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Cited by 36Global Maternal and Child HealthMaternal and Perinatal Health InterventionsMaternal and Neonatal Healthcare

Maternal and neonatal outcomes of hospital vaginal deliveries in Tibet

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Miller, S., Tudor, C., Nyima, Thorsten, V.R., Sonam, Droyoung, Craig, S., Le, P. +2 more·2007·International Journal of Gynecology & Obstetrics
DOI 10.1016/j.ijgo.2007.03.033PMC PMC2194809
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Abstract

Introduction To determine the outcomes of vaginal deliveries in three study hospitals in Lhasa, Tibet Autonomous Region (TAR), People's Republic of China (PRC), at high altitude (3650 m). Methods Prospective observational study of 1121 vaginal deliveries. Results Pre-eclampsia/gestational hypertension (PE/GH) was the most common maternal complication 18.9% (n=212), followed by postpartum hemorrhage (blood loss > or = 500 ml) 13.4%. There were no maternal deaths. Neonatal complications included: low birth weight (10.2%), small for gestational age (13.7%), pre-term delivery (4.1%) and low Apgar (3.7%). There were 11 stillbirths (9.8/1000 live births) and 19 early neonatal deaths (17/1000 live births). Conclusion This is the largest study of maternal and newborn outcomes in Tibet. It provides information on the outcomes of institutional vaginal births among women delivering infants at high altitude. There was a higher incidence of PE/GH and low birth weight; rates of PPH were not increased compared to those at lower altitudes.

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  • Tibetan women perform a variety of practices to enhance the chances of a safe delivery, although outside the sphere of Tibetan medical professionals.

    “These studies have shown that, although outside the sphere of Tibetan medical professionals, Tibetan women perform a variety of practices to enhance the chances of a safe delivery.”

    From Women and Gender in Tibetan Medicine (2012) · cites this paper as Miller et al. 2007

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Authors
Miller, S., Tudor, C., Nyima, Thorsten, V. R., Sonam, Droyoung, Craig, S., Le, P., Wright, L. L., & Varner, M. W.
Affiliations
  • University of California, San Francisco (US)
  • RTI International (US)
  • Dartmouth College (US)
  • Harvard University (US)
  • National Institutes of Health (US)
  • University of Utah (US)
Corresponding author
Miller, S.
ORCID
Venue
International Journal of Gynecology & Obstetrics
Publisher
Wiley
Published
2007-05-04
Volume
98
Issue
3
Pages
217-221
ISSN
  • 0020-6695 (ISSN-L)
  • 0020-7292
  • 1879-3479
DOI
10.1016/j.ijgo.2007.03.033
PMC
PMC2194809
OpenAlex
W2063856057
Cited by
36
References
1
Citations by year
2026: 2 · 2025: 2 · 2022: 1 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 2 · 2012: 3
FWCI
2.87
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • International Journal of Gynecology & Obstetrics (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
Eunice Kennedy Shriver National Institute of Child Health and Human Development (U01HD040613)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
vaginal delivery, high altitude, maternal outcomes, neonatal outcomes, preeclampsia, gestational hypertension, postpartum hemorrhage, low birth weight, small for gestational age, preterm birth, Apgar score, stillbirth, neonatal mortality, Tibet
MeSH terms
Adult, Altitude, Female, Gestational Age, Hospitalization, Humans, Infant, Newborn, Infant, Small for Gestational Age, Obstetric Labor Complications, Male, Pre-Eclampsia, Pregnancy, Pregnancy Outcome, Tibet, Parturition, Delivery, Obstetric, Stillbirth

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