title: Maternal and newborn outcomes at a tertiary care hospital in Lusaka, Zambia, 2008-2012.
abstract: OBJECTIVE
  To measure key obstetric and neonatal outcomes recorded at a tertiary hospital in Zambia over a 5-year period.
  
  
  METHODS
  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-minute Apgar score of less than 7, and admission to the neonatal intensive care unit.
  
  
  RESULTS
  A total of 62 470 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-minute Apgar score of less than 7 rose.
  
  
  CONCLUSIONS
  Routinely collected obstetric and neonatal data could aid ongoing program monitoring and should be used to guide quality improvement activities.
authors.affiliation: Department of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia.|Department of Obstetrics and Gynaecology, University of Zambia School of Medicine, Lusaka, Zambia.|Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
authors.forename: Bellington
authors.initials: B
authors.lastname: Vwalika
authors.affiliation: Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA.
authors.forename: Marie C D
authors.initials: MC
authors.lastname: Stoner
authors.affiliation: Department of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia.|Department of Obstetrics and Gynaecology, University of Zambia School of Medicine, Lusaka, Zambia.
authors.forename: Mulindi
authors.initials: M
authors.lastname: Mwanahamuntu
authors.affiliation: Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
authors.forename: K Cherry
authors.initials: KC
authors.lastname: Liu
authors.affiliation: Department of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia.
authors.forename: Eugene
authors.initials: E
authors.lastname: Kaunda
authors.affiliation: Department of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia.|Department of Obstetrics and Gynaecology, University of Zambia School of Medicine, Lusaka, Zambia.
authors.forename: Getrude G
authors.initials: GG
authors.lastname: Tshuma
authors.affiliation: Department of Paediatrics, University Teaching Hospital, Lusaka, Zambia.|Department of Paediatrics, University of Zambia School of Medicine, Lusaka, Zambia.
authors.forename: Somwe W
authors.initials: SW
authors.lastname: Somwe
authors.affiliation: Department of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia.|Department of Obstetrics and Gynaecology, University of Zambia School of Medicine, Lusaka, Zambia.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Ahmed
authors.affiliation: Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Stringer
authors.affiliation: Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
authors.forename: Jeffrey S A
authors.initials: JS
authors.lastname: Stringer
authors.affiliation: Department of Obstetrics and Gynaecology, University of Zambia School of Medicine, Lusaka, Zambia.|Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
authors.forename: Benjamin H
authors.initials: BH
authors.lastname: Chi
mesh_terms: D000328:Adult; D001034:Apgar Score; D002585:Cesarean Section / Q000706:statistics & numerical data*; D057286:Electronic Health Records; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D016014:Linear Models; D008428:Maternal Mortality / Q000639:trends*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D050497:Stillbirth / Q000453:epidemiology*; D062606:Tertiary Care Centers; D055815:Young Adult; D015024:Zambia
keywords: Africa; Hospital; Obstetric outcomes; Pregnancy; Prenatal care; Trends; Zambia