Risk factors for perinatal mortality in a Tunisian population

Nouaili, Emira Ben Hamida; Chaouachi, S.; Ayadi, Imen; Said, Amel Ben; Zouari, B.; Marrakchi, Z.

doi:10.1016/j.ijgo.2010.07.009

Cited by 8 publications

(9 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In Nepal, Shrestha and Yadav reported prematurity as a major risk factor in their study involving 3588 deliveries . An association between prematurity and stillbirth was reported from Tunisia where an adjusted (for birthweight) OR 6.05 (95% CI 1.85–19.78) was reported among 87 stillbirths studied in a prospective cohort study . Stringer et al., in a study of 2109 stillbirths in Zambia, reported that extremes of birthweight increased the risk for stillbirth (OR for ≤1500 g 56.13, 95% CI 3.48–5.85 and OR for ≥4000 g 2.08, 95% CI 1.54–2.80) .…”

Section: Resultsmentioning

confidence: 98%

“…Studies using the lower gestational age band of between 20 and 22 weeks as a cut‐off point for defining stillbirth were from upper middle‐income countries such as China, Malaysia, Tunisia and Argentina, whereas studies using the cut off of ≥28 weeks tended to be from low‐income and lower middle‐income settings including Nigeria, India, Bangladesh, Sudan, Ghana, Nepal and Pakistan …”

Section: Resultsmentioning

confidence: 99%

“…There were a number of studies reporting on the association between lack of antenatal care and stillbirth. Nouaili et al . found that inadequate antenatal care increased the risk of stillbirth in a Tunisian population with an adjusted OR of 3.50 (95% CI 1.07–11.43).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Causes of and factors associated with stillbirth in low‐ and middle‐income countries: a systematic literature review

Aminu

Unkels

Mdegela

et al. 2014

BJOG

237

215

View full text Add to dashboard Cite

Background Annually, 2.6 million stillbirths occur worldwide, 98% in developing countries. It is crucial that we understand causes and contributing factors. Methods We conducted a systematic review of studies reporting factors associated with and cause(s) of stillbirth in low‐ and middle‐income countries (2000–13). Narrative synthesis to compare similarities and differences between studies with similar outcome categories. Main results A total of 142 studies with 2.1% from low‐income settings were investigated; most report on stillbirths occurring at health facility level. Definition of stillbirth varied; 10.6% of studies (mainly upper middle‐income countries) used a cut‐off point of ≥22 weeks of gestation and 32.4% (mainly lower income countries) used ≥28 weeks of gestation. Factors reported to be associated with stillbirth include poverty and lack of education, maternal age (>35 or <20 years), parity (1, ≥5), lack of antenatal care, prematurity, low birthweight, and previous stillbirth. The most frequently reported cause of stillbirth was maternal factors (8–50%) including syphilis, positive HIV status with low CD4 count, malaria and diabetes. Congenital anomalies are reported to account for 2.1–33.3% of stillbirths, placental causes (7.4–42%), asphyxia and birth trauma (3.1–25%), umbilical problems (2.9–33.3%), and amniotic and uterine factors (6.5–10.7%). Seven different classification systems were identified but applied in only 22% of studies that could have used a classification system. A high percentage of stillbirths remain ‘unclassified’ (3.8–57.4%). Conclusion To build capacity for perinatal death audit, clear guidelines and a suitable classification system to assign cause of death must be developed. Existing classification systems may need to be adapted. Better data and more data are urgently needed.

show abstract

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Causes of and factors associated with stillbirth in low‐ and middle‐income countries: a systematic literature review

Aminu

Unkels

Mdegela

et al. 2014

BJOG

237

215

View full text Add to dashboard Cite

show abstract

“…It is noted that stillbirth rates can be very high even in developed nations [21]; and the three delays model developed for maternal death is also relevant in this context [22]. These delays include: delay in recognizing danger sign; seeking care due to social or economic barriers, or distance and lack of transport; and receiving high quality health care [23].…”

