Incidence and determinants of stillbirth among women who gave birth in Jimma University specialized hospital, Ethiopia
Autor: | Tsion Assefa, Dejene Tilahun |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Adult
medicine.medical_specialty Time Factors Referral Developing country Logistic regression Health Services Accessibility Hospitals University Young Adult 03 medical and health sciences 0302 clinical medicine Health facility Pregnancy Surveys and Questionnaires protective factors medicine Global health Humans risk factors Stillbirth incidence determinants risk factors protective factors Ethiopia 030212 general & internal medicine Referral and Consultation 030219 obstetrics & reproductive medicine Obstetrics Vaginal delivery business.industry Incidence Research Public health Incidence (epidemiology) Prenatal Care determinants General Medicine Middle Aged Stillbirth Delivery Obstetric Cross-Sectional Studies Logistic Models Female Ethiopia business |
Zdroj: | Pan African Medical Journal; Vol 28, No 1 (2017) The Pan African Medical Journal |
ISSN: | 1937-8688 |
Popis: | Introduction : Worldwide approximately 2.7 million are stillborn, more than 98% of these occur in developing countries. To address the problem, incidence and determinants of stillbirth must be understood. Therefore the aim of this study was to assess incidence and determinants of stillbirth among women who gave birth in Jimma University specialized hospital. Methods : A cross-sectional study design among 413 mothers who gave birth in Jimma specialized hospital was employed. Study subjects were selected by systematic sampling technique from the list of women who gave birth in hospital in one month study period. Data were collected by using pretested and structured questionnaire. Data were edited, cleaned, coded, entered and analyzed using SPSS-20 statistical software. Univarate and bivariate (logistic regressions) analysis was employed. Results : The incidence rate of stillbirth in the Hospital during a month period was 8% or 80 per 1000 total births. The predictors that showed an independent close association with stillbirth were absence of complication (OR = 0.1, 95% CI (0.04-0.2)), referral from other health facility (OR = 0.3, 95% CI (0.1-0.7)), having antenatal care (OR = 0.3, 95% CI (0.1-0.7)) and normal vaginal delivery (OR = 0.2, 95% CI ( 0.1-0.8)). Conclusion : The incidence rate of stillbirths in our setting is high and the identified determinants were related to both ante-partum and intrapartum- period. Therefore, effort should be made to improve antenatal, obstetric services and delivery services in terms awareness, access, timing and referral system to emergency care and specialized service to reduce the number of stillbirths. |
Databáze: | OpenAIRE |
Externí odkaz: |