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Prevalence of Stillbirth and Associated Factors among Immediate Postpartum Mothers at Bahir Dar, Felegehiwot Hospital, Northwest Ethiopia: Cross-sectional Study

Received: 12 November 2020    Accepted: 2 December 2020    Published: 20 April 2021
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Abstract

Background: Stillbirth rates are among the indicators of maternal and child health care quality in the countries. However, the majority of neonatal deaths and almost all stillbirths were underreported in Ethiopia. Therefore, this study aimed to determine the prevalence of stillbirth and associated factors among immediate postpartum mothers in the study area. Methods: An institution-based cross-sectional study was employed at Felegehiwot comprehensive specialized hospital from March to May 2016 (n=310). A pretested structured interviewer- administered questionnaire and medical chart reviews were used to collect data from immediate postpartum mothers. Data were entered into Epi Info version 7 and analyzed using SPSS version 20. The binary logistic regression model fitted to identify stillbirth; adjusted odds ratio (AOR) with a 95% confidence interval (CI) was computed to assess the strength of association. Variables having less than 0.05 p-value of in the multivariable considered as factors associated with stillbirths. Result: The prevalence of stillbirth was 8.7% (95%CI: 5.8, 12.4). Rural dwelling (AOR=2.86, 95%CI: 1.10 7.47), twin pregnancy (AOR=6.69, 95% CI: 1.77, 25.2), medical or obstetrical illnesses during pregnancy (AOR=5.54, 95%CI: 1.71 17.94) and complications during labor and delivery (AOR=4.96, 95%CI: 1.48 16.58) were factors associated with stillbirths. Conclusion: This study revealed that the magnitude of stillbirth was high in rural dwelling, twin pregnancy, medical or obstetrical illnesses during pregnancy, and complicated labor were associated with increased occurrences of stillbirth. This finding suggests that particular emphasis on rural dwellers and strengthening quality of Maternal in pregnancy and labor delivery service and proper following during labor attending process are mandatory to reduce stillbirth.

Published in International Journal of Biomedical Engineering and Clinical Science (Volume 7, Issue 2)
DOI 10.11648/j.ijbecs.20210702.12
Page(s) 22-29
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Stillbirth, Immediate Postpartum Mothers, Felegehiwot Referral Hospital

