A retrospective review of facility-level obstetric complications and stillbirths in southern Haiti, 2013 – 2016
Bibliographic Data
| ID | 14965890 |
|---|---|
| Authors | Alka Dev (0000-0003-1883-5324, Dartmouth College), Keegan O’Hern (0000-0003-1036-4601, Dartmouth College), Joseph Yves Domerçant (Maternity Department, Hopital Immaculée Conception, Les Cayes, Haiti.), Gerard Lucien (Maternity Department, Hopital Immaculée Conception, Les Cayes, Haiti.), Lafortune Lucie (Maternity Department, Hopital Immaculée Conception, Les Cayes, Haiti.), Reynold Grand-Pierre (Ministry of Health and Population), R Grandpierre (Ministry of Agriculture Natural Resources and Rural Development), Peter F Wright (0000-0003-1950-6928, Dartmouth College) |
| Year | 2019 |
| Volume | 43 |
| Pages | 1 |
| Publication date | 2019-12-09 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Revista Panamericana de Salud Pública (JOURNAL) |
| Journal identifiers | ISSN: 1020-4989 • E-ISSN: 1680-5348 |
| Publisher | Pan American Health Organization (PUBLISHER • US) |
| DOI | 10.26633/rpsp.2019.95 |
| PMID | 31889954 |
| OpenAlex | W2992840014 |
| Language | EN |
| Citations received | 1 |
| References cited | 19 |
Objective. To assess the incidence of obstetric complications—eclampsia, dystocia, cesarean section, postpartum hemorrhage, and stillbirths—in hospitals in southern Haiti in 2013 – 2016 and to discuss implications for improvements to the surveillance of birth outcomes. Methods. This was a cross-sectional, retrospective study of data for 32 442 deliveries recorded in 2013 – 2016 by the Integrated Monitoring, Evaluation, and Surveillance System for facilities across three departments and one high-volume hospital in southern Haiti. Annual incidence rates of eclampsia, dystocia, cesarean section, postpartum hemorrhage, and stillbirths (both macerated and fresh) were calculated. Results. The incidence of eclampsia in the study sample was 2% – 3% and of dystocia approximately 5%, comparable to elsewhere in Haiti and other low-income countries. Cesarean delivery rates averaged about 15% annually. Postpartum hemorrhage rates were lower than published data from similar settings. Stillbirth rates ranged from 30 – 62 per 1 000 births at all facilities, higher than previously recorded by the country’s population surveys. The rates of macerated stillbirths were remarkably high, close to 50% of total stillbirths, indicating severe delays in seeking or receiving emergency obstetric care. Conclusions. This study provides important benchmarks for the current burden of preventable labor- and delivery-related complications in Haiti. Surveillance data suggest an urgent need for the management of hypertensive disorders during pregnancy, timely cesarean sections for dystocia, and management and treatment of postpartum hemorrhage in Haiti. Frequent data reviews may help address facility-specific bottlenecks
Caesarean section · Eclampsia · Environmental health · Obstetrics · Population · Pregnancy · Retrospective cohort study · Global Maternal and Child Health · Maternal and fetal healthcare · Maternal and Neonatal Healthcare · Medicine · Surgery
Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030
Global causes of maternal death
Mobilising financial resources for maternal health
National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |