Descriptive analysis of effect of uptake of comprehensive antenatal care services on neonatal mortality, Kenya. (2nd July 2019)

• Record Type: Journal Article
• Authors: Adi Galgallo, Dahabo; Gura Roka, Zeinab; Boru, Waqo G; Ransom, James
• Is Part Of: African journal of midwifery and women's health. Volume 13:Number 3(2019)
• Page Start: 1
• Page End: 5
• Publication Date: 2019-07-02
• Subjects: Antenatal care -- Epidemiology -- Kenya -- Maternity -- Neonatal; Midwifery -- Periodicals; Midwifery -- Africa -- Periodicals; Obstetrics -- Periodicals; Obstetrics -- Africa -- Periodicals; Women -- Health and hygiene -- Periodicals; Women -- Health and hygiene -- Africa -- Periodicals; 618.20096
• DOI: 10.12968/ajmw.2017.0043
• Languages: English
• ISSNs: 1759-7374

Abstract

Abstract : Background: Antenatal care services help decrease neonatal mortality. Laboratory profiling is a highly recommended part of antenatal care services, but it is often neglected. Aims: To explore the importance of comprehensive antenatal care services in reducing neonatal mortality among births at Moyale Sub-County Referral Hospital in Kenya. Methods: A retrospective review was conducted of maternity records of all women aged 15 years old or more who gave birth at Moyale Sub-County Referral Hospital between June 2014 and May 2015. Stillbirths were excluded from the analysis. Data were entered into Microsoft Excel and descriptive statistics calculated. A total of 1062 women were included in the study, with mean age of 24 ± 9.1 years. Of these, 11% had no antenatal care visits, 2% were HIV-positive, and all lived within 10 km of Moyale Sub-County Referral Hospital. Findings: Children of women who had no antenatal care visits were 2.7 times more likely to die within 28 days of birth compared to children born to women who had 1 antenatal care visit, and 8.5 times more likely to die compared to women who had at least three antenatal care visits. Conclusions: Antenatal care profiling helps reduce neonatal mortality by capturing early diagnosis of preventable conditions that affect birth outcomes.