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Published in: BMC Pregnancy and Childbirth 1/2017

Open Access 01-12-2017 | Research article

Determinants of stillbirth among women deliveries at Amhara region, Ethiopia

Authors: Demeke Lakew, Dereje Tesfaye, Haile Mekonnen

Published in: BMC Pregnancy and Childbirth | Issue 1/2017

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Abstract

Background

Stillbirth is one of general medical issues that could contribute significantly to creating nations like Ethiopia. This study aimed to determine the prevalence and related factors of stillbirth among deliveries at Amhara region, Ethiopia.

Methods

The study used the Ethiopian Mini Demographic and Health Survey (EMDHS) data collected from 2555 eligible Amhara region women in 2014. Bi-variable and multi-variable binary logistic regression analysis was used.

Results

The prevalence of stillbirth outcomes became 85 per 1000 (total live birth). Besides, majority of women did not attend any formal education and had no antenatal care follow up. Women whose age at first birth below 18 years were 1859(72.8%) and the mean preceding birth interval were 33.6 months. Even women who attended primary and above education were about 50% and they were less likely to have had stillbirth outcomes than those who had no education (AOR: 0.505, 95% CI 0.311–0.820) and women having higher household wealth index were less likely to have had stillbirth outcomes as it is compared to the reference category. Moreover, women having preceding birth interval above 36 months were about 89% of less likely to end up stillbirth outcomes as compared to women having preceding birth interval below 24 months (AOR: 0.109, 95% CI 0.071–8.0.168).

