Perinatal and neonatal mortality.

Köse, Aslıhan; Tahir, Zekai

doi:10.1136/bmj.281.6238.515

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…There are in addition many psychosocial consequences 38 - 40 . Advances in prenatal, intrapartum and neonatal care in developed countries significantly have reduced perinatal mortality, however, in developing regions, poor quality or low access to healthcare results in 50–88% of overall perinatal mortality in the various regions of the world and it is a close reflection of the perinatal mortality rate of the community 41 , 42 .…”

Section: Discussionmentioning

confidence: 99%

“…significantly have reduced perinatal mortality, however, in developing regions, poor quality or low access to healthcare results in 50-88% of overall perinatal mortality in the various regions of the world and it is a close reflection of the perinatal mortality rate of community 41,42 . This study revealed that the prevalence of stillbirth was 12.5% (95% CI: 8.1-14.6), higher than the study conducted in Ethiopia, Aksum (3.68%), Yirgalem Hospital (9.2%), Nigerian referral hospitals (3.96%) and India (4.0%), Pakistan (1.6%), overall in Pakistan (5.69%), and Babol, Northern Iran (10.51%) 6,14,28,[43][44][45] .…”

Section: Research Papermentioning

confidence: 99%

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Magnitude and associated factors of stillbirth among women who gave birth at Hiwot Fana Specialized University Hospital, Harar, eastern Ethiopia

Mohammed¹,

Abdullahi²,

Beshir³

2022

Eur J Midwifery

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INTRODUCTION According to WHO, there are nearly 2 million stillbirths every year, one every 16 seconds. The objective of our study was to assess the frequency and associated factors of stillbirth among women who gave birth at Hiwot Fana Specialized University Hospital, Harar, eastern Ethiopia, 2021. METHODS An institution-based retrospective cross-sectional study of medical records was conducted among 336 women who gave birth from 1 January 2020 to 31 December 2020. Maternal medical records were selected by systematic random sampling technique and a pre-tested checklist was used to collect data. Data entry and analysis were done using SPSS-version 20. Bivariate and multivariate logistic regressions were performed to identify factors associated with stillbirth. Adjusted odds ratios with 95% confidence intervals are reported. RESULTS The frequency of stillbirth was 12.5% (95% CI: 8.1–14.6). Preterm delivery (AOR=8.10; 95% CI: 3.01–21.79), non-booking for antenatal care (AOR=2.8; 95% CI: 1.14–6.88), antepartum hemorrhage (AOR=3.16; 95% CI: 1.10–9.04), obstructed labor (AOR=2.56; 95% CI: 1.85–7.93) and eclampsia (AOR=2.84; 95% CI: 1.45–6.98) were found to be statistically significantly associated with stillbirth. CONCLUSIONS The frequency of stillbirth in this study was high. Prematurity, non-booking for antenatal care, ante-partum hemorrhage, obstructed labor and eclampsia were independently associated for stillbirth. Therefore, we recommend that the health professionals should better work on prevention of preterm birth, active emergency obstetrical and neonatal care by boosting focused antenatal care follow-up with health education on danger signs.

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Section: Discussionmentioning

confidence: 99%

Section: Research Papermentioning

confidence: 99%

Magnitude and associated factors of stillbirth among women who gave birth at Hiwot Fana Specialized University Hospital, Harar, eastern Ethiopia

Mohammed¹,

Abdullahi²,

Beshir³

2022

Eur J Midwifery

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Time to death and its predictors among early neonatal patients in neonatal intensive care unit of Dessie referral hospital, South Wollo Zone, Northeast Ethiopia

Adem¹,

Haile²,

Milashu³

2022

JPNC

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Background: Early neonatal death is a serious concern, both in the developing and developed worlds. Early neonatal death remains a health problem and is the biggest component of the neonatal mortality rate. Therefore, substantial reduction in early neonatal mortality is a crucial pre-requisite for achieving further gains in child survival in the country. However, the distribution of deaths in the community within the first week is poorly understood. Therefore, this study was conducted to assess time to death and its predictors among early neonates in the neonatal intensive care unit of Dessie Referral Hospital. Method: A retrospective cohort study was conducted in the early neonatal patient in Dessie referral hospital on the total sample size of 416 selected patients by using a simple random sampling technique. Data were collected by document review. Life table used to estimate the probability of survival, log-rank test to compare survival in two or more groups and the Cox proportional hazard model was used to determine factors associated with time to death of early neonate. The hazard ratio with 95% confidence level was used to declare statistical significant association. Result: A total of 416 early neonates were included in the study. There were 224(53.8%) male neonates. The overall early neonatal mortalities were 47(11.3%), of which 23.41% of them died on the first day of age. early neonatal mortality was associated with neonatal sepsis (AHR=3.349,95% CI,1.842-6.089), low birth weight of neonates (AHR=3.563%,95% CI,1.925-6.595), unable to breastfeeding during delivery (AHR=4.094,95% CI,1.603-10.452), neonatal respiratory distress (AHR=4.018,95% CI,1.733-9.371), perinatal asphyxia (AHR =2.540,95% CI,1.186-5.847). Conclusion: The causes of early neonatal death described in this study were preventable. Managing low birth weight, initiating exclusive breastfeeding, refining quality of service, and confirming the continuity of care are recommended to increase the survival of neonates.

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Perinatal and neonatal mortality.

Cited by 2 publications

References 13 publications

Magnitude and associated factors of stillbirth among women who gave birth at Hiwot Fana Specialized University Hospital, Harar, eastern Ethiopia

Magnitude and associated factors of stillbirth among women who gave birth at Hiwot Fana Specialized University Hospital, Harar, eastern Ethiopia

Time to death and its predictors among early neonatal patients in neonatal intensive care unit of Dessie referral hospital, South Wollo Zone, Northeast Ethiopia

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