References
[1] Ntuli T., HN. M. An Investigation of the Stillbirths at a tertiary Hospital in Limpopo Province of South Africa. Canadian Center of Science and Education. 2012; 4.
[2] Robert M., Silver MD., Michael W., Varner MD., etail. Work-Up of Stillbirth: A Review of the Evidence. NIH Public Access. 2009.
[3] Say L., Donner A., Gülmezog M.,. e. The prevalence of stillbirths: a systematic review. Open Access. 2006; 3: 1-11.
[4] Manandhar SR., Ojha A., Manandhar DS., etal. Causes of Stillbirths and Neonatal deaths in Dhanusha district, Nepal: A verbal autopsy study. Kathmandu University Medical. 2010; 1 (29, 62-72).
[5] Mcclure M., Pasha O., Shivaprasad S., etal. Epidemiology of stillbirth in low-middle income countries. NIH Public Access. 2011 12 1379–85.
[6] Alison G ÖT, Ann-B, etail Global causes of maternal death: a WHO systematic analysis
[7] WHO, UNICEF, MOH, UNFPA, The World Bank and the United Nations Population Division. Trends in maternal mortality: 1990 to 2013. 2014.
[8] Berhan Y. BA. Perinatal Mortality Trends in Ethiopia. Ethiop J Health Sciences. 2014; http://dx.doi.org/10.4314/ejhs.v24i1.4S.
[9] Berhe H. BH, Zeleke D. Factors Associated with Patterns of Birth outcome at Public Hospitals In Mekelle Town, Tigray Region, Ethiopia: A Case-Control Study. Innovative Association. 2013; 2: 67-81.
[10] Feyissa R. GA. Determinants of institutional delivery among childbearing age women in western ethiopia unmatched case control study. Plos one | wwwPlosoneOrg. 2014; 9 (597194).
[11] Frøen J., Sanne S., Aleem A., etal. Making stillbirths count, making numbers talk - Issues in data collection for stillbirths. BMC Pregnancy and Childbirth. 2009; 9: 58: 2-6.
[12] Eshete AS., Birhanu D., B. W. Birth outcomes among Laboring Mothers in Selected Health Facilities of North Wollo Zone, Northeast Ethiopia.
[13] Bahir Dar, Ethiopia. 2013; 5: 7, (http://dx.doi.org/10.4236/health.2013.57154).
[14] Bayou G., Y. B. Perinatal Mortality and Associated Risk Factors. Ethiop J Health Sci. 2012; 22: 3: 153-4.
[15] Turnbull E., Mwila K., Lembalemba M., etal. Causes o f Stillbirth, Neonatal Death And Early Childhood Death In Rural Zambia by Verbal Autopsy Assessments. Tropical Medicine and International Health. 2011; 16 (894–901).
[16] Yaya Y., Eide T., Norheim F., etal. Maternal and Neonatal Mortality in Bonke woreda, South-West Ethiopia: Estimates and Socio-Economic Inequality.. PLoS ONE 9. 2013; 4: 96294 (et001-007): doi: 10.1371.
[17] Adane A., Ayele A., Ararsa GE., etail. Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia. Open Access. 2014; 14: 2-8.
[18] DeFranco EA. SD, Boslaugh SE, et al. obstetrics and gynecology. World Health Organazition (WHO). 2012; 3: 264.
[19] y. G. Assessment of Factors Associated with Perinatal Mortality among Public Hospital Deliveries in Addis Ababa, Ethiopia. Addis Ababa University. 2015: 1-51.
[20] LöfwanderM. Stillbirths and Associations with maternal education from a regional hospital in north Eastern Tanzania. University of Tromsø, Norway. 2012.
[21] BG K. Risk factors associated with stillbirth. a case study of the hohoe municipality, ghana. Kwame Nkrumah University of Science and Technology. 2011: 1-102.
[22] Lily C, JohanneS., J. O. Factors Associated with Perinatal Deaths in Women Delivering in a Health Facility in Malawi. Journal of Research in Nursing and Midwifery (JRNM). 2012; 1: 5: 69-79.
[23] Audu BM., Alhaji M., Takai U., etail. Risk Factors for Stillbirths at Universty of Maiduguri Teaching Hospital, Maiduguri, Nigeria: A Cross-Sectional Retrospective Analysis. Niger Med J2009; 50: 2.
[24] Gebremedhin G., AbrahaT., Wassie B., etal. Incidence of Low Birth Weights Babies and Associated Factors among Post Partum Mothers Who Gave Birth at Felegehiowt Referral Hospital, Bahridar, Ethiopia. World Journal of Pharmacy and Pharmaceutical Sciences. 2015; 4 (2278–4357).
[25] World Health Organazition. Addis Ababa EIIC, Maryland, USA. Ethiopia Mini Demographic and Health Survey. WHO Addis Ababa, Ethiopia 2014.
[26] Serie. L. Stillbirths an Executive Summary for the Lancet Series. Health Systems Research Unit 2011; 10.
[27] Tachiweyika E., Gombe N., Shambira G, etail. Determinants of perinatal mortality in Marondera district, Mashonaland East Province of Zimbabwe. A case control study. Pan African Medical. 2011; 8: 7.
[28] Andargie G., Berhane Y., Worku AA., Y. K. Predictors of perinatal mortality in rural population of Northwest Ethiopia: a prospective longitudinal study. BMC Public 2013; 13: 1471-2458.
[29] Behal M., R. V. Maternal Risk Factors For Perinatal Mortality in india. Indian Journal of Obstetrics and Gynecology Research. 2015; 2 (6): 92-9.
[30] Jammeh AB. VS, Sundby J. Stillbirths in Rural Hospitals In the Gambia. Bmc Pregnancy and Childbirth2014; 12: 109.
[31] Gizaw M. MM, Mekonnen W. Trends and risk factors for neonatal mortality in Butajira District, South Central Ethiopia. BMC Pregnancy and Childbirth2014; 14: 64.
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  • APA Style

    Agerie Mengistie Zeleke, Mulusew Andualem Asemahagn. (2021). Prevalence of Stillbirth and Associated Factors among Immediate Postpartum Mothers at Bahir Dar, Felegehiwot Hospital, Northwest Ethiopia: Cross-sectional Study. International Journal of Biomedical Engineering and Clinical Science, 7(2), 22-29. https://doi.org/10.11648/j.ijbecs.20210702.12

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    ACS Style

    Agerie Mengistie Zeleke; Mulusew Andualem Asemahagn. Prevalence of Stillbirth and Associated Factors among Immediate Postpartum Mothers at Bahir Dar, Felegehiwot Hospital, Northwest Ethiopia: Cross-sectional Study. Int. J. Biomed. Eng. Clin. Sci. 2021, 7(2), 22-29. doi: 10.11648/j.ijbecs.20210702.12

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    AMA Style

    Agerie Mengistie Zeleke, Mulusew Andualem Asemahagn. Prevalence of Stillbirth and Associated Factors among Immediate Postpartum Mothers at Bahir Dar, Felegehiwot Hospital, Northwest Ethiopia: Cross-sectional Study. Int J Biomed Eng Clin Sci. 2021;7(2):22-29. doi: 10.11648/j.ijbecs.20210702.12

