Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care

Ignace Bwana Kangulu; Albert Mwembo Tambwe A'Nkoy; Michel Kabamba Nzaji; Alain Mbayo Kazadi; Elie Kilolo Ngoy Umba; John Ngoy Lumbule; Eric Kiwele Zongwe; Xavier Kinenkinda Kalume; Jules Ngwe Thaba Moyambe; Jean-Baptiste Kakoma Sakatolo; Prosper Kalenga Muenze Kayamba

doi:doi:10.11648/j.jgo.20231102.13

Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care

Ignace Bwana Kangulu, Albert Mwembo Tambwe A'Nkoy, Michel Kabamba Nzaji, Alain Mbayo Kazadi, Elie Kilolo Ngoy Umba, John Ngoy Lumbule, Eric Kiwele Zongwe, Xavier Kinenkinda Kalume, Jules Ngwe Thaba Moyambe, Jean-Baptiste Kakoma Sakatolo, Prosper Kalenga Muenze Kayamba

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 2)

Received: 8 March 2023 Accepted: 4 April 2023 Published: 15 April 2023

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Abstract

Purpose: Intrauterine fetal death (IUFD) is a problem frequently encountered in obstetrical practice in developing countries. The objectives of this study were to identify maternal risk factors for IUFD in the third trimester of pregnancy and to establish its relationship with the norms of periodicity of antenatal care in Kamina. Materiel and methods: This is a case-control study conducted in 6 health facilities in Kamina from January 2021 to May 2022. The effects of the socio-demographic characteristics and obstetrical history of mothers, number of prenatal attendances, age of pregnancy at the first prenatal attendance and number of consultations in third trimester of pregnancy on the occurrence of IUFD were studied. A total of 78 cases of IUFD were linked to 234 controls. Results: The adjustment allowed us to retain 5 parameters significantly associated with IUFD: residence in a rural environment (aOR=2.25; CI= [1.23-4.48]), absence of a history of abortion (aOR=2.97; CI=[1.21-7.26]), history of stillbirth (aOR=2.97; CI =[1.21-7.26]), non-follow up of prenatal care (aOR=3.69; CI=[1.78-7.68]) and insufficient number of prenatal attendances in the third trimester of pregnancy (aOR= 2.22; CI=[1.04 -4.73]). The values of the area under the ROC curve (AUC) found indicate a good capacity of the model (80.3%). Conclusion: The modifiable maternal determinants and those related to identified ANC should serve providers to reduce the occurrence of IUFD in Kamina and its surroundings.

Published in	Journal of Gynecology and Obstetrics (Volume 11, Issue 2)
DOI	10.11648/j.jgo.20231102.13
Page(s)	41-46
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Intrauterine Fetal Death, Risk Factors, Antenatal Care

References

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Ignace Bwana Kangulu, Albert Mwembo Tambwe A'Nkoy, Michel Kabamba Nzaji, Alain Mbayo Kazadi, Elie Kilolo Ngoy Umba, et al. (2023). Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care. Journal of Gynecology and Obstetrics, 11(2), 41-46. https://doi.org/10.11648/j.jgo.20231102.13

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ACS Style

Ignace Bwana Kangulu; Albert Mwembo Tambwe A'Nkoy; Michel Kabamba Nzaji; Alain Mbayo Kazadi; Elie Kilolo Ngoy Umba, et al. Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care. J. Gynecol. Obstet. 2023, 11(2), 41-46. doi: 10.11648/j.jgo.20231102.13

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AMA Style

Ignace Bwana Kangulu, Albert Mwembo Tambwe A'Nkoy, Michel Kabamba Nzaji, Alain Mbayo Kazadi, Elie Kilolo Ngoy Umba, et al. Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care. J Gynecol Obstet. 2023;11(2):41-46. doi: 10.11648/j.jgo.20231102.13

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@article{10.11648/j.jgo.20231102.13,
  author = {Ignace Bwana Kangulu and Albert Mwembo Tambwe A'Nkoy and Michel Kabamba Nzaji and Alain Mbayo Kazadi and Elie Kilolo Ngoy Umba and John Ngoy Lumbule and Eric Kiwele Zongwe and Xavier Kinenkinda Kalume and Jules Ngwe Thaba Moyambe and Jean-Baptiste Kakoma Sakatolo and Prosper Kalenga Muenze Kayamba},
  title = {Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {11},
  number = {2},
  pages = {41-46},
  doi = {10.11648/j.jgo.20231102.13},
  url = {https://doi.org/10.11648/j.jgo.20231102.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231102.13},
  abstract = {Purpose: Intrauterine fetal death (IUFD) is a problem frequently encountered in obstetrical practice in developing countries. The objectives of this study were to identify maternal risk factors for IUFD in the third trimester of pregnancy and to establish its relationship with the norms of periodicity of antenatal care in Kamina. Materiel and methods: This is a case-control study conducted in 6 health facilities in Kamina from January 2021 to May 2022. The effects of the socio-demographic characteristics and obstetrical history of mothers, number of prenatal attendances, age of pregnancy at the first prenatal attendance and number of consultations in third trimester of pregnancy on the occurrence of IUFD were studied. A total of 78 cases of IUFD were linked to 234 controls. Results: The adjustment allowed us to retain 5 parameters significantly associated with IUFD: residence in a rural environment (aOR=2.25; CI= [1.23-4.48]), absence of a history of abortion (aOR=2.97; CI=[1.21-7.26]), history of stillbirth (aOR=2.97; CI =[1.21-7.26]), non-follow up of prenatal care (aOR=3.69; CI=[1.78-7.68]) and insufficient number of prenatal attendances in the third trimester of pregnancy (aOR= 2.22; CI=[1.04 -4.73]). The values of the area under the ROC curve (AUC) found indicate a good capacity of the model (80.3%). Conclusion: The modifiable maternal determinants and those related to identified ANC should serve providers to reduce the occurrence of IUFD in Kamina and its surroundings.},
 year = {2023}
}

