%0 Journal Article
%T Epidemiological Aspects of Stillbirth and Neonatal Deaths in the Delivery Room at the Libreville Mother-Child University Hospital from 2019 to 2022
%A Eliane Kuissi Kamgaing
%A Jacques Albert Bang Ntamack
%A Opheelia Makoyo Komba
%A Ra£¿ssa Koumba Maniaga
%A Steeve Minto¡¯o Rogombe
%A Pascal Loulouga Badinga
%A Aude Lembet Mikolo
%A Simon Ategbo
%J Open Journal of Pediatrics
%P 1-10
%@ 2160-8776
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojped.2024.141001
%X <strong>Introduction</strong><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"><strong>:</strong> Stillbirths are estimated at 2 million each year, of which more than
40% occur during labour. Our objective was to study the epidemiological aspects
of stillbirth and neonatal deaths in the delivery room in our health facility. </span><b><span style=\"font-family:Verdana;\">Patients
and methods:</span></b><span style=\"font-family:Verdana;\"> Prospective, descriptive and analytical study, conducted at
the Jeanne Ebori Foundation Mother-Child University Hospital over 4 years
(January 2019-December 2022). All neonatal deaths in the delivery room or
foetal death in utero, were included. </span><b><span style=\"font-family:Verdana;\">Results: </span></b><span style=\"font-family:Verdana;\">Among the 18,346
deliveries performed, 512 newborns were declared dead in the delivery room
(27.9¡ë live births), divided into in </span><i><span style=\"font-family:Verdana;\">utero</span></i><span style=\"font-family:Verdana;\"> foetal death (19.0¡ë) and immediate neonatal death (8.9¡ë). The mean age was 34.3
weeks of amenorrhea. The rate of preterm birth was 60.4%. The sex ratio was
1.1. The average weight was 2186.6. The main causes were vascular (46.1%),
foetal (20.2%), adnexal (17.1%) and asphyxia per partum (16.6%). Foetal causes
were more likely to result in IUFD than other causes (OR = 6.4 [2.4 - 15.7], p
&lt; 0.001). After birth, partum asphyxia was more likely to lead to death
before 15 minutes of life than other causes (OR = 11 [6.1 - 18.9], p &lt; 0.001). </span><b><span style=\"font-family:Verdana;\">Conclusion: </span></b><span style=\"font-family:Verdana;\">The causes of stillbirth and early neonatal mortality are
dominated by maternal vascular pathologies. However, the proportion of
childbirth-related causes remains worrying. Better monitoring of pregnancy and
labour will minimize this prevalence in our hospital.</span></span></span></span>
%K Stillbirth
%K Neonatal Death
%K Delivery Room
%K Epidemiology
%K Libreville-Gabon
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=130356