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  • @article{10.11648/j.ijbecs.20210702.12,
      author = {Agerie Mengistie Zeleke and Mulusew Andualem Asemahagn},
      title = {Prevalence of Stillbirth and Associated Factors among Immediate Postpartum Mothers at Bahir Dar, Felegehiwot Hospital, Northwest Ethiopia: Cross-sectional Study},
      journal = {International Journal of Biomedical Engineering and Clinical Science},
      volume = {7},
      number = {2},
      pages = {22-29},
      doi = {10.11648/j.ijbecs.20210702.12},
      url = {https://doi.org/10.11648/j.ijbecs.20210702.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20210702.12},
      abstract = {Background: Stillbirth rates are among the indicators of maternal and child health care quality in the countries. However, the majority of neonatal deaths and almost all stillbirths were underreported in Ethiopia. Therefore, this study aimed to determine the prevalence of stillbirth and associated factors among immediate postpartum mothers in the study area. Methods: An institution-based cross-sectional study was employed at Felegehiwot comprehensive specialized hospital from March to May 2016 (n=310). A pretested structured interviewer- administered questionnaire and medical chart reviews were used to collect data from immediate postpartum mothers. Data were entered into Epi Info version 7 and analyzed using SPSS version 20. The binary logistic regression model fitted to identify stillbirth; adjusted odds ratio (AOR) with a 95% confidence interval (CI) was computed to assess the strength of association. Variables having less than 0.05 p-value of in the multivariable considered as factors associated with stillbirths. Result: The prevalence of stillbirth was 8.7% (95%CI: 5.8, 12.4). Rural dwelling (AOR=2.86, 95%CI: 1.10 7.47), twin pregnancy (AOR=6.69, 95% CI: 1.77, 25.2), medical or obstetrical illnesses during pregnancy (AOR=5.54, 95%CI: 1.71 17.94) and complications during labor and delivery (AOR=4.96, 95%CI: 1.48 16.58) were factors associated with stillbirths. Conclusion: This study revealed that the magnitude of stillbirth was high in rural dwelling, twin pregnancy, medical or obstetrical illnesses during pregnancy, and complicated labor were associated with increased occurrences of stillbirth. This finding suggests that particular emphasis on rural dwellers and strengthening quality of Maternal in pregnancy and labor delivery service and proper following during labor attending process are mandatory to reduce stillbirth.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Prevalence of Stillbirth and Associated Factors among Immediate Postpartum Mothers at Bahir Dar, Felegehiwot Hospital, Northwest Ethiopia: Cross-sectional Study
    AU  - Agerie Mengistie Zeleke
    AU  - Mulusew Andualem Asemahagn
    Y1  - 2021/04/20
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijbecs.20210702.12
    DO  - 10.11648/j.ijbecs.20210702.12
    T2  - International Journal of Biomedical Engineering and Clinical Science
    JF  - International Journal of Biomedical Engineering and Clinical Science
    JO  - International Journal of Biomedical Engineering and Clinical Science
    SP  - 22
    EP  - 29
    PB  - Science Publishing Group
    SN  - 2472-1301
    UR  - https://doi.org/10.11648/j.ijbecs.20210702.12
    AB  - Background: Stillbirth rates are among the indicators of maternal and child health care quality in the countries. However, the majority of neonatal deaths and almost all stillbirths were underreported in Ethiopia. Therefore, this study aimed to determine the prevalence of stillbirth and associated factors among immediate postpartum mothers in the study area. Methods: An institution-based cross-sectional study was employed at Felegehiwot comprehensive specialized hospital from March to May 2016 (n=310). A pretested structured interviewer- administered questionnaire and medical chart reviews were used to collect data from immediate postpartum mothers. Data were entered into Epi Info version 7 and analyzed using SPSS version 20. The binary logistic regression model fitted to identify stillbirth; adjusted odds ratio (AOR) with a 95% confidence interval (CI) was computed to assess the strength of association. Variables having less than 0.05 p-value of in the multivariable considered as factors associated with stillbirths. Result: The prevalence of stillbirth was 8.7% (95%CI: 5.8, 12.4). Rural dwelling (AOR=2.86, 95%CI: 1.10 7.47), twin pregnancy (AOR=6.69, 95% CI: 1.77, 25.2), medical or obstetrical illnesses during pregnancy (AOR=5.54, 95%CI: 1.71 17.94) and complications during labor and delivery (AOR=4.96, 95%CI: 1.48 16.58) were factors associated with stillbirths. Conclusion: This study revealed that the magnitude of stillbirth was high in rural dwelling, twin pregnancy, medical or obstetrical illnesses during pregnancy, and complicated labor were associated with increased occurrences of stillbirth. This finding suggests that particular emphasis on rural dwellers and strengthening quality of Maternal in pregnancy and labor delivery service and proper following during labor attending process are mandatory to reduce stillbirth.
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • Department of Midwifery, Teda Health Science College, Gondar, Ethiopia

  • Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia

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