What is it about?

Adverse perinatal outcomes (APOs) constitute a significant concern for public health in most developing countries. APOs significantly affect perinatal and neonatal survival, with the risk of developing complications such as developmental disability and ill health throughout their lives. This review aimed to identify adverse perinatal outcomes and their associated determinants in Sub-Saharan Africa (SSA).

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Why is it important?

The findings reveal that there were an estimated number of 2.6 million third-trimester stillbirths globally, with 41 % occurring in SSA in 2015. Most studies attributed stillbirth to lack of ANC attendance, delayed or less than four ANC attendance, maternal age, level of education, malaria, HDP, and grand multiparity. Globally, there is an estimated annual delivery of 30 million babies weighing below 2500 g, with half of these deliveries occurring in SSA. Most studies found LBW to be significantly associated with maternal age (especially adolescent pregnancies), maternal nutrition, education, and the number of ANC attendance

Perspectives

The review established that the several APOs in SSA are associated with maternal age, less than four antenatal care follow-ups or non-utilization, maternal education, medical conditions, parity, rural residence, distance travel, and women’s participation in decision-making. This suggests that efforts should be geared towards improving access to healthcare and women’s empowerment.

Mr Augustine Kumah
Nyaho Medical Centre

Read the Original

This page is a summary of: Adverse perinatal outcomes and their associated determinants in Sub-Saharan Africa, Journal of Medicine Surgery and Public Health, August 2024, Elsevier,
DOI: 10.1016/j.glmedi.2024.100124.
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