Determinants of still birth among mother who gave birth in selected hospital of south west, Ethiopia, 2019.
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Date
2019-10
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Addis Abeba University
Abstract
Background: The cause of stillbirth is often unknown, but can be attributable to various causes;
hypertensive disorders and obstetric factors supposed to complicate pregnancy and may cost the
life of the fetus. Increased risk of stillbirth in most conditions is not precisely known and
available few research findings are inconsistent & its effect is not well established.
Objectives: To identify the determinants of still birth among mother who gave birth in Mizan Tepi
University Teaching Hospital South West Ethiopia.
Methods: Facility based unmatched case-control study design was employed from January2018
to June2019, (287 cases and 574 controls) was selected using systematically random sampling
methods. Double population proportions formula with a 1:2 case to control ratio was used to
calculate sample size with 95% confidence interval and 80% power. The data was collected from
clinical records of mother’s a using data collecting checklist. Epi data version 4.4.2.1 was used
for data entry, and analysis was done by SPSS version 21 statistical software. Descriptive
analysis such as frequency, percentage and chi-square test were done. For the inferential
analysis, a multivariable analysis was done. Statically significant was used at a p-value
<0.05both for the univarible and multivariable analysis.
Result: women who had hypertensive disorder were 1.76 times at risk to have stillbirth than
women who had no hypertensive disorder (AOR: 1.76: 95%CI :( 1.06, 2.9). In addition, women
who had first antenatal care at third trimester were 4 times at higher risk to have still birth than
women who had first antenatal care at first trimesters (AOR: 4, 95%CI: (1.54, 11). Women who
had more than four children were 2.6 times at higher risk of having still birth compared to with
women one child (AOR: 2.6, 95%CI: (1.2, 5.7). And also, the odds of having still birth was
found to be higher in women who had blood group O than women who had blood group A
(AOR: 1.7, 95%CI: (1.057, 2.8). Women who received iron for less than three months were 1.8
times at risk of having stillbirth than women who received iron for more than three months
(AOR: 1.8, 95%CI: (1.031, 3.15).
Conclusion: According to the findings of this study, we conclude that a hypertensive disorders
and obstetric factors were risk factors for stillbirth. Therefore, it is very important to give special
attention to women with hypertensive disorder, multipara women, timing of antenatal care
initiation and iron supplementation.
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Keywords
Mother ,still birth