AI Article Synopsis
- The study examined pregnancies that received antenatal care but were delivered outside health facilities, focusing on their perinatal outcomes compared to deliveries at the University of Calabar Teaching Hospital (UCTH).
- The results showed that the study group had a significantly higher incidence of birth asphyxia (14.3% vs. 4.8%) and other complications like neonatal infections and birth trauma.
- Additionally, the perinatal death rate was three times higher in the study group, highlighting the need for public health initiatives and a national health insurance scheme to encourage facility-based deliveries.
Article Abstract
Pregnancies that were booked for antenatal care but delivered outside the health facilities were studied. The aim was to determine the perinatal outcome of these pregnancies, and also to compare the outcome with that of pregnancies that were booked and delivered in the University of Calabar Teaching Hospital (UCTH). Birth asphyxia was the commonest perinatal morbidity in both the study (14.3%) and control (4.8%) groups and was significantly higher in the study group than in the control (P < 0.01-P < 0.05). Incidence of neonatal infection tetanus and birth trauma was also significantly higher in the study than in the control groups (P < 0.01-P < 0.05). The incidence of prematurity, neonatal jaundice and congenital abnormality did not show any significant difference in the two groups (P > 0.05). The risk of perinatal death was three times higher in the study group than in the control. Proper public enlightenment campaigns and the establishment of a national health insurance scheme which may strengthen the use of orthodox health facilities for delivery, may improve the poor perinatal outcome in our community.
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| http://dx.doi.org/10.1016/s0001-706x(99)00088-1 | DOI Listing |
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