2.50
Hdl Handle:
http://hdl.handle.net/10755/308635
Category:
Abstract
Type:
Presentation
Title:
Maternal Health Prior to Neonatal Mortality in Blantyre, Malawi
Author(s):
Bultemeier, Kaye I
Lead Author STTI Affiliation:
Gamma Chi
Author Details:
kaye I Bultemeier, PhD, MSN, APRN/BC, kaye.bultemeier@lmunet.edu
Abstract:

Session presented on: Tuesday, November 19, 2013

Maternal Health Prior to Neonatal Mortality in Blantyre, Malawi

Kaye Bultemeier PhD,FNP-C-Lincoln Memorial University, University of Malawi

Kaye.bultemeier@lmunet.edu

kbultemeier@kcn.unima.mw

Background/Significance: Since the introduction of the MMGs the incidence of neonatal death in Malawi has improved from 42/1000 (2006) to 22/1000 in 2010. The levels remain unacceptable. Approximately ½ of all deliveries in Malawi occur outside of a health care facility. In rural areas this has been attributed to factors related to transportation and cost of reaching a health facilityThere was a need to examine the health of antenatal mothers, before delivery, to determine whether antenatal factors existed which assist in identifying women at risk of delivering a stillbirth or experiencing a neonatal death in the urban area of Blantyre city.

Objectives/aims: To examine material factors, prior to the delivery, that subsequently resulted in a neonatal death.

Methods: A retrospective exploratory study of maternal health prior to delivery of an infant that ended in a neonatal death. A purposive sample of 127 families, who had experienced a neonatal death. The families were identified through village chiefs, community health centers, and community members. Inclusion criteria:  Families who experienced a neonatal death, or stillbirth, within three days of delivery between January and May of 2011 and lived in the city of Blantyre, Malawi. Trained Health surveillance assistants, using the WHO verbal autopsy form, administered oral questionnaires, in the home.

Results: Positive Maternal Health Indicators included: High blood pressure 16.2%, severe abdominal pain 20.2%, headache 20.4%, vaginal bleeding 7.3%, puffy face 4.6% and fever 3.8 %.

Conclusions: The findings indicate that the women and their families lack the ability to identify maternal warning signs. This lack of awareness delays access to a health care facility. Efforts to increase the awareness and responsiveness to these warning signs are needed to further reduce the neonatal mortality rates.

Keywords:
maternal health; Malawi; perinatal mortality
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleMaternal Health Prior to Neonatal Mortality in Blantyre, Malawien_GB
dc.contributor.authorBultemeier, Kaye Ien_GB
dc.contributor.departmentGamma Chien_GB
dc.author.detailskaye I Bultemeier, PhD, MSN, APRN/BC, kaye.bultemeier@lmunet.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308635-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p><b>Maternal Health Prior to Neonatal Mortality in Blantyre, Malawi</b><p>Kaye Bultemeier PhD,FNP-C-Lincoln Memorial University, University of Malawi <p><a href="mailto:Kaye.bultemeier@lmunet.edu">Kaye.bultemeier@lmunet.edu</a><p><a href="mailto:kbultemeier@kcn.unima.mw">kbultemeier@kcn.unima.mw</a><p><b>Background/Significance</b>: Since the introduction of the MMGs the incidence of neonatal death in Malawi has improved from 42/1000 (2006) to 22/1000 in 2010. The levels remain unacceptable. Approximately ½ of all deliveries in Malawi occur outside of a health care facility. In rural areas this has been attributed to factors related to transportation and cost of reaching a health facilityThere was a need to examine the health of antenatal mothers, before delivery, to determine whether antenatal factors existed which assist in identifying women at risk of delivering a stillbirth or experiencing a neonatal death in the urban area of Blantyre city. <p><b>Objectives/aims</b>: To examine material factors, prior to the delivery, that subsequently resulted in a neonatal death. <p><b>Methods:</b> A retrospective exploratory study of maternal health prior to delivery of an infant that ended in a neonatal death. A purposive sample of 127 families, who had experienced a neonatal death. The families were identified through village chiefs, community health centers, and community members. Inclusion criteria:  Families who experienced a neonatal death, or stillbirth, within three days of delivery between January and May of 2011 and lived in the city of Blantyre, Malawi. Trained Health surveillance assistants, using the WHO verbal autopsy form, administered oral questionnaires, in the home. <p><b>Results</b>: Positive Maternal Health Indicators included: High blood pressure 16.2%, severe abdominal pain 20.2%, headache 20.4%, vaginal bleeding 7.3%, puffy face 4.6% and fever 3.8 %. <p><b>Conclusions:</b> The findings indicate that the women and their families lack the ability to identify maternal warning signs. This lack of awareness delays access to a health care facility. Efforts to increase the awareness and responsiveness to these warning signs are needed to further reduce the neonatal mortality rates.en_GB
dc.subjectmaternal healthen_GB
dc.subjectMalawien_GB
dc.subjectperinatal mortalityen_GB
dc.date.available2013-12-19T17:33:54Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:33:54Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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