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The effect of stay in a maternity waiting home on perinatal mortality in rural Zimbabwe.
J Trop Med Hyg. 1995 Aug; 98(4):261-7.JT

Abstract

A hospital-based cohort study was carried out in a district hospital in Zimbabwe to evaluate the effect of a maternity waiting home on perinatal mortality. Information on antenatal risk factors, use of antenatal care, access to the hospital and stage of labour on arrival was collected for each woman delivering at the hospital during the period 1989-1991 (n = 6438). Women who stayed in the maternity waiting home had a lower risk of perinatal death compared to women who came directly from home to the hospital during labour. The crude relative risk of perinatal death for the women coming from home was 1.7 (95% confidence interval (CI) 1.1-2.6; P < 0.05). After adjusting for the effect of potential confounding variables, the relative risk decreased to 1.5 (95% CI 0.95-2.5, P = 0.07). However, when the analysis was restricted to women with antenatal risk factors there was a significant 50% reduction in the risk of perinatal death for the women who stayed at the maternity waiting home compared to women who came from home during labour (adjusted relative risk 1.9; 95% CI 1.1-3.4; P < 0.05). The use of maternity waiting homes has the potential to reduce perinatal mortality in rural areas with low geographic access to hospitals and merits further evaluation.

Authors+Show Affiliations

London School of Hygiene and Tropical Medicine, UK.No affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Controlled Clinical Trial
Journal Article

Language

eng

PubMed ID

7636923

Citation

Chandramohan, D, et al. "The Effect of Stay in a Maternity Waiting Home On Perinatal Mortality in Rural Zimbabwe." The Journal of Tropical Medicine and Hygiene, vol. 98, no. 4, 1995, pp. 261-7.
Chandramohan D, Cutts F, Millard P. The effect of stay in a maternity waiting home on perinatal mortality in rural Zimbabwe. J Trop Med Hyg. 1995;98(4):261-7.
Chandramohan, D., Cutts, F., & Millard, P. (1995). The effect of stay in a maternity waiting home on perinatal mortality in rural Zimbabwe. The Journal of Tropical Medicine and Hygiene, 98(4), 261-7.
Chandramohan D, Cutts F, Millard P. The Effect of Stay in a Maternity Waiting Home On Perinatal Mortality in Rural Zimbabwe. J Trop Med Hyg. 1995;98(4):261-7. PubMed PMID: 7636923.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of stay in a maternity waiting home on perinatal mortality in rural Zimbabwe. AU - Chandramohan,D, AU - Cutts,F, AU - Millard,P, PY - 1995/8/1/pubmed PY - 1995/8/1/medline PY - 1995/8/1/entrez KW - Africa KW - Africa South Of The Sahara KW - Delivery Of Health Care KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Eastern Africa KW - English Speaking Africa KW - Health KW - Health Services KW - Infant Mortality KW - Maternal Health Services KW - Maternal Mortality KW - Maternal-child Health Services KW - Mortality KW - Neonatal Mortality KW - Population KW - Population Characteristics KW - Population Dynamics KW - Pregnancy Complications KW - Primary Health Care KW - Research Report KW - Rural Population KW - Zimbabwe SP - 261 EP - 7 JF - The Journal of tropical medicine and hygiene JO - J Trop Med Hyg VL - 98 IS - 4 N2 - A hospital-based cohort study was carried out in a district hospital in Zimbabwe to evaluate the effect of a maternity waiting home on perinatal mortality. Information on antenatal risk factors, use of antenatal care, access to the hospital and stage of labour on arrival was collected for each woman delivering at the hospital during the period 1989-1991 (n = 6438). Women who stayed in the maternity waiting home had a lower risk of perinatal death compared to women who came directly from home to the hospital during labour. The crude relative risk of perinatal death for the women coming from home was 1.7 (95% confidence interval (CI) 1.1-2.6; P < 0.05). After adjusting for the effect of potential confounding variables, the relative risk decreased to 1.5 (95% CI 0.95-2.5, P = 0.07). However, when the analysis was restricted to women with antenatal risk factors there was a significant 50% reduction in the risk of perinatal death for the women who stayed at the maternity waiting home compared to women who came from home during labour (adjusted relative risk 1.9; 95% CI 1.1-3.4; P < 0.05). The use of maternity waiting homes has the potential to reduce perinatal mortality in rural areas with low geographic access to hospitals and merits further evaluation. SN - 0022-5304 UR - https://www.unboundmedicine.com/medline/citation/7636923/The_effect_of_stay_in_a_maternity_waiting_home_on_perinatal_mortality_in_rural_Zimbabwe_ L2 - https://medlineplus.gov/prenatalcare.html DB - PRIME DP - Unbound Medicine ER -