Factors associated with fresh stillbirths: A hospital-based, matched, case-control study in Burkina Faso.

Autor: Millogo T; African Institute of Public Health, Ouagadougou, Burkina Faso; Research Institute for Health Sciences, Ouagadougou, Burkina Faso. Electronic address: millogorod@gmail.com., Ouédraogo GH; Research Institute for Health Sciences, Ouagadougou, Burkina Faso., Baguiya A; Research Institute for Health Sciences, Ouagadougou, Burkina Faso., Meda IB; Research Institute for Health Sciences, Ouagadougou, Burkina Faso., Kouanda S; African Institute of Public Health, Ouagadougou, Burkina Faso; Research Institute for Health Sciences, Ouagadougou, Burkina Faso., Sondo B; African Institute of Public Health, Ouagadougou, Burkina Faso; University of Ouagadougou, Ouagadougou, Burkina Faso.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2016 Nov; Vol. 135 Suppl 1, pp. S98-S102.
DOI: 10.1016/j.ijgo.2016.08.012
Abstrakt: Objective: To determine the risk factors for fresh stillbirths in hospitals in Burkina Faso.
Methods: A hospital-based, matched (1:1), case-control study was conducted from July to August 2014 in 50 hospitals across the country. All cases of stillbirth that occurred during this period in the participating facilities were included, and an appropriate control was selected for each case from the same health facility. Cases and controls were matched for gestational age. Conditional logistic regression with robust standard errors was used to compute both unadjusted and adjusted conditional odds ratios.
Results: Cases were 67% less likely to have been delivered by a midwife compared with a nonmidwife attendant (ACOR=0.33; 95% CI, 0.12-0.84; P=0.02). Use of a partograph to monitor labor lowered the odds of fresh stillbirth by 82% (ACOR=0.18; 95% CI, 0.05-0.61; P=0.006). Mothers who had been transferred from another health facility were five times more likely to experience a fresh stillbirth (ACOR=5.36; 95% CI, 2.02-14.23; P<0.001).
Conclusion: Quality and timing of intrapartum obstetric care is key to preventing fresh stillbirths. Easy to implement and available interventions, such as use of a partograph for all laboring women and improving the referral system, have the potential to save the lives of many fetuses.
(Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.)
Databáze: MEDLINE
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