alexa Prenatal consultations and perinatal mortality in Madagascar
Reproductive Medicine

Reproductive Medicine

Clinics in Mother and Child Health

Author(s): Rakotoseheno H, Rakotonirina EJ, Randriatsarafara FM, Rakotonantoanina J, Randrianarimanana VD

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OBJECTIVES: One of the contributions for improving maternal and child health consists in reducing the perinatal death rate. This rate reaches 20.5 per 1000 births in the health district of Fianarantsoa-II. This study is carried out to determine the factors related to this problem. MATERIALS AND METHODS: A case control study included mothers having had perinatal death and mothers having had a live birth in 2005. RESULTS: Our findings show significant relationship of certain factors with perinatal mortality: complications during the pregnancy, no medical care for these complications, poor knowledge about complications and symptoms, inadequate iron intake. Differences were also found on message transmitters and dissemination means. CONCLUSION: In rural areas, it is necessary to address the antenatal care quality by early risk management. A project entitled Plan périnatalité is proposed, so as to reduce by 50% the perinatal mortality rate in the health district of Fianarantsoa-II.

This article was published in J Gynecol Obstet Biol Reprod (Paris). and referenced in Clinics in Mother and Child Health

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