Analysis of risk factors of stillbirth: a hospital based study in a tertiary care centre

Shyam, Paresh

doi:10.18203/2320-1770.ijrcog20160403

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…18 Major congenital anomaly also contributes 3.12% stillbirth which is similar with a study done by P.Shayam shows the congenital anomaly is 1.45% of total stillbirth. 19 In present study obstetric complications occurring during labour or delivery including malpresentation, prolonged and obstructed labour were 3.12%,12.5%,6.25% respectively which is comparable with the study of few authors. 20 Intrapartum stillbirths can be avoided if better obstetric care, maternal and fetal monitoring are available.…”

Section: Resultsupporting

confidence: 91%

Factors Associated with Stillbirth in aTertiary Care Hospital

Nessa

Sultana

Islam

et al. 2022

J Shaheed Suhrawardy Med Coll

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Background: Stillbirth is a disastrous event faced by the obstetrician. Each stillbirth is a tragedy having devastating implications for mothers, their families and the health personnel. Globally it remains a significant public health issue, particularly in developing countries like Bangladesh. An understanding of the risk factors associated with stillbirth will facilitate optimum quality of maternal and child health services; which leads to reduce the burden of death. Objective: To determine the factors associated with stillbirth in a tertiary care hospital. Methodology: A descriptive type of cross sectional study was conducted in the department of Obstetrics and Gynecology of Shaheed Suhrawardy Medical College Hospital from 1st January 2019 to 31th December 2019. Total 32 pregnant women who had stillbirth occurred during the study period were included in this study. Non probability purposive sampling technique was followed as per inclusion and exclusion criteria. Result: Total stillbirth reported were 32 (3.37% of total births). Maximum cases were primigravida (65.62%) with illiterate (71.87%), low socio-echonomic status (68.75%) and lack of Ante natal care(56.25%). Main causes of stillbirth were hypertensive disorders(15.6%), labour abnormalities(6.25%), other medical disorders(9.37%), infections(3.12%), Antepartum haemorrhage (12.5%), prematurity (12.5%), cord accidents(3.12%), IUGR(6.25%),birth asphyxia (6.25%) and post maturity(6.25%). Conclusion: Hypertension and other medical disorders, Antepartum haemorrhage, labour abnormalities, prematurity, post maturity, IUGR and birth asphyxia were identified as the highest risks for stillbirth which can be reduced by early recognition of the problem with regular antenatal check-up, colour Doppler ultrasound to diagnose fetal growth restriction and cord abnormalities, anomaly scan, intrapartum use of CTG to know fetal distress and use of partograph to prevent prolongation of second stage of labour and timely obstetric intervention will help in reduction of stillbirth. J Shaheed Suhrawardy Med Coll 2021; 13(1): 15-19

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Section: Resultsupporting

confidence: 91%

Factors Associated with Stillbirth in aTertiary Care Hospital

Nessa

Sultana

Islam

et al. 2022

J Shaheed Suhrawardy Med Coll

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“…[ 29 ] in California found that the risk of stillbirth increase with an increase in gestational age. It however, reported that the highest risk occur when the pregnancy is postdated, a finding that was supported by another study done by Shyam [ 27 ] in India. Low birth weight was the only fetal risk factor to which an association was made.…”

Section: Discussionmentioning

confidence: 63%

“…Whereby women who labored before 36 weeks had elevated risk of stillbirth than those who labored after that. Association between gestational age and stillbirth is nothing new as several studies have found association over the years [ 27 - 29 ]. A study by Rosenstein et al .…”

Section: Discussionmentioning

confidence: 99%

Maternal and fetal risk factors for stillbirth in Otjozondjupa Region, Namibia: a case control study

Shikesho¹,

Amakali-Nauiseb²,

Nyarko³

2023

Pan Afr Med J

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Introduction: stillbirth is defined as a baby born with no signs of life. Globally, around 3.2 million stillbirths occur annually, of which, 98% are experienced in low and middle-income countries. Otjozondjupa Region topped the list of regions with high burden of stillbirth in Namibia in 2016. This study sought to elucida te risk factors for stillbirth . Methods: an unmatched 1:2 case-control study was conducted. A sample of 285, 95 cases and 190 controls were chosen using simple random sampling method. Bivariate and multivariate analyses were done to assess the risk factors of stillbirth. Results: maternal medical and obstetric factors significantly associated with stillbirth are: premature delivery (aOR 0.13 95% CI 0.05, 0.33, P < 0.001), gestational age (aOR 0.04, 95% CI 0.00, 0.25, P < 0.001), high-risk pregnancy (aOR 3.59, 95% CI 1.35, 9.55, P = 0.01), duration of labor (aOR 4.04, 95% CI 1.56, 10.43, P = 0.003) and antenatal care (ANC) attendance (aOR 0.07, 95% CI 0.00, 0.79, P = 0.03). Only low birth weight (≤ 2500 g) was associated with stillbirth amongst fetal related factors (aOR 16.58, 95% CI 8.71, 31.55, P < 0.001). Conclusion: this study concludes that stillbirth in Otjozondjupa Region was mostly associated with maternal medical and obstetric factors. It also concluded that attending antenatal care in Otjozondjupa did not improve birth outcome.

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“…A study done by P. Shayam shows the congenital malformation is 1.45% of total stillbirth. 12 Unexplained stillbirth is one of the major domain of this study which constitute 47.3% cases. A systematic review was done at University of Queensland, Australia by HE Reinebrant et al they classified 50 countries into High income countries (HIC), Middle Income countries (MIC), and Low Middle Income countries (LIC) and found unexplained stillbirth 32.1%, 43.7%, and 41.0% respectively.…”

Section: Discussionmentioning

confidence: 96%

Retrospective analysis of stillbirth at a tertiary care hospital

Gautam

Rani

Dalal

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Stillbirth is a matter of concern for mother and family as it leads to mental trauma and requires a supportive counselling about the cause of death, management of current pregnancy and future of next pregnancy.Methods: Present retrospective observational study was conducted at a tertiary care hospital over a period of 3 years which include 1765 females who had foetal death. Pregnancy of ≥28 week or fetal weight ≥1000 gram were taken as inclusion criteria.Results: Total number of births in above said period were 32085 and number of total stillbirth reported were 1765 that is 5.5% of total birth. Maximum cases had their first pregnancy (45.3%) and of were of 20 to 25-year age group (61.02%), and most of them were illiterate (63.96%) and belong to low socioeconomic status (95.8%). The causes for stillbirth were divided into four groups - medical, obstetrical, placental and unexplained causes which were 6.96%, 31.38%, 14.10%, and 47.53% respectively. Management of stillbirth was done as per standard protocol for the department and 90.9% cases had vaginal deliveries, 8.8% cases had caesarean section, and 0.16% had operative vaginal delivery.Conclusions: Stillbirth is a hidden component of new born health status which is often neglected when we talk about perinatal mortality and infant mortality. Majority of case had hypertensive disorders of pregnancy followed by antepartum haemorrhage, infection and congenital malformations.

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Analysis of risk factors of stillbirth: a hospital based study in a tertiary care centre

Cited by 4 publications

References 14 publications

Factors Associated with Stillbirth in aTertiary Care Hospital

Factors Associated with Stillbirth in aTertiary Care Hospital

Maternal and fetal risk factors for stillbirth in Otjozondjupa Region, Namibia: a case control study

Retrospective analysis of stillbirth at a tertiary care hospital

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