The authors conducted a national verbal and social autopsy (VASA) study to estimate the causes and social determinants of stillbirths and neonatal deaths with the aim of identifying relevant health care and social interventions. Findings suggest that while quality antenatalcare (Q-ANC) and four or more ANC visit (ANC4 +) boosted hospital delivery among women with a complication, attendance was low and the quality of care is critical. Quality improvement efforts in urban and rural areas should focus on early detection and management of APH, maternal anemia, PROM, and prolonged labor, and on newborn resuscitation.
References
Levels & Trends in Child Mortality–Report 2019: estimates developed by the UN Inter-agency Group for Child Mortality Estimation. New York: UNICEF; 2020.
Hug L, You D, Blencowe H, et al. Global, regional, and national estimates and trends in stillbirths from 2000 to 2019: a systematic assessment. Lancet. 2021;398:772–785. doi: 10.1016/S0140-6736(21)01112-0.
Lawn JE, Blencowe H, Waiswa P, et al. Ending preventable stillbirths 2, stillbirths: rates, risk factors, and acceleration towards 2030. Lancet. 2016;387:587–603. doi: 10.1016/S0140-6736(15)00837-5.
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