Table 1.
Maternal and perinatal outcome in Mulago Hospital medium to high-risk labour ward in baseline and follow up period
| Baseline | Follow up | Impact | p-value | |||
|---|---|---|---|---|---|---|
| Duration | 6 months | 18 months | ||||
| Total deliveries | 12143 | 34894 | ||||
| n | (%) | n | (%) | |||
| Vacuum extraction | 68 | (0.6) | 742 | (2.1) | +280 % | <0.01 |
| Caesarean section | 3427 | (28.2) | 10550 | (30.2) | +7.1 % | <0.01 |
| Caesarean section for obstructed labour | 729 | (6.0) | 2106 | (6.0) | 0 % | 0.9 |
| Maternal outcome | ||||||
| Ruptured uterus | 133 | (1.1) | 287 | (0.8) | -25.5 % | <0.01 |
| Admissions to obstetric high-care unita | 228 | (1.9) | 629 | (1.8) | -4.3 % | 0.59 |
| Maternal deaths | n | (per 100 000) | n | (per 100 000) | ||
| Maternal death due to intrapartum complication | 32 | (264) | 82 | (235) | -11.0 % | 0.58 |
| Maternal death due to hypertensive disorder | 13 | (107) | 48 | (138) | +29.0 % | 0.42 |
| Maternal death due to abortion | 22 | (181) | 65 | (186) | +2.8 % | 0.91 |
| All maternal deaths | 97 | (799) | 254 | (728) | -8.8 % | 0.43 |
| Perinatal outcome | n | (‰) | n | (‰) | ||
| Total perinatal death | 1112 | (91) | 2946 | (84) | -7.7 % | 0.02 |
| Macerated stillbirth | 278 | (23) | 877 | (25) | +9.6 % | 0.17 |
| Intrapartum stillbirth | 417 | (34) | 914 | (26) | -23.6 % | <0.01 |
| "Term" neonatal death | 156 | (13) | 482 | (14) | +7.8 % | 0.43 |
| "Term" admissions to neonatology unit | 1060 | (87) | 3482 | (100) | +14.4 % | <0.01 |
Definitions used in this study:
Total perinatal death: stillbirths + neonatal deaths during admission
Stillbirth: baby born with no signs of life at or after 28 weeks gestation or with a birthweight of 1 kg or more
Neonatal death: death during admission after live birth "term": birthweight of 2.5 kg or more
aFor intrapartum complication