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A cross-sectional survey was conducted in neonatal and maternity units of five Kenyan district public hospitals. Data for 1 year were obtained: 3999 maternal and 1836 neonatal records plus tallies of maternal deaths, deliveries and stillbirths. There were 40 maternal deaths [maternal mortality ratio: 276 per 100 000 live births, 95% confidence interval (CI): 197-376]. Fresh stillbirths ranged from 11 to 43 per 1000 births. A fifth (19%, 263 of 1384, 95% CI: 11-30%) of the admitted neonates died. Compared with normal birth weight, odds of death were significantly higher in all of the low birth weight (LBW, <2500 g) categories, with the highest odds for the extremely LBW (<1000 g) category (odds ratio: 59, 95% CI: 21-158, p < 0.01). The observed maternal mortality, stillbirths and neonatal mortality call for implementation of the continuum of care approach to intervention delivery with particular emphasis on LBW babies.

Original publication




Journal article


J Trop Pediatr

Publication Date





255 - 259


Neonatal morbidity and mortality, developing countries, hospital care, maternal mortality, still births, Asphyxia, Cause of Death, Cross-Sectional Studies, Delivery, Obstetric, Female, Hospitalization, Hospitals, Urban, Humans, Infant, Infant Mortality, Infant, Newborn, Kenya, Logistic Models, Male, Maternal Mortality, Morbidity, Pregnancy, Pregnancy Outcome, Retrospective Studies, Stillbirth