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• W1642203187 abstract "In this survey the obstetric and neonatal data of the admissions to the Obstetric Ward in Raihu Health Centre during 1990, 1991 and the first half of 1992 were analyzed. The emphasis of the survey was on the difference between deliveries born before arrival (BBA) (24%) and health centre (HC) deliveries (76%). The survey shows that there were differences in postnatal complications, postpartum haemorrhage (16% vs 4.3%), retained placenta (21% vs 1.3%) and puerperal sepsis (18% vs 4.3%), and in antenatal attendance (52% vs 90%), average bedstay (6.5 days vs 5.4 days), mean haemoglobin level (7.78 vs 8.77 g/dl) and gonorrhoea (17% vs 8%). For the neonatal data the survey shows differences in stillbirth rate (10.5% vs 2.3%), perinatal death in the first week (4.0% vs 2.5%) and mean birthweight (for male infants 2.75 kg vs 2.88 kg and female infants 2.60 kg vs 2.73 kg).In Sandaun Province in Papua New Guinea, health professionals at the health center serving the people of Aitape District (Raihu Health Centre) compared data on deliveries before arrival (DBA) at the regional hospital in Wewak with data on 635 deliveries at Raihu Health Centre (HC) to examine differences in pregnancy complications and outcomes between the DBA and HC groups. All the deliveries occurred between 1990 and mid-1992. HC delivery cases were more likely to have had prenatal care than DBA delivery cases (90% vs. 52%). Multiple births were high (4% for DBA and 3.5% for HC), as was expected in Aitape District, where multiple births are common. The multiple births accounted for a high breech delivery rate (3.5-5.4%). Proper supervision during delivery would have likely reduced the high rate of retained placentas in the DBA group (21% vs. 1.3%). Other pregnancy complications more common in the DBA group than the HC group included postpartum hemorrhage (16% vs. 4.3%), need for blood transfusion (15% vs. 2.5%), and puerperal sepsis (18% vs. 4.3%). The DBA group also had a lower hemoglobin level and a higher gonorrhea rate and stayed in the hospital longer than the HC group (7.78 vs. 8.77 g/dl, 17% vs. 8%, and 6.54 vs. 5.4 days, respectively). Infants in the DBA group were more likely than those in the HC group to die in utero (10.5% vs. 2.3%) and die during the first week postpartum (4% vs. 2.5%), develop neonatal sepsis (17.2% vs. 8.4%), and weigh less (2.68 vs. 2.81 kg). These findings suggest that mothers who receive prenatal care and deliver at a health center experience fewer complications and have bigger and healthier newborns than mothers who deliver at home." @default.
• W1642203187 created "2016-06-24" @default.
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• W1642203187 date "1994-09-01" @default.
• W1642203187 modified "2023-09-26" @default.
• W1642203187 title "A comparison between health centre deliveries and deliveries born before arrival in the Aitape district." @default.
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