Abstract
BackgroundGlobally over 2.6 million pregnancy ends with stillbirth annually. Despite this fact, only a few sherds of evidence were available about factors associated with stillbirth in Ethiopia. Therefore, the study aimed to spot factors related to stillbirth among women who gave birth at Hawassa University Comprehensive Specialized Hospital Hawassa, Sidama Ethiopia, 2019.MethodsFacility-based unmatched case-control study was conducted at Hawassa University Comprehensive Specialized Hospital. Cases were selected using simple random sampling technique and controls were recruited to the study consecutively after every case selection with case to control ratio of 1 to 3. Data were coded and entered into Epi-data version 3.1 and exported to SPSS version 24 for analysis.ResultsA total of 106 cases and 318 controls were included in the study. Number of antenatal care visit [AOR = 0.38, 95% CI (0.15, 0.95)], lack of partograph utilization [AOR = 4.1 95% CI (2.04, 10.5)], prolonged labor [AOR = 6.5, 95% CI (2.9, 14.4)], obstructed labor [AOR = 3.5, 95% CI (1.5, 9.4)], and congenital defect [AOR = 9.7, 95% CI (4.08, 23.0)] were significantly associated with stillbirth.ConclusionAbsence of partograph utilization, prolonged labor, obstructed labor, antepartum hemorrhage and congenital anomaly were found to have positive association with stillbirth.
Highlights
Over 2.6 million pregnancy ends with stillbirth annually
This study showed that antenatal care visits, lack of partograph utilization and mode of delivery, duration of labor, antepartum hemorrhages, obstructed labor, and congenital anomalies were statistically associated with stillbirth
The current study showed that odd of a mother who had four antenatal care visits were 62% less likely risk for stillbirth than odds of a mother who have less than four antenatal care visits
Summary
Over 2.6 million pregnancy ends with stillbirth annually. Despite this fact, only a few sherds of evidence were available about factors associated with stillbirth in Ethiopia. Stillbirth is one of the public health problems and defined as a fetus born with no sign of life at or after 28 completed weeks of gestation with a birth weight of 1000 g or more and a body length of > 35 cm [1,2,3] It is an indication for the quality of obstetric care, accessibility as well feasibility of the health care facility to access the service and as a result, it ensued due to the previous history of stillbirth, fetal factor, maternal factors, and poor service delivery associated delay to receive care [2,3,4]. It causes psychological depression for women and it has effect on the daily life of a family and health care provider [11,12,13,14,15]
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