:: 2021-04-01

Closed Access

	Filename	Description	Size
	Intl J Gynecology Obste - 2020 - Vallely - Perinatal death audit and classification of stillbirths in two provinces in.pdf		747.66 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Vallely, LM
dc.contributor.author	Smith, R https://orcid.org/0000-0003-3985-3951
dc.contributor.author	Bolnga, JW
dc.contributor.author	Babona, D
dc.contributor.author	Riddell, MA
dc.contributor.author	Mengi, A
dc.contributor.author	Au, L
dc.contributor.author	Polomon, C
dc.contributor.author	Vogel, JP
dc.contributor.author	Pomat, WS
dc.contributor.author	Vallely, AJ
dc.contributor.author	Homer, CSE
dc.date.accessioned	2022-01-06T05:28:22Z
dc.date.available	2022-01-06T05:28:22Z
dc.date.issued	2021-04-01
dc.identifier.citation	International Journal of Gynecology and Obstetrics, 2021, 153, (1), pp. 160-168
dc.identifier.issn	0020-6695
dc.identifier.issn	1879-3479
dc.identifier.uri	http://hdl.handle.net/10453/152755
dc.description.abstract	Objective To undertake a retrospective perinatal death audit and assessment of avoidable factors associated with stillbirths among a cohort of women in two provinces in Papua New Guinea. Methods We used data from an ongoing cluster-randomized crossover trial in 10 sites among 4600 women in Papua New Guinea (from 2017 to date). The overarching aim is to improve birth outcomes. All stillbirths from July 2017 to January 2020 were identified. The Perinatal Problem Identification Program was used to analyze each stillbirth and review associated avoidable factors. Results There were 59 stillbirths among 2558 births (23 per 1000 births); 68% (40/59) were classified “fresh” and 32% as “macerated”. Perinatal cause of death was identified for 63% (37/59): 30% (11/37) were due to intrapartum asphyxia and traumatic breech birth and 19% (7/37) were the result of pre-eclampsia. At least one avoidable factor was identified for 95% (56/59) of stillbirths. Patient-associated factors included lack of response to reduced fetal movements and delay in seeking care during labor. Health personnel-associated factors included poor intrapartum care, late diagnosis of breech presentation, and prolonged second stage with no intervention. Conclusion Factors associated with stillbirths in this setting could be avoided through a package of interventions at both the community and health-facility levels.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation	Medical Research CouncilMR/N006089/1
dc.relation.ispartof	International Journal of Gynecology and Obstetrics
dc.relation.isbasedon	10.1002/ijgo.13431
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1114 Paediatrics and Reproductive Medicine
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Adult
dc.subject.mesh	Asphyxia Neonatorum
dc.subject.mesh	Breech Presentation
dc.subject.mesh	Cohort Studies
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Papua New Guinea
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Perinatal Death
dc.subject.mesh	Pre-Eclampsia
dc.subject.mesh	Pregnancy
dc.subject.mesh	Randomized Controlled Trials as Topic
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Stillbirth
dc.subject.mesh	Young Adult
dc.subject.mesh	Humans
dc.subject.mesh	Pre-Eclampsia
dc.subject.mesh	Breech Presentation
dc.subject.mesh	Asphyxia Neonatorum
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Cohort Studies
dc.subject.mesh	Pregnancy
dc.subject.mesh	Adult
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Papua New Guinea
dc.subject.mesh	Female
dc.subject.mesh	Stillbirth
dc.subject.mesh	Randomized Controlled Trials as Topic
dc.subject.mesh	Young Adult
dc.subject.mesh	Perinatal Death
dc.title	Perinatal death audit and classification of stillbirths in two provinces in Papua New Guinea: A retrospective analysis.
dc.type	Journal Article
utslib.citation.volume	153
utslib.location.activity	United States
utslib.for	1114 Paediatrics and Reproductive Medicine
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-01-06T05:28:21Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	153
utslib.citation.issue	1

Abstract:

Objective To undertake a retrospective perinatal death audit and assessment of avoidable factors associated with stillbirths among a cohort of women in two provinces in Papua New Guinea. Methods We used data from an ongoing cluster-randomized crossover trial in 10 sites among 4600 women in Papua New Guinea (from 2017 to date). The overarching aim is to improve birth outcomes. All stillbirths from July 2017 to January 2020 were identified. The Perinatal Problem Identification Program was used to analyze each stillbirth and review associated avoidable factors. Results There were 59 stillbirths among 2558 births (23 per 1000 births); 68% (40/59) were classified “fresh” and 32% as “macerated”. Perinatal cause of death was identified for 63% (37/59): 30% (11/37) were due to intrapartum asphyxia and traumatic breech birth and 19% (7/37) were the result of pre-eclampsia. At least one avoidable factor was identified for 95% (56/59) of stillbirths. Patient-associated factors included lack of response to reduced fetal movements and delay in seeking care during labor. Health personnel-associated factors included poor intrapartum care, late diagnosis of breech presentation, and prolonged second stage with no intervention. Conclusion Factors associated with stillbirths in this setting could be avoided through a package of interventions at both the community and health-facility levels.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/152755