Section: Discussionmentioning

confidence: 99%

Stillbirth in Nigeria: Rates and Risk Factors Based on 2013 Nigeria DHS

Dahiru¹,

Aliyu²

2016

OALib

View full text Add to dashboard Cite

Introduction: Stillbirth remains a public health problem with an estimate of 2.6 million stillbirths in 2015 of which 98% occurred in low-and middle-income countries and over three-quarters of these occurring in Sub-Saharan Africa (SSA) and south Asia. Further, only ten countries carry the burden of over 65% of total stillbirths in the world including Nigeria in the second position. The objective of this analysis is to estimate stillbirth rates and identify the determinants of stillbirth in Nigeria using the 2013 Nigeria DHS data. Methods: The study utilized the nationally-representative sample of women of reproductive age interviewed during the 2013 Nigeria DHS. Analysis was restricted to 31,671 women aged 15 -49 years who had a pregnancy reaching at least seven months of gestation in the five-year period prior to the survey. Descriptive statistics and regression analysis were performed using Stata v13 to determine significant factors related to stillbirth. Incidence Risk Ratio (IRR) was used to assess strength of association between independent and dependent variables. Results: Overall stillbirth rate is 12.5 per 1000 pregnancies, with rates as high as 22 per 1000 (among women aged 15 -19 years) and as low as 6.4 per 1000 (among women who received skilled ANC). Age, household wealth, higher birth order, facility delivery, Caesarean delivery, rural residence and ever use of contraceptive are consistent determinants of stillbirth in both the bivariate and multivariate models. Women in rich households have lower IRR of stillbirth (0.60; 95% CI: 0.45 -0.59) as well as women who had ever used modern contraception (IRR = 0.72; 95% CI: 0.63 -0.81). However, health facility deliveries as well as deliveries through a C-section, rural residence and age older than 20 years all carry increased risk of stillbirth (IRR = 1.81; 95% CI: 1.05 -1.33), (IRR = 2.46; 95% CI: 2.03 -2.98), (IRR = 1.41; 95% CI: 1.24 -1.59), and (IRR = 2.23; 95% CI: 1.75 -2.59) respectively. Conclusions: The study revealed that there are several factors responsible for stillbirth in Nigeria. Age, household wealth, higher birth order, facility delivery, Caesarean delivery, rural residence and ever use of contraceptive are consistent determinants of stillbirth in both the bivariate and multivariate models. There is urgent need by the National government to improve quality of maternal health care services and interventions to improve utilization and quality of prenatal care.

show abstract

“…Preterm labour-defined as delivery occurring before 37 weeks of gestation (259 days)-is a major determinant of neonatal mortality and has longterm adverse health outcomes (1)(2)(3)(4). Compared with term infants, preterm infants have higher rates of cerebral palsy, mental retardation, sensory impairments, dysfunction in cognitive areas (e.g.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological and chronological profile of preterm birth in the region of Monastir (Tunisia) between 1994 and 2012

Mhamdi

Ghardallou

Salah

et al. 2015

Easter Mediterr Health J

View full text Add to dashboard Cite

Data about the profile and risk factors of premature births in Tunisia are scarce. The objective of this study was to describe the epidemiological profile of preterm births in Monastir, Tunisia, and to study the chronological trends of associated factors over the years [1994][1995][1996][1997][1998][1999][2000][2001][2002][2003][2004][2005][2006][2007][2008][2009][2010][2011][2012]. A population-based study was conducted using data from the regional births database on all deliveries in public maternity units. The overall prevalence of preterm births among the 161 116 deliveries in the 19-year period was 5.60% (95% CI: 5.13%-6.07%). The rate of preterm births and of adequate prenatal care increased significantly over the study period. Extremes of maternal age (≤ 19 and ≥ 35 years), having a twin pregnancy and the occurrence of complications during pregnancy were significant predictors of prematurity in the final regression model. Efforts should be made to improve the quality of health care in the region, especially for high-risk pregnancies. Une étude en population a été menée à l'aide de données issues de la base de données des naissances régionale incluant tous les accouchements ayant eu lieu dans des maternités publiques. La prévalence globale des naissances prématurées pour 161 116 accouchements sur cette période de 19 ans était de 5,60 % (IC à 95 % : 5,13 %-6,07 %). Le taux de naissances prématurées et de soins prénatals adéquats a augmenté de manière significative au cours de la période de l'étude. L'âge extrême de la mère (≤ 19 ans ou ≥ 35 ans), une grossesse gémellaire et la survenue de complications pendant la grossesse étaient des facteurs prédictifs importants de prématurité dans le modèle de régression final. Des actions devraient être menées pour améliorer la qualité des soins de santé dans la région, notamment pour les grossesses à haut risque.

show abstract

Risk factors for perinatal mortality in a Tunisian population

Cited by 8 publications

References 1 publication

Causes of and factors associated with stillbirth in low‐ and middle‐income countries: a systematic literature review

Causes of and factors associated with stillbirth in low‐ and middle‐income countries: a systematic literature review

Stillbirth in Nigeria: Rates and Risk Factors Based on 2013 Nigeria DHS

Epidemiological and chronological profile of preterm birth in the region of Monastir (Tunisia) between 1994 and 2012

Contact Info

Product

Resources

About