{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:41:53Z","timestamp":1785404513758,"version":"3.56.0"},"reference-count":35,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T00:00:00Z","timestamp":1709164800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Certain determinants can be associated with avoidable perinatal deaths, and audits are needed to establish what these determinants are, and what can be done to prevent such deaths.\n\nObjectives:\u00a0The study aimed at identifying and describing determinants associated with avoidable perinatal deaths at a district hospital in Lesotho and strategies to curb their occurrence.\n\nMethod:\u00a0A retrospective descriptive study was conducted using 142 anonymised obstetric records from January 2018 to December 2020. A data collection tool was adopted from the Perinatal Problem Identification Programme. In this tool, avoidable determinants are referred to as \u2018factors\u2019 or \u2018problems\u2019.\n\nResults:\u00a0A concerning number of perinatal deaths were secondary to avoidable patient factors, namely a delay in seeking medical care, inappropriate responses to antepartum haemorrhage, and inadequate responses to poor foetal movements. Medical personnel factors are also worth observing, namely incorrect use of partograph, insufficient notes to comment on avoidable factors and \u2018other\u2019 medical personnel problems. Ranking highest among administrative problems were the unavailability of intensive care unit beds and ventilators and inadequate resuscitation equipment. Administrative problems accounted for more perinatal deaths than the patient-related factors and medical personnel factors.\n\nConclusion:\u00a0There is an urgent need for periodic audits, health education for patients, staff competency and the necessary equipment to resuscitate neonates.\n\nContribution:\u00a0Avoidable determinants associated with perinatal deaths in a district hospital in Lesotho could be identified. This information provides an understanding of what can be done to limit avoidable perinatal deaths.<\/jats:p>","DOI":"10.4102\/curationis.v47i1.2497","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T22:10:39Z","timestamp":1709244639000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Identifying avoidable causes of perinatal deaths in a district hospital in Lesotho"],"prefix":"10.4102","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6421-3409","authenticated-orcid":false,"given":"Rose","family":"Nonyane","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/010f1sq29","id-type":"ROR","asserted-by":"publisher"}],"name":"North-West University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6469-2021","authenticated-orcid":false,"given":"Emmerentia","family":"du Plessis","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/010f1sq29","id-type":"ROR","asserted-by":"publisher"}],"name":"North-West University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1313-7562","authenticated-orcid":false,"given":"Jeannette","family":"Clase","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/010f1sq29","id-type":"ROR","asserted-by":"publisher"}],"name":"North-West University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2024,2,29]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Aminu, M., Bar-Zeev, S. & Van der Broek, N., 2017, \u2018Cause of and factors associated with stillbirth: A systematic review of classification systems\u2019, Acta Obstetricia et Gynecologica Scandinavica 96(5), 519\u2013528. https:\/\/doi.org\/10.1111\/aogs.13126","DOI":"10.1111\/aogs.13126"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Ashish, K.C., Wrammert, J., Ewald, U., Clark, B.R., Gautam, J., Baral, G. et al., 2016, \u2018Incidence of intrapartum stillbirth and associated risk factors in tertiary care setting of Nepal: A case-control study\u2019, Reproductive Health 13, 103. https:\/\/doi.org\/10.1186\/s12978-016-0226-9","DOI":"10.1186\/s12978-016-0226-9"},{"key":"ref2","unstructured":"Australia Institute of Health and Welfare, 2019, Stillbirths and neonatal deaths in Australia, Australian Government, viewed 10 May 2022, from https:\/\/stillbirthcre.org.au\/wp-content\/uploads\/2021\/03\/Australian-Stillbirths-and-Neonatal-Deaths.pdf."},{"key":"ref3","unstructured":"Blencowe, H., Cousens, S., Jassir, B.F., Say, L., Chou, D., Mathers, C. et al., 2016, \u2018National, regional and worldwide estimates of stillbirth rates in 2015, with trends from 2000: A systematic analysis\u2019, The Lancet Stillbirth Epidemiology Investigator Group 4(2), e98\u2013e108. https:\/\/dx.doi.org\/10.10s6\/522s4.109x(15)00275-2."},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Bonfirm, C., Silva, A., Oliveira, C., Vilela, M. & Freire, N., 2020, \u2018Spatial analysis of inequalities in fetal and infant mortality due to avoidable causes\u2019, Revista Brasileira de Enfermagem 73(4), e20190088. https:\/\/doi.org\/10.1590\/0034-7167-2019-0088","DOI":"10.1590\/0034-7167-2019-0088"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Dessu, S. & Dawit, Z., 2020, \u2018Perinatal mortality and associated factors among antenatal care attended pregnant mothers at public hospitals in Gamo Zone, Southern Ethiopia\u2019, Frontiers in Pediatrics 8, 586747. https:\/\/doi.org\/10.3389\/fped.2020.586747","DOI":"10.3389\/fped.2020.586747"},{"key":"ref6","unstructured":"Fraser, D.M., Nolte, M.A. & Myles, M.F., 2015, Textbook for midwives, Churchill Livingstone, Edinburgh."},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Gardiner, A.P., Kent, L.A., Rodriguez, V., Wojcieszek, M.A., Ellwood, D., Gordon, A. et al., 2016, \u2018Evaluation of an international educational programme for health care professionals on the best practice in the management of a perinatal death: Improving perinatal mortality review and outcomes via education (IMPROVE)\u2019, BMC Pregnancy and Childbirth 16, 376. https:\/\/doi.org\/10.1186\/s12884-016-1173-8","DOI":"10.1186\/s12884-016-1173-8"},{"key":"ref8","unstructured":"Houser, J., 2023, Nursing research. 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