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TY  - JOUR
T1  - Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care
AU  - Ignace Bwana Kangulu
AU  - Albert Mwembo Tambwe A'Nkoy
AU  - Michel Kabamba Nzaji
AU  - Alain Mbayo Kazadi
AU  - Elie Kilolo Ngoy Umba
AU  - John Ngoy Lumbule
AU  - Eric Kiwele Zongwe
AU  - Xavier Kinenkinda Kalume
AU  - Jules Ngwe Thaba Moyambe
AU  - Jean-Baptiste Kakoma Sakatolo
AU  - Prosper Kalenga Muenze Kayamba
Y1  - 2023/04/15
PY  - 2023
N1  - https://doi.org/10.11648/j.jgo.20231102.13
DO  - 10.11648/j.jgo.20231102.13
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 41
EP  - 46
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20231102.13
AB  - Purpose: Intrauterine fetal death (IUFD) is a problem frequently encountered in obstetrical practice in developing countries. The objectives of this study were to identify maternal risk factors for IUFD in the third trimester of pregnancy and to establish its relationship with the norms of periodicity of antenatal care in Kamina. Materiel and methods: This is a case-control study conducted in 6 health facilities in Kamina from January 2021 to May 2022. The effects of the socio-demographic characteristics and obstetrical history of mothers, number of prenatal attendances, age of pregnancy at the first prenatal attendance and number of consultations in third trimester of pregnancy on the occurrence of IUFD were studied. A total of 78 cases of IUFD were linked to 234 controls. Results: The adjustment allowed us to retain 5 parameters significantly associated with IUFD: residence in a rural environment (aOR=2.25; CI= [1.23-4.48]), absence of a history of abortion (aOR=2.97; CI=[1.21-7.26]), history of stillbirth (aOR=2.97; CI =[1.21-7.26]), non-follow up of prenatal care (aOR=3.69; CI=[1.78-7.68]) and insufficient number of prenatal attendances in the third trimester of pregnancy (aOR= 2.22; CI=[1.04 -4.73]). The values of the area under the ROC curve (AUC) found indicate a good capacity of the model (80.3%). Conclusion: The modifiable maternal determinants and those related to identified ANC should serve providers to reduce the occurrence of IUFD in Kamina and its surroundings.
VL  - 11
IS  - 2
ER  -

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Author Information

Ignace Bwana Kangulu

Department of Gynecology and Obstetrics, Faculty of Medicine, University of Kamina, Kamina, Democratic Republic of Congo
Albert Mwembo Tambwe A'Nkoy

Department of Gynecology and Obstetrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo
Michel Kabamba Nzaji

Faculty of Medecine, School of Public Health, University of Kamina, Kamina, Democratic Republic of Congo
Alain Mbayo Kazadi

Department of Gynecology and Obstetrics, Faculty of Medicine, University of Kamina, Kamina, Democratic Republic of Congo
Elie Kilolo Ngoy Umba

Faculty of Medecine, School of Public Health, University of Kamina, Kamina, Democratic Republic of Congo
John Ngoy Lumbule

Faculty of Medecine, School of Public Health, University of Kamina, Kamina, Democratic Republic of Congo
Eric Kiwele Zongwe

Department of Gynecology and Obstetrics, Faculty of Medicine, University of Kamina, Kamina, Democratic Republic of Congo
Xavier Kinenkinda Kalume

Department of Gynecology and Obstetrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo
Jules Ngwe Thaba Moyambe

Department of Gynecology and Obstetrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo
Jean-Baptiste Kakoma Sakatolo

Department of Gynecology and Obstetrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo
Prosper Kalenga Muenze Kayamba

Department of Gynecology and Obstetrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

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APA Style

Ignace Bwana Kangulu, Albert Mwembo Tambwe A'Nkoy, Michel Kabamba Nzaji, Alain Mbayo Kazadi, Elie Kilolo Ngoy Umba, et al. (2023). Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care. Journal of Gynecology and Obstetrics, 11(2), 41-46. https://doi.org/10.11648/j.jgo.20231102.13

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ACS Style

Ignace Bwana Kangulu; Albert Mwembo Tambwe A'Nkoy; Michel Kabamba Nzaji; Alain Mbayo Kazadi; Elie Kilolo Ngoy Umba, et al. Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care. J. Gynecol. Obstet. 2023, 11(2), 41-46. doi: 10.11648/j.jgo.20231102.13

