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Biomedical subjects

M Nkata

Publications and source records attributed to M Nkata.

8 recordsLinked to original sources
PubMed2001

Perinatal mortality in breech delivery.

Single babies delivered by breech at Mansa General Hospital (Zambia) during a 12 month period from September 1993 to August 1994 were studied retrospectively. Breech delivery accounted for 2.44% single births. The perinatal mortality rate was high (341/1000) and involved mainly the low birth weight babies. This study confirms previously published reports of higher perinatal mortality in breech presentation. However, with proper selection of clients, intrapartum fetal monitoring and skilful birth attendants, a substantial proportion of breech presentations could have been safely delivered vaginally.

Adolescent↗
PubMed2000

Perinatal mortality in retained second twin.

Retention of the second twin is diagnosed if the twin is still undelivered 30 minutes after the birth of the first baby and this condition constitutes an obstetric emergency often associated with a poor outcome. We report the causes of retention and the perinatal mortality rate in 30 retained second twins in a series of 128 sets of twin births recorded in Mansa General Hospital (Zambia) from 1 August 1993 to 31 July 1995. The study focused only on 125 available case notes. The incidence of twin birth is 4% of deliveries and 24% second twins were retained. The main causes of retention were uterine inertia (90%), malpresentation (60%) and home delivery of the first twin (23%). The perinatal mortality rate was higher in retained second twins (47%) than in those delivered normally (13%). The main factors associated with perinatal deaths were very low Apgar score (100%), cephalic presentation (64%) and very low birth weight (29%). Only good antenatal and intrapartum care can help reduce the incidence and poor outcome due to the retained second twin.

Journal Article↗
PubMed1999

Perinatal mortality in twin deliveries in a general hospital in Zambia.

Data from birth records and death certificates were used retrospectively to determine the risk factors associated with perinatal mortality in twin pregnancy at Mansa General Hospital between 1 August 1993 and 31 July 1995. A total of 3091 singleton births, 128 sets of twins, and three sets of triplets was recorded during the study period with a twinning rate of 4 per cent of the total deliveries. Perinatal mortality in twin gestation was high (141/1000) and affected mostly the second twin (72 per cent). The main risk factors associated with perinatal mortality in twin pregnancy were birthweight less than 2000 g (47 per cent), retained second twin (36 per cent), primiparity (28 per cent), fetal malpresentations (25 per cent), cord anomalies (17 per cent), and home deliveries (14 per cent). Perinatal deaths in twin pregnancies can be reduced by early recognition of twin gestation during antenatal visits, prevention of premature labour, and provision for emergency referral. A woman carrying twins should be advised to deliver in a well equipped health facility, with adequately trained health personnel rather than the traditional midwife, in order to minimize associated hazards.

Adolescent↗
PubMed1997

Maternal deaths in teenage mothers.

In developing countries such as Zambia, teenage pregnancy is common and dangerous. In this study, out of 677 teenage mothers 33 died. The causes of this alarming mortality are documented and show the influence of sepsis, obstructed labour and uterine rupture. Malaria was an important associated cause. Only a major education programme with discouragement of pregnancy in young girls is likely to influence this distressing problem.

Journal Article↗