Factors associated with post-cesarean stillbirth in 12 hospitals in Benin: a cross-sectional

Mongbo, Virginie; Ouendo, Edgard-Marius; Aguèh, Victoire; Kpozéhouen, Alphonse; Sopoh, Ghislain Emmanuel; Saizonou, Jacques; Godin, Isabelle

doi:10.11604/pamj.2016.25.117.9827

Cited by 5 publications

(7 citation statements)

References 15 publications

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“…Studies conducted in Denmark and West Africa also demonstrated that cesarean section is a predictor of stillbirth [39,40]. This report implied that health caregivers working on MCH should take into consideration the possible risk of cesarean section while assessing the risk of pregnancy at the ANC clinic.…”

Section: Plos Onementioning

confidence: 80%

Predictors of stillbirth among women who had given birth in Southern Ethiopia, 2020: A case-control study

et al. 2021

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Background Although the rate of stillbirth has decreased globally, it remains unacceptably high in low- and middle-income countries. Only ten countries including Ethiopia attribute more than 65% of global burden of still birth. Ethiopia has the 7th highest still birth rate in the world. Identifying the predictors of stillbirth is critical for developing successful interventions and monitoring public health programs. Although certain studies have assessed the predictors of stillbirth, they failed in identify the proximate predictors of stillbirth. In addition, the inconsistent findings in identify the predictors of stillbirth, and the methodological limitations in previously published works are some of the gaps. Therefore, this study aimed to identify the predictors of stillbirth among mothers who gave birth in six referral hospitals in Southern, Ethiopia. Methods A hospital-based unmatched case-control study was conducted in six referral hospitals in Southern, Ethiopia from October 2019 to June 2020. Consecutive sampling techniques and simple random techniques were used to recruit cases and controls respectively. A structured standard tool was used to identify the predictors of stillbirth. Data were entered into Epi Info 7 and exported to SPSS 23 for analysis. A multivariable logistic regression model was used to identify the independent predictors of stillbirth. The goodness of fit was tested using the Hosmer and Lemeshow goodness-of-fit. In this study P-value < 0.05 was considered to declare a result as a statistically significant association. Results In this study 138 stillbirth cases and 269 controls were included. Women with multiple pregnancy [AOR = 2.98, 95%CI: 1.39–6.36], having preterm birth [AOR = 2.83, 95%CI: 1.58–508], having cesarean mode of delivery [AOR = 3.19, 95%CI: 1.87–5.44], having no ANC visit [AOR = 4.17, 95%CI: 2.38–7.33], and being hypertensive during pregnancy [AOR = 3.43, 95%CI: 1.93–6.06] were significantly associated with stillbirth. Conclusions The predictors of stillbirth identified are manageable and can be amenable to interventions. Therefore, strengthening maternal antenatal care utilization should be encouraged by providing appropriate information to the mothers. There is a need to identify, screen, and critically follow high-risk mothers: those who have different complications during pregnancy, and those undergoing cesarean section due to different indications.

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Section: Plos Onementioning

confidence: 80%

Predictors of stillbirth among women who had given birth in Southern Ethiopia, 2020: A case-control study

et al. 2021

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“…Our stillborn rate is 11.3% among all cesarean mothers. This rate is in the interval of stillborn rates associated with cesarean section [37] [38].…”

Section: Discussionmentioning

confidence: 96%

The Complications of Cesarean Section at Teaching Hospital Gabriel TOURE, Bamako Mali

