A retrospective review of birth outcomes at the Mother and Child Health Hospital in Lao People’s Democratic Republic, 2004–2013

BMC Pregnancy and Childbirth

Research Article

Joseph Bresee¹  Ann Moen¹  Sara Mirza¹  Sonja J. Olsen¹  Viengphone Khanthamaly²  Andrew Corwin³  Phouvanh Vonglokham⁴  Bounkong Syhavong⁴  Touy Chanthalangsy⁵  Anonh Xeuatvongsa⁵  Phommady Vetsaphong⁵  Seth Chittanavanh⁵ 

[1] Influenza Division, Centers for Disease Control and Prevention, 1600 Clifton Road, 30329, Atlanta, GA, USA;Influenza Program, CDC, Vientiane, Lao PDR;Influenza Program, CDC, Vientiane, Lao PDR;The QED Group, American Embassy, Vientiane, Lao PDR;Ministry of Health, Vientiane, Lao PDR;Mother and Child Health Hospital, Vientiane, Lao PDR;

关键词: Pregnancy outcome;    Low birth weight;    Preterm birth;    Small for gestational age;    Lao PDR;   

DOI  :  10.1186/s12884-016-1168-5

 received in 2015-08-14, accepted in 2016-11-16,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe Lao People’s Democratic Republic (Lao PDR) is a lower-middle income country making steady progress improving maternal and child health outcomes. We sought to ascertain if there have been improvements in three specific birth outcomes (low birth weight, preterm birth and small for gestational age) over the last decade.MethodsWe retrospectively reviewed birth records between 2004 and 2013 at the Mother and Child Health (MCH) hospital in Vientiane. We defined preterm birth as gestation <37 weeks and low birth weight as <2,500 g. We calculated small for gestational age (SGA). We describe birth outcomes over time and compare proportions using Chi square.ResultsBetween 2004 and 2013, the annual average number of newborns delivered each year was 4,322 and the frequency of low birth weight ranged from 9.5 to 12%, preterm births from 6.3 to 10%, and infants born SGA from 25 to 35%. There were no improvements in these frequencies over time. Women <18 years at delivery had a statistically significantly higher frequency of babies born with a low birth weight (15.3 vs. 10.8%, p < 0.02) or preterm (16.4 vs. 7.8%, p < 0.01) than those aged >18. There was no difference in the frequency of babies born SGA by age (26.8% in women <18 years vs. 29.7% in women >18 years, p = 0.30).ConclusionsAt the largest maternal and child hospital in Lao PDR, we found a high frequency of poor birth outcomes with no improvements over the last decade.

【 授权许可】

CC BY   
© The Author(s). 2016