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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