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Table 1 Maternal and perinatal outcome in Mulago Hospital medium to high-risk labour ward in baseline and follow up period

From: Audit of a program to increase the use of vacuum extraction in Mulago Hospital, Uganda

 

Baseline

Follow up

Impact

p-value

Duration

6 months

18 months

  

Total deliveries

12143

34894

  
 

n

(%)

n

(%)

  

Vacuum extraction

68

(0.6)

742

(2.1)

+280 %

<0.01

Caesarean section

3427

(28.2)

10550

(30.2)

+7.1 %

<0.01

Caesarean section for obstructed labour

729

(6.0)

2106

(6.0)

0 %

0.9

Maternal outcome

 Ruptured uterus

133

(1.1)

287

(0.8)

-25.5 %

<0.01

 Admissions to obstetric high-care unita

228

(1.9)

629

(1.8)

-4.3 %

0.59

Maternal deaths

n

(per 100 000)

n

(per 100 000)

  

 Maternal death due to intrapartum complication

32

(264)

82

(235)

-11.0 %

0.58

 Maternal death due to hypertensive disorder

13

(107)

48

(138)

+29.0 %

0.42

 Maternal death due to abortion

22

(181)

65

(186)

+2.8 %

0.91

 All maternal deaths

97

(799)

254

(728)

-8.8 %

0.43

Perinatal outcome

n

(‰)

n

(‰)

  

 Total perinatal death

1112

(91)

2946

(84)

-7.7 %

0.02

 Macerated stillbirth

278

(23)

877

(25)

+9.6 %

0.17

 Intrapartum stillbirth

417

(34)

914

(26)

-23.6 %

<0.01

 "Term" neonatal death

156

(13)

482

(14)

+7.8 %

0.43

 "Term" admissions to neonatology unit

1060

(87)

3482

(100)

+14.4 %

<0.01

  1. Definitions used in this study:
  2. Total perinatal death: stillbirths + neonatal deaths during admission
  3. Stillbirth: baby born with no signs of life at or after 28 weeks gestation or with a birthweight of 1 kg or more
  4. Neonatal death: death during admission after live birth "term": birthweight of 2.5 kg or more
  5. aFor intrapartum complication