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Purpose: The purpose of this study is to determine the prevalence and risk factors of perinatal morbidity and mortality in hospitals in the City Province of Kinshasa. Material and Methods: We carried out a cross-sectional survey with a correlational aim among 456 mothers selected in two health zones of the Provincial Health Division of Kinshasa. Data were entered in Excel 2013 and then exported to SPSS 21 software for statistical analysis. The determination of risk factors for perinatal morbidity and mortality is made possible thanks to logistic regression at the significance level of 0.05. Results: The prevalence of prematurity in the hospital setting was 13.8%; that of low birth weight was 5.6% and the perinatal mortality rate was 50.4 per thousand live births. Logistic regression analysis showed that the risk factors for perinatal morbidity and mortality included polygamy, primigravida, heavy work during pregnancy, presence of at least two pathologies during gestation, lack of vacci

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