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AMA Style

Ignace Bwana Kangulu, Albert Mwembo Tambwe A'Nkoy, Michel Kabamba Nzaji, Alain Mbayo Kazadi, Elie Kilolo Ngoy Umba, et al. Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care. J Gynecol Obstet. 2023;11(2):41-46. doi: 10.11648/j.jgo.20231102.13

Copy | Download

@article{10.11648/j.jgo.20231102.13,
  author = {Ignace Bwana Kangulu and Albert Mwembo Tambwe A'Nkoy and Michel Kabamba Nzaji and Alain Mbayo Kazadi and Elie Kilolo Ngoy Umba and John Ngoy Lumbule and Eric Kiwele Zongwe and Xavier Kinenkinda Kalume and Jules Ngwe Thaba Moyambe and Jean-Baptiste Kakoma Sakatolo and Prosper Kalenga Muenze Kayamba},
  title = {Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {11},
  number = {2},
  pages = {41-46},
  doi = {10.11648/j.jgo.20231102.13},
  url = {https://doi.org/10.11648/j.jgo.20231102.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231102.13},
  abstract = {Purpose: Intrauterine fetal death (IUFD) is a problem frequently encountered in obstetrical practice in developing countries. The objectives of this study were to identify maternal risk factors for IUFD in the third trimester of pregnancy and to establish its relationship with the norms of periodicity of antenatal care in Kamina. Materiel and methods: This is a case-control study conducted in 6 health facilities in Kamina from January 2021 to May 2022. The effects of the socio-demographic characteristics and obstetrical history of mothers, number of prenatal attendances, age of pregnancy at the first prenatal attendance and number of consultations in third trimester of pregnancy on the occurrence of IUFD were studied. A total of 78 cases of IUFD were linked to 234 controls. Results: The adjustment allowed us to retain 5 parameters significantly associated with IUFD: residence in a rural environment (aOR=2.25; CI= [1.23-4.48]), absence of a history of abortion (aOR=2.97; CI=[1.21-7.26]), history of stillbirth (aOR=2.97; CI =[1.21-7.26]), non-follow up of prenatal care (aOR=3.69; CI=[1.78-7.68]) and insufficient number of prenatal attendances in the third trimester of pregnancy (aOR= 2.22; CI=[1.04 -4.73]). The values of the area under the ROC curve (AUC) found indicate a good capacity of the model (80.3%). Conclusion: The modifiable maternal determinants and those related to identified ANC should serve providers to reduce the occurrence of IUFD in Kamina and its surroundings.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Intrauterine Fetal Death in the Third Trimester of Pregnancy in Kamina, DR Congo: Identification of High-Risk Mothers and Impact of the Periodicity of Antenatal Care
AU  - Ignace Bwana Kangulu
AU  - Albert Mwembo Tambwe A'Nkoy
AU  - Michel Kabamba Nzaji
AU  - Alain Mbayo Kazadi
AU  - Elie Kilolo Ngoy Umba
AU  - John Ngoy Lumbule
AU  - Eric Kiwele Zongwe
AU  - Xavier Kinenkinda Kalume
AU  - Jules Ngwe Thaba Moyambe
AU  - Jean-Baptiste Kakoma Sakatolo
AU  - Prosper Kalenga Muenze Kayamba
Y1  - 2023/04/15
PY  - 2023
N1  - https://doi.org/10.11648/j.jgo.20231102.13
DO  - 10.11648/j.jgo.20231102.13
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 41
EP  - 46
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20231102.13
AB  - Purpose: Intrauterine fetal death (IUFD) is a problem frequently encountered in obstetrical practice in developing countries. The objectives of this study were to identify maternal risk factors for IUFD in the third trimester of pregnancy and to establish its relationship with the norms of periodicity of antenatal care in Kamina. Materiel and methods: This is a case-control study conducted in 6 health facilities in Kamina from January 2021 to May 2022. The effects of the socio-demographic characteristics and obstetrical history of mothers, number of prenatal attendances, age of pregnancy at the first prenatal attendance and number of consultations in third trimester of pregnancy on the occurrence of IUFD were studied. A total of 78 cases of IUFD were linked to 234 controls. Results: The adjustment allowed us to retain 5 parameters significantly associated with IUFD: residence in a rural environment (aOR=2.25; CI= [1.23-4.48]), absence of a history of abortion (aOR=2.97; CI=[1.21-7.26]), history of stillbirth (aOR=2.97; CI =[1.21-7.26]), non-follow up of prenatal care (aOR=3.69; CI=[1.78-7.68]) and insufficient number of prenatal attendances in the third trimester of pregnancy (aOR= 2.22; CI=[1.04 -4.73]). The values of the area under the ROC curve (AUC) found indicate a good capacity of the model (80.3%). Conclusion: The modifiable maternal determinants and those related to identified ANC should serve providers to reduce the occurrence of IUFD in Kamina and its surroundings.
VL  - 11
IS  - 2
ER  -

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