Evaluation of Clinicosocial Factors Associated with Antepartum and Intrapartum Stillbirths at Kathmandu Medical College Teaching Hospital

Rt, Rayamajhi; Shreshtha, N; Karki, Chanda; Sm, Padhye

doi:10.5005/jp-journals-10006-1037

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…[4] The stillbirth rate is a reflection of health status and policies, socioeconomic indicators related to health and access and adequacy of health care. [15]…”

Section: Introductionmentioning

confidence: 99%

Correlates of Stillbirths at Nyeri Provincial General Hospital, Kenya, 2009-2013: A Retrospective Study

Cheptum

Muiruri²,

Mutua

et al. 2016

Int. J. MCH AIDS

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Background:Death of a baby in-utero is a very devastating event to the mother and the family. Most stillbirths occur during labor and birth with other deaths occurring during the antenatal period. Millions of families experience stillbirths, yet these deaths remain uncounted, and policies have not been clearly stipulated to address this issue. The aim of the study was to identify the possible causes of stillbirths as recorded in the medical records.Methods:A retrospective study looking at medical records of women who experienced stillbirths between 1st January 2009 and 31st December 2013 at Nyeri Provincial General Hospital, Kenya. The hospital records containing cases of stillbirths were retrieved and data abstraction forms were used to collect data and information.Results:Both fresh and macerated stillbirths were equally common. The stillbirth rate was 12.2 per 1,000 births. There was significant association between stillbirths and the clients who were referred and reason for referral, (p=0.029) and (p=0.005), respectively. The number of ANC visits during pregnancy was also significant (p=0.05). Mode of delivery and the reason for cesarean section were significantly associated with stillbirths, (p=0.003) and (p=0.032), respectively. The type of labor and delivery complications experienced was associated with stillbirths (p= 0.022).Conclusion and Global Health Implications:There were several factors associated with stillbirths thus efforts should be made to establish approaches aimed at prevention. Addressing the causes of stillbirths will contribute to reduction of perinatal mortality.

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“…[4] The stillbirth rate is a reflection of health status and policies, socioeconomic indicators related to health and access and adequacy of health care. [15]…”

Section: Introductionmentioning

confidence: 99%

Correlates of Stillbirths at Nyeri Provincial General Hospital, Kenya, 2009-2013: A Retrospective Study

Cheptum

Muiruri²,

Mutua

et al. 2016

Int. J. MCH AIDS

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“…In this study, maximum stillbirths (76%) were in antepartum period compared to 24 percent in intrapartum period compared to 78 antepartum and 22 intrapartum in Rayamajhi et al study, 61% antepartum and 39% intrapartum stillbirths in Vidyadhar study. 3,4 Prasanna et al study observed 72.82% antepartum stillbirths and 21.18% intrapartum stillbirths. 5 In our study antepartum stillbirths in gestational age of 36-40 weeks was 42.8% compared to 42% in Shaaban et al study.…”

Section: Antepartum or Intrapartum Stillbirthmentioning

confidence: 95%

“…This finding was similar to Rayamajhi et al study, with 27.8% stillbirths observed in birth weight range of 2000 to 2500 gm and overall low birth weight babies accounted for 66.6%. 3 According to Vidhyadar et al study, low birth weight and prematurity were responsible for 80% of stillbirths. 4 Birth weight of stillbirth may not be accurate and may be influenced by number of days since fetal death.…”

Section: Stillbirth By Birth Weightmentioning

confidence: 99%

Factors affecting stillbirth: prospective study

Jadhav

Khade

Shinde

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: Stillbirth is defined by WHO as the birth of a baby with a birth weight of 500 gm or more, 22 or more completed weeks of gestation or a body length of 25 cm or more, who died before or during labour and birth.Methods: This was prospective observational study of factors affecting stillbirth was conducted in tertiary hospital for a period of 1 year from 1st June 2014 to 31st May 2015. During the study period, 200 parturient of gestational age 28 weeks or more and fetal weight 1000 gm or more with or without medical disorders were included.Results: The total number of births during study period was 11,951. Stillbirth rate in the present study was 16.73 per 1000 births. Most of stillbirths were seen in the antepartum period (76%) when compared to intrapartum period (24%). Maximum stillbirths occurred in gestational age of 36 weeks and above (52%) and fetal weight between 2001-2500 gm (27.50%). Patients with inadequate antenatal care, less than three visits had 86% stillbirths.Conclusions: Proper antenatal care, prompt referral services and availability of emergency obstetric care will provide a pivotal role for reduction of stillbirths.

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Poor pregnancy outcomes in public health facilities in Kenya

Cheptum

Oyore

Agina

2012

African Journal of Midwifery and Women's Health

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Addressing poor pregnancy and childbirth outcomes such as still births, pre-term births and neonatal deaths have continued to be a major global challenge. Nations and organisations have invested much effort and resources to promote safe pregnancy and childbirth. Objective: To identify factors contributing to adverse pregnancy outcomes among women seeking care in public health facilities in the Keiyo district of Kenya. Methods: A descriptive cross-sectional design was used employing both quantitative and qualitative methods. Three hundred and eighty four women of reproductive age (15-49 years) attending public health facilities for Maternal and Child Health/Family Planning (MCH/FP) were interviewed. Results: There are several factors which cause adverse pregnancy outcomes. Socioeconomic and demographic factors that were associated with poor pregnancy outcomes include low education level, lack of formal employment and multiparity. Other factors included pre-term birth, preexisting medical conditions, illnesses during pregnancy and obstetric emergencies. The lengthy referral pattern also was a contributory factor. Conclusions: There are several factors that contribute to poor pregnancy outcomes. Social mobilisation of the community on reproductive health issues should be done through health education to enhance proper basic obstetric care and emergency obstetric care. Health facilities should be well staffed and well equipped in order to avoid poor pregnancy outcomes, which may occur as a result of delays owing to lack of staff or equipment. There should be a well defined referral system to enable timely referrals.

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Evaluation of Clinicosocial Factors Associated with Antepartum and Intrapartum Stillbirths at Kathmandu Medical College Teaching Hospital

Cited by 3 publications

References 27 publications

Correlates of Stillbirths at Nyeri Provincial General Hospital, Kenya, 2009-2013: A Retrospective Study

Correlates of Stillbirths at Nyeri Provincial General Hospital, Kenya, 2009-2013: A Retrospective Study

Factors affecting stillbirth: prospective study

Poor pregnancy outcomes in public health facilities in Kenya

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