This research involves an analytical epidemiological investigation carried out in Kinshasa to evaluate the occurrence and determinants of unfavorable perinatal results, specifically preterm delivery, low birth weight, and perinatal death. A forward-looking cohort investigation was performed involving 692 expectant mothers monitored across 30 healthcare centers in city, peri-urban, and countryside regions of Kinshasa during a span of six months. Information was gathered through surveys and health records, followed by processing with Excel and R programs.
Findings indicate that 40.8% of infants were born preterm, 7.8% exhibited low birth weight, and 2.2% experienced perinatal death. Peri-urban zones showed a notably higher likelihood of these negative results. Elements linked to preterm birth encompass lack of employment while pregnant, absence of contraceptive use, and residential location. Low birth weight correlates with limited maternal schooling and living in countryside settings. Regarding perinatal death, peri-urban zones are especially impacted. The investigation underscores the role of socioeconomic, educational, and geographic elements in perinatal well-being. It emphasizes the need for fair distribution of prenatal services and bolstering family planning initiatives in Kinshasa. These findings ought to inform intervention efforts aimed at enhancing maternal and infant conditions in both city and countryside environments within the DRC.
