Stillbirth rates and its spatial patterns in India: an exploration of HMIS data

Purbey, Anchal; Nambiar, Apoorva; Choudhury, Dripta Roy; Vennam, Thirumal; Balani, Khushboo; Agnihotri, Satish B.

doi:10.1016/j.lansea.2022.100116

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…A study also reported, Pakistan as one of the highest stillbirth rates among South Asian countries, with a rate of 30.6 per 1,000 total births, which is significantly higher than the average for South Asia, which is 18.2 per 1,000 total births (7). Similarly, the stillbirth rate in India is also lower, at 13.9 per 1,000 total births (8).…”

Section: Introductionmentioning

confidence: 94%

Trends and risk factors of stillbirth among women of reproductive age in Pakistan: A multivariate decomposition analysis

Shakeel

Kamal²,

Ijaz³

et al. 2023

Front. Public Health

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BackgroundEvery year, 2 million babies are stillborn in the world. Globally, there has been a decline in the stillbirth rate of 2%. Despite advancements in prenatal care and the implementation of new medical technologies, the incidence of early stillbirths remains unchanged. A slight decrease in the rate of late-term stillbirth has been observed. Pakistan ranked third in South Asia for having the highest stillbirth rate. Compared to its neighbors and other developing nations, Pakistan has shown a lack of progress in reducing maternal and neonatal fatalities. Therefore, the purpose of this study is to use a multivariate decomposition analysis to examine the trends and factors that have contributed to the change in the stillbirth rate over time.MethodsTo conduct this study, we used a secondary data analysis approach and analyzed data from the Pakistan Demographic and Health Survey (PDHS) of 2012–2013 and 2017–2018). For the analysis, a total sample of 15,068 births in 2017–2018 and 13,558 births in the PDHS from 2012 to 2013 were taken into account. Using the MVDCMP function within STATA version 15 statistical software, a logit-based multivariate decomposition model was fitted to determine the variables that influence the change in stillbirth. The current study used two cross-sectional surveys to identify important risk factors for stillbirths.ResultsOver the past 5 years, Pakistan's stillbirth rate has risen from 3.98 to 5.75%. According to the total multivariate decomposition analysis, the change in coefficient (change in the effect of attributes) accounted for 81.17% of the overall change in the proportion of stillbirths. In contrast, the change in endowment was not statistically significant. Changes in maternal education, individual and community-level wealth status, and mode of delivery all significantly impacted the rate of stillbirths over time.ConclusionStillbirths increased in Pakistan from 2012 to 2017. Stillbirths are observed more frequently for women residing in Punjab, Sindh, and rural areas. A major concern that is directly related to the prevalence of stillbirths in Pakistan is the lack of accessible, affordable, and high-quality maternal healthcare facilities. Older, overweight, and uneducated women are more likely to have stillbirths than women who deliver vaginally. High parity and short birth intervals also accelerated the rate of stillbirths. An effective remedy to control stillbirths is the provision of accessible and affordable healthcare services. Awareness campaigns for the health education of pregnant women should focus on raising awareness to support better pregnancy outcomes for poor women living in communities with higher education levels. The risk of stillbirth can be reduced by offering free diagnostics for early detection of birth complications in low-resource settings and referring these cases to knowledgeable gynecologists for safe delivery.

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Section: Introductionmentioning

confidence: 94%

Trends and risk factors of stillbirth among women of reproductive age in Pakistan: A multivariate decomposition analysis

Shakeel

Kamal²,

Ijaz³

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

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Seasonal and District Level Geo-Spatial Variations in Stillbirth Rates in India: An Analysis of Secondary Data

Bin Islam,

Purbey,

Roy Choudhury

et al. 2023

Indian J Pediatr

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Trend, Pattern, and Prevalence of Adverse Pregnancy Outcomes among Women of Reproductive Age in India, 1992–2021

Swain,

Jena

2024

Indian Journal of Community Medicine

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Background: Adverse pregnancy outcomes (APOs) are the most important vital statistics used to assess maternal health and child health statistics. They are an indicator of the quality of maternal and child health care services, i.e., antenatal care, intrapartum care, and medical services. Material and Methods: The objective of the study is to analyze the trend, pattern, and prevalence of APOs among women of reproductive age group at the national level over successive NFHS rounds. The current study uses data from the National Family Health Survey (NFHS), conducted during 1992–2021. The study uses geo-spatial mapping techniques through QGIS software and report analysis to arrive at definitive conclusions. Results: The study finds that the incidence of APOs among women of reproductive age (15–49 years) has increased over the years. Twenty states and union territories have APOs that are below the national average. On the other hand, States like Madhya Pradesh, Meghalaya, Sikkim, Goa, Maharashtra, Andhra Pradesh, Karnataka, and Kerala have witnessed their APOs worsening as per NFHS-5 vis-à-vis NFHS-4. The study also finds that apart from the Himalayan belt and the east coast of India, APOs are more prominent in the contiguous regions adjoining these areas. Conclusions: The findings of the study have thrown on very interesting facts. Despite rapid economic development during the intervening period between NFHS-4 and NFHS-5, rising APOs are a testament to the fact that the policymakers in the country need to be more target-oriented and get their acts together.

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Stillbirth rates and its spatial patterns in India: an exploration of HMIS data

Cited by 4 publications

References 16 publications

Trends and risk factors of stillbirth among women of reproductive age in Pakistan: A multivariate decomposition analysis

Trends and risk factors of stillbirth among women of reproductive age in Pakistan: A multivariate decomposition analysis

Seasonal and District Level Geo-Spatial Variations in Stillbirth Rates in India: An Analysis of Secondary Data

Trend, Pattern, and Prevalence of Adverse Pregnancy Outcomes among Women of Reproductive Age in India, 1992–2021

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