Joint Modeling of Singleton Preterm Birth and Perinatal Death Using Birth Registry Cohort Data in Northern Tanzania

Understanding independent and joint predictors of adverse pregnancy outcomes is essential to inform interventions toward achieving sustainable development goals. We aimed to determine the joint predictors of preterm birth and perinatal death among singleton births in northern Tanzania based on cohor...

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Autores principales:	Innocent B. Mboya, Michael J. Mahande, Joseph Obure, Henry G. Mwambi
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	preterm birth perinatal death joint modeling bivariate binary outcomes adverse perinatal outcomes sub-Saharan Africa Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/2e978cab2f6d45c6931c440a53ea6b5e
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spelling	oai:doaj.org-article:2e978cab2f6d45c6931c440a53ea6b5e2021-12-01T19:35:16ZJoint Modeling of Singleton Preterm Birth and Perinatal Death Using Birth Registry Cohort Data in Northern Tanzania2296-236010.3389/fped.2021.749707https://doaj.org/article/2e978cab2f6d45c6931c440a53ea6b5e2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.749707/fullhttps://doaj.org/toc/2296-2360Understanding independent and joint predictors of adverse pregnancy outcomes is essential to inform interventions toward achieving sustainable development goals. We aimed to determine the joint predictors of preterm birth and perinatal death among singleton births in northern Tanzania based on cohort data from the Kilimanjaro Christian Medical Center (KCMC) zonal referral hospital birth registry between 2000 and 2017. We determined the joint predictors of preterm birth and perinatal death using the random-effects models to account for the correlation between these outcomes. The joint predictors of higher preterm birth and perinatal death risk were inadequate (<4) antenatal care (ANC) visits, referred for delivery, experiencing pre-eclampsia/eclampsia, postpartum hemorrhage, low birth weight, abruption placenta, and breech presentation. Younger maternal age (15–24 years), premature rupture of membranes, placenta previa, and male children had higher odds of preterm birth but a lessened likelihood of perinatal death. These findings suggest ANC is a critical entry point for delivering the recommended interventions to pregnant women, especially those at high risk of experiencing adverse pregnancy outcomes. Improved management of complications during pregnancy and childbirth and the postnatal period may eventually lead to a substantial reduction of adverse perinatal outcomes and improving maternal and child health.Innocent B. MboyaInnocent B. MboyaMichael J. MahandeJoseph ObureHenry G. MwambiFrontiers Media S.A.articlepreterm birthperinatal deathjoint modelingbivariate binary outcomesadverse perinatal outcomessub-Saharan AfricaPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	preterm birth perinatal death joint modeling bivariate binary outcomes adverse perinatal outcomes sub-Saharan Africa Pediatrics RJ1-570
spellingShingle	preterm birth perinatal death joint modeling bivariate binary outcomes adverse perinatal outcomes sub-Saharan Africa Pediatrics RJ1-570 Innocent B. Mboya Innocent B. Mboya Michael J. Mahande Joseph Obure Henry G. Mwambi Joint Modeling of Singleton Preterm Birth and Perinatal Death Using Birth Registry Cohort Data in Northern Tanzania
description	Understanding independent and joint predictors of adverse pregnancy outcomes is essential to inform interventions toward achieving sustainable development goals. We aimed to determine the joint predictors of preterm birth and perinatal death among singleton births in northern Tanzania based on cohort data from the Kilimanjaro Christian Medical Center (KCMC) zonal referral hospital birth registry between 2000 and 2017. We determined the joint predictors of preterm birth and perinatal death using the random-effects models to account for the correlation between these outcomes. The joint predictors of higher preterm birth and perinatal death risk were inadequate (<4) antenatal care (ANC) visits, referred for delivery, experiencing pre-eclampsia/eclampsia, postpartum hemorrhage, low birth weight, abruption placenta, and breech presentation. Younger maternal age (15–24 years), premature rupture of membranes, placenta previa, and male children had higher odds of preterm birth but a lessened likelihood of perinatal death. These findings suggest ANC is a critical entry point for delivering the recommended interventions to pregnant women, especially those at high risk of experiencing adverse pregnancy outcomes. Improved management of complications during pregnancy and childbirth and the postnatal period may eventually lead to a substantial reduction of adverse perinatal outcomes and improving maternal and child health.
format	article
author	Innocent B. Mboya Innocent B. Mboya Michael J. Mahande Joseph Obure Henry G. Mwambi
author_facet	Innocent B. Mboya Innocent B. Mboya Michael J. Mahande Joseph Obure Henry G. Mwambi
author_sort	Innocent B. Mboya
title	Joint Modeling of Singleton Preterm Birth and Perinatal Death Using Birth Registry Cohort Data in Northern Tanzania
title_short	Joint Modeling of Singleton Preterm Birth and Perinatal Death Using Birth Registry Cohort Data in Northern Tanzania
title_full	Joint Modeling of Singleton Preterm Birth and Perinatal Death Using Birth Registry Cohort Data in Northern Tanzania
title_fullStr	Joint Modeling of Singleton Preterm Birth and Perinatal Death Using Birth Registry Cohort Data in Northern Tanzania
title_full_unstemmed	Joint Modeling of Singleton Preterm Birth and Perinatal Death Using Birth Registry Cohort Data in Northern Tanzania
title_sort	joint modeling of singleton preterm birth and perinatal death using birth registry cohort data in northern tanzania
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/2e978cab2f6d45c6931c440a53ea6b5e
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Joint Modeling of Singleton Preterm Birth and Perinatal Death Using Birth Registry Cohort Data in Northern Tanzania

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