Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count
Objective The objective of this study was to perform a population-based estimation of the preterm birth (PTB) rate in regions surrounding Lilongwe, Malawi. Study Design We partnered with obstetrician specialists, community health workers, local midwives, and clinicians in a 50 km region s...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2020-01-01
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| Series: | American Journal of Perinatology Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708491 |
| _version_ | 1818324590940651520 |
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| author | Kathleen M. Antony Peter N. Kazembe Ryan M. Pace Judy Levison Henry Phiri Grace Chiudzu Ronald Alan Harris Rose Chirwa Mary Nyondo Ellina Marko Andrew Chigayo Debora Nanthuru Bertha Banda Nicholas Twyman Susan M. Ramin Susan P. Raine Michael A. Belfort Kjersti M. Aagaard |
| author_facet | Kathleen M. Antony Peter N. Kazembe Ryan M. Pace Judy Levison Henry Phiri Grace Chiudzu Ronald Alan Harris Rose Chirwa Mary Nyondo Ellina Marko Andrew Chigayo Debora Nanthuru Bertha Banda Nicholas Twyman Susan M. Ramin Susan P. Raine Michael A. Belfort Kjersti M. Aagaard |
| author_sort | Kathleen M. Antony |
| collection | DOAJ |
| description | Objective The objective of this study was to perform a population-based estimation of the preterm birth (PTB) rate in regions surrounding Lilongwe, Malawi.
Study Design We partnered with obstetrician specialists, community health workers, local midwives, and clinicians in a 50 km region surrounding Lilongwe, Malawi, to perform a population-based estimation of the PTB rate during the study period from December 1, 2012 to May 19, 2015.
Results Of the 14,792 births captured, 19.3% of births were preterm, including preterm early neonatal deaths. Additional PTB risk factors were similarly prevalent including domestic violence, HIV, malaria, anemia, and malnutrition.
Conclusion When performing a population-based estimation of the rate of PTB, including women without antenatal care and women delivering at home, the 19.3% rate of PTB is among the highest recorded globally. This is accompanied by a high rate of risk factors and comorbid conditions. |
| first_indexed | 2024-12-13T11:31:01Z |
| format | Article |
| id | doaj.art-e4f2418859354611aa9ff67da5c0fc8f |
| institution | Directory Open Access Journal |
| issn | 2157-6998 2157-7005 |
| language | English |
| last_indexed | 2024-12-13T11:31:01Z |
| publishDate | 2020-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | American Journal of Perinatology Reports |
| spelling | doaj.art-e4f2418859354611aa9ff67da5c0fc8f2022-12-21T23:47:56ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052020-01-011001e78e8610.1055/s-0040-1708491Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth CountKathleen M. Antony0Peter N. Kazembe1Ryan M. Pace2Judy Levison3Henry Phiri4Grace Chiudzu5Ronald Alan Harris6Rose Chirwa7Mary Nyondo8Ellina Marko9Andrew Chigayo10Debora Nanthuru11Bertha Banda12Nicholas Twyman13Susan M. Ramin14Susan P. Raine15Michael A. Belfort16Kjersti M. Aagaard17Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TexasDepartment of Pediatrics, Baylor College of Medicine Children's Clinical Center of Excellence, Kamuzu Central Hospital, Lilongwe, MalawiDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TexasDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TexasDepartment of Obstetrics and Gynecology, Kamuzu Central Hospital, Lilongwe, MalawiDepartment of Obstetrics and Gynecology, Kamuzu Central Hospital, Lilongwe, MalawiDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TexasDepartment of Pediatrics, Baylor College of Medicine Children's Clinical Center of Excellence, Kamuzu Central Hospital, Lilongwe, MalawiDepartment of Pediatrics, Baylor College of Medicine Children's Clinical Center of Excellence, Kamuzu Central Hospital, Lilongwe, MalawiDepartment of Pediatrics, Baylor College of Medicine Children's Clinical Center of Excellence, Kamuzu Central Hospital, Lilongwe, MalawiDepartment of Pediatrics, Baylor College of Medicine Children's Clinical Center of Excellence, Kamuzu Central Hospital, Lilongwe, MalawiDepartment of Pediatrics, Baylor College of Medicine Children's Clinical Center of Excellence, Kamuzu Central Hospital, Lilongwe, MalawiDepartment of Pediatrics, Baylor College of Medicine Children's Clinical Center of Excellence, Kamuzu Central Hospital, Lilongwe, MalawiDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TexasDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TexasDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TexasDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TexasDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TexasObjective The objective of this study was to perform a population-based estimation of the preterm birth (PTB) rate in regions surrounding Lilongwe, Malawi. Study Design We partnered with obstetrician specialists, community health workers, local midwives, and clinicians in a 50 km region surrounding Lilongwe, Malawi, to perform a population-based estimation of the PTB rate during the study period from December 1, 2012 to May 19, 2015. Results Of the 14,792 births captured, 19.3% of births were preterm, including preterm early neonatal deaths. Additional PTB risk factors were similarly prevalent including domestic violence, HIV, malaria, anemia, and malnutrition. Conclusion When performing a population-based estimation of the rate of PTB, including women without antenatal care and women delivering at home, the 19.3% rate of PTB is among the highest recorded globally. This is accompanied by a high rate of risk factors and comorbid conditions.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708491preterm birthmalawiglobal healthglobalmaternal health |
| spellingShingle | Kathleen M. Antony Peter N. Kazembe Ryan M. Pace Judy Levison Henry Phiri Grace Chiudzu Ronald Alan Harris Rose Chirwa Mary Nyondo Ellina Marko Andrew Chigayo Debora Nanthuru Bertha Banda Nicholas Twyman Susan M. Ramin Susan P. Raine Michael A. Belfort Kjersti M. Aagaard Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count American Journal of Perinatology Reports preterm birth malawi global health global maternal health |
| title | Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count |
| title_full | Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count |
| title_fullStr | Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count |
| title_full_unstemmed | Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count |
| title_short | Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count |
| title_sort | population based estimation of the preterm birth rate in lilongwe malawi making every birth count |
| topic | preterm birth malawi global health global maternal health |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708491 |
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