{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:37:00Z","timestamp":1792658220658,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,11,24]],"date-time":"2016-11-24T00:00:00Z","timestamp":1479945600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To measure key obstetric and neonatal outcomes recorded at a tertiary hospital in Zambia over a 5\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was conducted among women who had delivered at the University Teaching Hospital in Lusaka, between January 1, 2008, and December 31, 2012. Data were extracted from electronic medical records. The main outcomes were maternal mortality, cesarean delivery, prenatal or intrapartum hemorrhage, stillbirth, a 5\u2010minute Apgar score of less than 7, and admission to the neonatal intensive care unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 62\u00a0470 deliveries were recorded. Rates of maternal mortality, cesarean delivery, and hemorrhage during pregnancy all declined over time. Decreased admissions to the neonatal intensive care unit were observed; however, the rate spiked temporarily in late 2011 and early 2012 before returning to previous levels. The proportion of stillbirths remained stable over time but reports of a 5\u2010minute Apgar score of less than 7 rose.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Routinely collected obstetric and neonatal data could aid ongoing program monitoring and should be used to guide quality improvement activities.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12036","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T04:43:47Z","timestamp":1484282627000},"page":"180-187","source":"Crossref","is-referenced-by-count":17,"title":["Maternal and newborn outcomes at a tertiary care hospital in Lusaka, Zambia, 2008\u20132012"],"prefix":"10.1002","volume":"136","author":[{"given":"Bellington","family":"Vwalika","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology University Teaching Hospital  Lusaka Zambia"},{"name":"Department of Obstetrics and Gynaecology University of Zambia School of Medicine  Lusaka Zambia"},{"name":"Department of Obstetrics and Gynecology University of North Carolina School of Medicine  Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie C.D.","family":"Stoner","sequence":"additional","affiliation":[{"name":"Department of Epidemiology University of North Carolina Gillings School of Global Public Health  Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mulindi","family":"Mwanahamuntu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University Teaching Hospital  Lusaka Zambia"},{"name":"Department of Obstetrics and Gynaecology University of Zambia School of Medicine  Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. Cherry","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of North Carolina School of Medicine  Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene","family":"Kaunda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University Teaching Hospital  Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Getrude G.","family":"Tshuma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University Teaching Hospital  Lusaka Zambia"},{"name":"Department of Obstetrics and Gynaecology University of Zambia School of Medicine  Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somwe W.","family":"Somwe","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University Teaching Hospital  Lusaka Zambia"},{"name":"Department of Paediatrics University of Zambia School of Medicine  Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuf","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University Teaching Hospital  Lusaka Zambia"},{"name":"Department of Obstetrics and Gynaecology University of Zambia School of Medicine  Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth M.","family":"Stringer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of North Carolina School of Medicine  Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey S.A.","family":"Stringer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of North Carolina School of Medicine  Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin H.","family":"Chi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Zambia School of Medicine  Lusaka Zambia"},{"name":"Department of Obstetrics and Gynecology University of North Carolina School of Medicine  Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,24]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"UNICEF: Country profile: Zambia.http:\/\/www.unicef.org\/infobycountry\/zambia_statistics.html\u2010 25. Accessed October 2 2016."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60696-6"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60497-9"},{"key":"e_1_2_8_5_1","unstructured":"Anonymous.Saving mothers giving life: Zambia.http:\/\/savingmothersgivinglife.org\/our-work\/zambia.aspx. Accessed June 14 2016."},{"key":"e_1_2_8_6_1","first-page":"578","article-title":"Health information systems: The foundations of public health","volume":"83","author":"AbouZahr C","year":"2005","journal-title":"Bull World Health Organ"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-S2-S9"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.14.151399"},{"key":"e_1_2_8_9_1","first-page":"549","article-title":"An evaluation of the District Health Information System in rural South Africa","volume":"98","author":"Garrib A","year":"2008","journal-title":"S Afr Med J"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0005483"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.092759"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.11.013"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2006.03.023"},{"key":"e_1_2_8_14_1","first-page":"409","article-title":"No cry at birth: Global estimates of intrapartum stillbirths and intrapartum\u2010related neonatal deaths","volume":"83","author":"Lawn J","year":"2005","journal-title":"Bull World Health Organ"},{"key":"e_1_2_8_15_1","first-page":"1","article-title":"Use of electronic health records in sub\u2010saharan Africa: Progress and challenges","volume":"14","author":"Akanbi MO","year":"2012","journal-title":"J Med Trop"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)30029-9"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs.2010.044388"},{"key":"e_1_2_8_18_1","unstructured":"Central Statistical Office [Zambia] Central Board of Health [Zambia] ORC Macro.Zambia Demographic and Health Survey 2007.Calverton Maryland USA:Central Statistical Office Central Board of Health and ORC Macro;2009."},{"key":"e_1_2_8_19_1","unstructured":"Central Statistical Office [Zambia] Central Board of Health [Zambia] ORC Macro.Zambia Demographic and Health Survey 2013\u20132014.Calverton Maryland USA:Central Statistical Office Central Board of Health and ORC Macro;2015."},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182167627"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-12-S2-S7"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2012.0219"},{"key":"e_1_2_8_23_1","unstructured":"World Bank: Data: GNI per capita Atlas method.http:\/\/data.worldbank.org\/indicator\/NY.GNP.PCAP.CD. Accessed June 14 2016."},{"key":"e_1_2_8_24_1","unstructured":"World Bank.World Bank Country and Lending Groups.https:\/\/datahelpdesk.worldbank.org\/knowledgebase\/articles\/906519. Accessed October 31 2016."},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0097769"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1758-2652-14-3"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2011.08.010"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12036","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12036","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T13:29:22Z","timestamp":1730208562000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12036"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,24]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["10.1002\/ijgo.12036"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12036","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,24]]}}}