Determinants of still birth among mother who gave birth in selected hospital of south west, Ethiopia, 2019.

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Addis Abeba University


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 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.



Mother ,still birth