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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Perinatal mortality in rural Malawi.</title>
<author><name sortKey="Mcdermott, J" sort="Mcdermott, J" uniqKey="Mcdermott J" first="J." last="Mcdermott">J. Mcdermott</name>
</author>
<author><name sortKey="Steketee, R" sort="Steketee, R" uniqKey="Steketee R" first="R." last="Steketee">R. Steketee</name>
</author>
<author><name sortKey="Wirima, J" sort="Wirima, J" uniqKey="Wirima J" first="J." last="Wirima">J. Wirima</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">8706232</idno>
<idno type="pmc">2486898</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2486898</idno>
<idno type="RBID">PMC:2486898</idno>
<date when="1996">1996</date>
<idno type="wicri:Area/Pmc/Corpus">000B71</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Perinatal mortality in rural Malawi.</title>
<author><name sortKey="Mcdermott, J" sort="Mcdermott, J" uniqKey="Mcdermott J" first="J." last="Mcdermott">J. Mcdermott</name>
</author>
<author><name sortKey="Steketee, R" sort="Steketee, R" uniqKey="Steketee R" first="R." last="Steketee">R. Steketee</name>
</author>
<author><name sortKey="Wirima, J" sort="Wirima, J" uniqKey="Wirima J" first="J." last="Wirima">J. Wirima</name>
</author>
</analytic>
<series><title level="j">Bulletin of the World Health Organization</title>
<idno type="ISSN">0042-9686</idno>
<imprint><date when="1996">1996</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><p>Reported are the results of a study to assess the prevalence and risk factors for perinatal death among pregnant women in Malawi over the period 1987-90. There were 264 perinatal deaths among the 3866 women with singleton pregnancies (perinatal mortality rate, 68.3 per 1000 births). Among the risk factors for perinatal mortality were the following: reactive syphilis serology, nulliparity, a late fetal or neonatal death in the most recent previous birth, maternal height < 150 cm, home delivery, and low socioeconomic status. Although unexplained perinatal deaths will continue to occur, perinatal mortality can be reduced if its causes and risk factors in a community are given priority in antenatal and intrapartum care programmes. The following interventions could potentially reduce the perinatal mortality in the study population: screening and treating women with reactive syphilis serology; and management from early labour, by competent personnel in a health facility, of nulliparous women and multiparous women who are short or have a history of a perinatal death.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Bull World Health Organ</journal-id>
<journal-id journal-id-type="pmc">bullwho</journal-id>
<journal-title>Bulletin of the World Health Organization</journal-title>
<issn pub-type="ppub">0042-9686</issn>
<publisher><publisher-name>World Health Organization</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">8706232</article-id>
<article-id pub-id-type="pmc">2486898</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Perinatal mortality in rural Malawi.</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>McDermott</surname>
<given-names>J.</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Steketee</surname>
<given-names>R.</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Wirima</surname>
<given-names>J.</given-names>
</name>
</contrib>
</contrib-group>
<aff>Malaria Branch, National Center for Infectious Diseases, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, GA, USA.</aff>
<pub-date pub-type="ppub"><year>1996</year>
</pub-date>
<volume>74</volume>
<issue>2</issue>
<fpage>165</fpage>
<lpage>171</lpage>
<abstract><p>Reported are the results of a study to assess the prevalence and risk factors for perinatal death among pregnant women in Malawi over the period 1987-90. There were 264 perinatal deaths among the 3866 women with singleton pregnancies (perinatal mortality rate, 68.3 per 1000 births). Among the risk factors for perinatal mortality were the following: reactive syphilis serology, nulliparity, a late fetal or neonatal death in the most recent previous birth, maternal height < 150 cm, home delivery, and low socioeconomic status. Although unexplained perinatal deaths will continue to occur, perinatal mortality can be reduced if its causes and risk factors in a community are given priority in antenatal and intrapartum care programmes. The following interventions could potentially reduce the perinatal mortality in the study population: screening and treating women with reactive syphilis serology; and management from early labour, by competent personnel in a health facility, of nulliparous women and multiparous women who are short or have a history of a perinatal death.</p>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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