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Fetal heart tones on admission were monitored, and demographic and birth data were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data were obtained for 3555 women and 3593 neonates (including twins). The doptone was used on 97% of women admitted. The overall perinatal mortality rate was 34 deaths per 1000 deliveries. Of the perinatal deaths, 40%\u201345% occurred in the hospital and were potentially preventable by better hospital care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results demonstrated that it is possible to accurately determine fetal viability on admission via a doptone. Implementation of doptone use, coupled with a concise data record, might form the basis of a low\u2010cost and sustainable program to monitor and evaluate efforts to improve quality of care and ultimately might help to reduce the in\u2010hospital component of perinatal mortality in low\u2010income countries.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2013.04.008","type":"journal-article","created":{"date-parts":[[2013,6,21]],"date-time":"2013-06-21T14:32:52Z","timestamp":1371825172000},"page":"230-233","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":23,"title":["A multi\u2010country study of the \u201cintrapartum stillbirth and early neonatal death indicator\u201d in hospitals in low\u2010resource settings"],"prefix":"10.1002","volume":"122","author":[{"given":"Robert L.","family":"Goldenberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth M.","family":"McClure","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhala","family":"Kodkany","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilbert","family":"Wembodinga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omrana","family":"Pasha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Esamai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoinette","family":"Tshefu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archana","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hillary","family":"Mabaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivaparasad","family":"Goudar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Saleem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manjushri","family":"Waikar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Langer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl L.","family":"Bose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig E.","family":"Rubens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda L.","family":"Wright","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Moore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Blanc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,21]]},"reference":[{"issue":"9620","key":"e_1_2_6_2_2","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1016\/S0140-6736(08)60559-0","article-title":"Countdown to 2015 for maternal, newborn, and child survival: the 2008 report on tracking coverage of interventions","volume":"371","author":"Countdown Coverage Writing Group","year":"2008","journal-title":"Lancet"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61337-8"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.07.010"},{"issue":"9730","key":"e_1_2_6_5_2","doi-asserted-by":"crossref","first-page":"2009","DOI":"10.1016\/S0140-6736(10)60744-1","article-title":"India's Janani Suraksha Yojana, a conditional cash transfer programme to increase births in health facilities: an impact evaluation","volume":"375","author":"Lim S.S.","year":"2010","journal-title":"Lancet"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61571-2"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2012.04.022"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001264"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.07.016"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-10-29"},{"issue":"2","key":"e_1_2_6_11_2","first-page":"150","article-title":"Analysis of perinatal deaths and ascertaining perinatal mortality trend in a hospital","volume":"9","author":"Manandhar S.R.","year":"2011","journal-title":"J Nepal Health Res Counc"}],"container-title":["International Journal of Gynecology &amp; 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