Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count

Kathleen M. Antony; Peter N. Kazembe; Ryan M. Pace; Judy Levison; Henry Phiri; Grace Chiudzu; Ronald Alan Harris; Rose Chirwa; Mary Nyondo; Ellina Marko; Andrew Chigayo; Debora Nanthuru; Bertha Banda; Nicholas Twyman; Susan M. Ramin; Susan P. Raine; Michael A. Belfort; Kjersti M. Aagaard

doi:10.1055/s-0040-1708491

Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count

Kathleen M. Antony, Peter N. Kazembe, Ryan M. Pace, Judy Levison, Henry Phiri, Grace Chiudzu, Ronald Alan Harris, Rose Chirwa, Mary Nyondo, Ellina Marko, Andrew Chigayo, Debora Nanthuru, Bertha Banda, Nicholas Twyman, Susan M. Ramin, Susan P. Raine, Michael A. Belfort, Kjersti M. Aagaard

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Objective The objective of this study was to perform a population-based estimation of the preterm birth (PTB) rate in regions surrounding Lilongwe, Malawi. Study Design We partnered with obstetrician specialists, community health workers, local midwives, and clinicians in a 50 km region surrounding Lilongwe, Malawi, to perform a population-based estimation of the PTB rate during the study period from December 1, 2012 to May 19, 2015. Results Of the 14,792 births captured, 19.3% of births were preterm, including preterm early neonatal deaths. Additional PTB risk factors were similarly prevalent including domestic violence, HIV, malaria, anemia, and malnutrition. Conclusion When performing a population-based estimation of the rate of PTB, including women without antenatal care and women delivering at home, the 19.3% rate of PTB is among the highest recorded globally. This is accompanied by a high rate of risk factors and comorbid conditions.

Original language	English (US)
Pages (from-to)	E78-E86
Journal	AJP Reports
Volume	10
Issue number	1
DOIs	https://doi.org/10.1055/s-0040-1708491
State	Published - Jan 1 2020
Externally published	Yes

Keywords

global
global health
Malawi
maternal health
preterm birth

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

Access to Document

10.1055/s-0040-1708491

Cite this

Antony, K. M., Kazembe, P. N., Pace, R. M., Levison, J., Phiri, H., Chiudzu, G., Harris, R. A., Chirwa, R., Nyondo, M., Marko, E., Chigayo, A., Nanthuru, D., Banda, B., Twyman, N., Ramin, S. M., Raine, S. P., Belfort, M. A., & Aagaard, K. M. (2020). Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count. AJP Reports, 10(1), E78-E86. https://doi.org/10.1055/s-0040-1708491

Antony, KM, Kazembe, PN, Pace, RM, Levison, J, Phiri, H, Chiudzu, G, Harris, RA, Chirwa, R, Nyondo, M, Marko, E, Chigayo, A, Nanthuru, D, Banda, B, Twyman, N, Ramin, SM, Raine, SP, Belfort, MA & Aagaard, KM 2020, 'Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count', AJP Reports, vol. 10, no. 1, pp. E78-E86. https://doi.org/10.1055/s-0040-1708491

@article{fe8ab3bad31d4d5c8affd4421654a209,

title = "Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count",

abstract = "Objective The objective of this study was to perform a population-based estimation of the preterm birth (PTB) rate in regions surrounding Lilongwe, Malawi. Study Design We partnered with obstetrician specialists, community health workers, local midwives, and clinicians in a 50 km region surrounding Lilongwe, Malawi, to perform a population-based estimation of the PTB rate during the study period from December 1, 2012 to May 19, 2015. Results Of the 14,792 births captured, 19.3% of births were preterm, including preterm early neonatal deaths. Additional PTB risk factors were similarly prevalent including domestic violence, HIV, malaria, anemia, and malnutrition. Conclusion When performing a population-based estimation of the rate of PTB, including women without antenatal care and women delivering at home, the 19.3% rate of PTB is among the highest recorded globally. This is accompanied by a high rate of risk factors and comorbid conditions.",

keywords = "global, global health, Malawi, maternal health, preterm birth",

author = "Antony, {Kathleen M.} and Kazembe, {Peter N.} and Pace, {Ryan M.} and Judy Levison and Henry Phiri and Grace Chiudzu and Harris, {Ronald Alan} and Rose Chirwa and Mary Nyondo and Ellina Marko and Andrew Chigayo and Debora Nanthuru and Bertha Banda and Nicholas Twyman and Ramin, {Susan M.} and Raine, {Susan P.} and Belfort, {Michael A.} and Aagaard, {Kjersti M.}",

year = "2020",

month = jan,

day = "1",

doi = "10.1055/s-0040-1708491",

language = "English (US)",

volume = "10",

pages = "E78--E86",

journal = "AJP Reports",

issn = "2157-6998",

publisher = "Thieme Medical Publishers, Inc.",

number = "1",

}

TY - JOUR

T1 - Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi

T2 - Making Every Birth Count

AU - Antony, Kathleen M.

AU - Kazembe, Peter N.

AU - Pace, Ryan M.

AU - Levison, Judy

AU - Phiri, Henry

AU - Chiudzu, Grace

AU - Harris, Ronald Alan

AU - Chirwa, Rose

AU - Nyondo, Mary

AU - Marko, Ellina

AU - Chigayo, Andrew

AU - Nanthuru, Debora

AU - Banda, Bertha

AU - Twyman, Nicholas

AU - Ramin, Susan M.

AU - Raine, Susan P.

AU - Belfort, Michael A.

AU - Aagaard, Kjersti M.

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Objective The objective of this study was to perform a population-based estimation of the preterm birth (PTB) rate in regions surrounding Lilongwe, Malawi. Study Design We partnered with obstetrician specialists, community health workers, local midwives, and clinicians in a 50 km region surrounding Lilongwe, Malawi, to perform a population-based estimation of the PTB rate during the study period from December 1, 2012 to May 19, 2015. Results Of the 14,792 births captured, 19.3% of births were preterm, including preterm early neonatal deaths. Additional PTB risk factors were similarly prevalent including domestic violence, HIV, malaria, anemia, and malnutrition. Conclusion When performing a population-based estimation of the rate of PTB, including women without antenatal care and women delivering at home, the 19.3% rate of PTB is among the highest recorded globally. This is accompanied by a high rate of risk factors and comorbid conditions.

AB - Objective The objective of this study was to perform a population-based estimation of the preterm birth (PTB) rate in regions surrounding Lilongwe, Malawi. Study Design We partnered with obstetrician specialists, community health workers, local midwives, and clinicians in a 50 km region surrounding Lilongwe, Malawi, to perform a population-based estimation of the PTB rate during the study period from December 1, 2012 to May 19, 2015. Results Of the 14,792 births captured, 19.3% of births were preterm, including preterm early neonatal deaths. Additional PTB risk factors were similarly prevalent including domestic violence, HIV, malaria, anemia, and malnutrition. Conclusion When performing a population-based estimation of the rate of PTB, including women without antenatal care and women delivering at home, the 19.3% rate of PTB is among the highest recorded globally. This is accompanied by a high rate of risk factors and comorbid conditions.

KW - global

KW - global health

KW - Malawi

KW - maternal health

KW - preterm birth

UR - http://www.scopus.com/inward/record.url?scp=85081543410&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85081543410&partnerID=8YFLogxK

U2 - 10.1055/s-0040-1708491

DO - 10.1055/s-0040-1708491

M3 - Article

C2 - 32158618

AN - SCOPUS:85081543410

SN - 2157-6998

VL - 10

SP - E78-E86

JO - AJP Reports

JF - AJP Reports

IS - 1

ER -

Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this