Predictors and pregnancy outcomes associated with a newborn birth weight of 4000 g or more in Lusaka, Zambia.

Objective: To identify predictors and outcomes associated with a birth weight of 4000g or more in Lusaka, Zambia.

Methods: Data from women who delivered between February 2006 and August 2011 were obtained from electronic perinatal records at 25 public sector facilities in Lusaka. Macrosomia was defined as a birth weight of 4000g or more and normal birth weight as 2500-3999g.

Predictors of CD4 eligibility for antiretroviral therapy initiation among HIV-infected pregnant women in Lusaka, Zambia.

Background: In resource-limited settings, CD4 testing is a barrier to antiretroviral therapy initiation in pregnancy.

Methods: We used logistic regression to identify predictors of CD4 cell count ≤ 350 cells/uL in 20,233 pregnant women.

Results: The best-performing model included any 3 of: age ≥ 28 years old, hemoglobin ≤ 9.

Implementation of the Zambia electronic perinatal record system for comprehensive prenatal and delivery care.

Objective: To characterize prenatal and delivery care in an urban African setting.

Methods: The Zambia Electronic Perinatal Record System (ZEPRS) was implemented to record demographic characteristics, past medical and obstetric history, prenatal care, and delivery and newborn care for pregnant women across 25 facilities in the Lusaka public health sector.

Results: From June 1, 2007, to January 31, 2010, 115552 pregnant women had prenatal and delivery information recorded in ZEPRS.