Sissoko¹,

Traoré²,

Kante³

et al. 2020

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Cesarean operation permits to save the mother and fetus. However, in developing countries as ours, complications related to this cesarean are not to be neglected. It constitutes an important cause of maternal and fetal morbidity and mortality. Here we rapport the experience of our structure about the complications of cesarean. Objectives: The objectives of this study were to study the complications the complications of cesarean section at teaching hospital Gabriel TOURE, Bamako Mali. Materials and methods: We have carried out a cross sectional analytic study from January 1 st 2003 to December 31 st 2013. All the patients who gave birth by cesarean operation in gynecology-obstetric service of teaching hospital Gabriel TOURE were included during this period of study. Descriptive statistics were used, Chi-square test Pearson, and Cochran Armitage test have been used to calculate the P-value of trend. We performed multivariate analyses with a high alpha threshold of 10%, and then logistic regression multivariate. Results: We have registered 28,376 deliveries with 9509 cases of cesarean (33.5%) and a complication cesarean rate of 32% (3049/9509). The main risk factors for cesarean operation completions were adolescence primiparity, obesity, the non-realization of antenatal care, evacuations and co-morbidities.

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“…This is similar to what was found in other studies. 9,[20][21][22] This causes a delay for women to reach Mulago hospital which increases the risk of stillbirth. In addition, women who develop complications during labor are more likely to be referred and have an increased risk of delivering stillbirths.…”

Section: Discussionmentioning

confidence: 99%

“…Women's conditions may not be correctly identified and managed or the required intervention may not be given in time. 9,10 In some settings, cesarean section coverage is low 6 due to a shortage of trained healthcare personnel and shortage of theatre equipment and supplies. Sometimes women are required to pay for medications and supplies, which may delay timely interventions.…”

Section: Introductionmentioning

confidence: 99%

“…Sometimes women are required to pay for medications and supplies, which may delay timely interventions. 9,10 Many intrapartum stillbirths could be averted with appropriate maternal and fetal monitoring. 11 For example, using a partogram to monitor labor progress would lead to early identification of complications and offer timely interventions.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Intrapartum Stillbirths among Women Delivering at Mulago Hospital, Kampala, Uganda

et al. 2021

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Background: Over the last decade, Uganda has registered a significant improvement in the utilization of maternity care services. Unfortunately, this has not resulted in a significant and commensurate improvement in the maternal and child health (MCH) indicators. More than half of all the stillbirths (54 per 1,000 deliveries) occur in the peripartum period. Understanding the predictors of preventable stillbirths (SB) will inform the formulation of strategies to reduce this preventable loss of newborns in the intrapartum period. The objective of this study was to determine the predictors of intrapartum stillbirth among women delivering at Mulago National Referral and Teaching Hospital in Central Uganda. Methods: This was an unmatched case-control study conducted at Mulago Hospital from October 29, 2018 to October 30, 2019. A total of 474 women were included in the analysis: 158 as cases with an intrapartum stillbirth and 316 as controls without an intrapartum stillbirth. Bivariable and multivariable logistic regression was done to determine the predictors of intrapartum stillbirth. Results: The predictors of intrapartum stillbirth were history of being referred from lower health units to Mulago hospital (aOR 2.5, 95% CI:1.5-4.5); maternal age 35 years or more (aOR 2.9, 95% CI:1.01-8.4); antepartum hemorrhage (aOR 8.5, 95% CI:2.4-30.7); malpresentation (aOR 6.29; 95% CI:2.39-16.1); prolonged/obstructed labor (aOR 6.2; 95% CI:2.39-16.1); and cesarean delivery (aOR 7.6; 95% CI:3.2-13.7). Conclusion and Global Health Implications: Referral to hospital, maternal age 35 years and above, obstetric complication during labor, and cesarean delivery were predictors of intrapartum stillbirth in women delivering at Mulago hospital. Timely referral and improving access to quality intrapartum obstetric care have the potential to reduce the incidence of intrapartum SB in our community. Copyright © 2021 Kiondo et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

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Factors associated with post-cesarean stillbirth in 12 hospitals in Benin: a cross-sectional

Cited by 5 publications

References 15 publications

Predictors of stillbirth among women who had given birth in Southern Ethiopia, 2020: A case-control study

Predictors of stillbirth among women who had given birth in Southern Ethiopia, 2020: A case-control study

The Complications of Cesarean Section at Teaching Hospital Gabriel TOURE, Bamako Mali

Predictors of Intrapartum Stillbirths among Women Delivering at Mulago Hospital, Kampala, Uganda

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