Conclusions

It could be inferred that a stillbirth result is one of the general medical issues in Amhara Region. Among different factors considered in this study, age, age at first birth, wealth index, birth order number and preceding birth interval in months were found to be significantly associated factors for stillbirth. Therefore, more awareness of early birth, widening birth interval, enhancing maternal care (for aged women) and early birth order number could be recommended.
Literature
1.
go back to reference Wilcox AJ, Weinberg CR, Wehmann RE, Armstrong EG, Canfield RE, Nisula BC. Measuring early pregnancy loss: laboratory and field methods. Fertil Steril. 1985;44(3):366–74.CrossRefPubMed Wilcox AJ, Weinberg CR, Wehmann RE, Armstrong EG, Canfield RE, Nisula BC. Measuring early pregnancy loss: laboratory and field methods. Fertil Steril. 1985;44(3):366–74.CrossRefPubMed
2.
go back to reference Say LSG, Fretts RC. In national, regional, and worldwide estimates of stillbirth rates in 2009 with trends since 1995, vol. 370. Geneva: WHO: Stillbirth Lancet; 2011. Epub 1725 Say LSG, Fretts RC. In national, regional, and worldwide estimates of stillbirth rates in 2009 with trends since 1995, vol. 370. Geneva: WHO: Stillbirth Lancet; 2011. Epub 1725
3.
go back to reference Organization WH. ICD-10: international statistical classification of diseases and related health problems: tenth revision. 2004. Organization WH. ICD-10: international statistical classification of diseases and related health problems: tenth revision. 2004.
4.
go back to reference Frøen JF, Cacciatore J, McClure EM, Kuti O, Jokhio AH, Islam M, et al. Stillbirths: why they matter. Lancet. 2011;377(9774):1353–66.CrossRefPubMed Frøen JF, Cacciatore J, McClure EM, Kuti O, Jokhio AH, Islam M, et al. Stillbirths: why they matter. Lancet. 2011;377(9774):1353–66.CrossRefPubMed
5.
go back to reference Cousens S, Blencowe H, Stanton C, Chou D, Ahmed S, Steinhardt L, et al. National, regional, and worldwide estimates of stillbirth rates in 2009 with trends since 1995: a systematic analysis. Lancet. 2011;377(9774):1319–30.CrossRefPubMed Cousens S, Blencowe H, Stanton C, Chou D, Ahmed S, Steinhardt L, et al. National, regional, and worldwide estimates of stillbirth rates in 2009 with trends since 1995: a systematic analysis. Lancet. 2011;377(9774):1319–30.CrossRefPubMed
6.
go back to reference EDHS. Demographic and health survey preliminary report: Ethiopia. Addis Ababa: Central statistics Agency, Calverton: Ethiopia and ORC Marco; 2005. EDHS. Demographic and health survey preliminary report: Ethiopia. Addis Ababa: Central statistics Agency, Calverton: Ethiopia and ORC Marco; 2005.
7.
go back to reference Lawn JE, Blencowe H, Pattinson R, Cousens S, Kumar R, Ibiebele I, et al. Stillbirths: where? When? Why? How to make the data count? Lancet. 2011;377(9775):1448–63.CrossRefPubMed Lawn JE, Blencowe H, Pattinson R, Cousens S, Kumar R, Ibiebele I, et al. Stillbirths: where? When? Why? How to make the data count? Lancet. 2011;377(9775):1448–63.CrossRefPubMed
8.
go back to reference Barros FC, Bhutta ZA, Batra M, Hansen TN, Victora CG, Rubens CE. Global report on preterm birth and stillbirth (3 of 7): evidence for effectiveness of interventions. BMC Pregnancy Childbirth. 2010;10(1):S3.CrossRefPubMedPubMedCentral Barros FC, Bhutta ZA, Batra M, Hansen TN, Victora CG, Rubens CE. Global report on preterm birth and stillbirth (3 of 7): evidence for effectiveness of interventions. BMC Pregnancy Childbirth. 2010;10(1):S3.CrossRefPubMedPubMedCentral
9.
go back to reference [Ethiopia] CSA. Ethiopia mini demographic and health survey 2014. Addis Ababa, Ethiopia 2014. [Ethiopia] CSA. Ethiopia mini demographic and health survey 2014. Addis Ababa, Ethiopia 2014.
10.
go back to reference Hosmer DW Jr, Lemeshow S, Sturdivant RX. Applied logistic regression. Canada: Wiley; 2013. Hosmer DW Jr, Lemeshow S, Sturdivant RX. Applied logistic regression. Canada: Wiley; 2013.
11.
go back to reference Engmann C, Garces A, Jehan I, Ditekemena J, Phiri M, Mazariegos M, et al. Causes of community stillbirths and early neonatal deaths in low-income countries using verbal autopsy: an international. Multicenter Study J Perinatol. 2012;32(8):585–92.CrossRefPubMed Engmann C, Garces A, Jehan I, Ditekemena J, Phiri M, Mazariegos M, et al. Causes of community stillbirths and early neonatal deaths in low-income countries using verbal autopsy: an international. Multicenter Study J Perinatol. 2012;32(8):585–92.CrossRefPubMed
12.
go back to reference Sisay MM, Yirgu R, Gobezayehu AG, Sibley LM. A qualitative study of attitudes and values surrounding stillbirth and neonatal mortality among grandmothers, mothers, and unmarried girls in rural Amhara and Oromiya regions, Ethiopia: unheard souls in the backyard. J Midwifery Womens Health. 2014;59(s1):S110–7.CrossRefPubMed Sisay MM, Yirgu R, Gobezayehu AG, Sibley LM. A qualitative study of attitudes and values surrounding stillbirth and neonatal mortality among grandmothers, mothers, and unmarried girls in rural Amhara and Oromiya regions, Ethiopia: unheard souls in the backyard. J Midwifery Womens Health. 2014;59(s1):S110–7.CrossRefPubMed
13.
go back to reference EDHS. Ethiopia Demographic and Health survey 2000, central Statistics Authority Ethiopia and ORC Macro, vol. 2000: AddisAbaba, Ethiopia and Calverton, Maryland, USA. EDHS. Ethiopia Demographic and Health survey 2000, central Statistics Authority Ethiopia and ORC Macro, vol. 2000: AddisAbaba, Ethiopia and Calverton, Maryland, USA.
14.
go back to reference EDHS. Ethiopian demographic and health survey 2011, central statistics Agency of Ethiopia and ORCMacro USA. Ethiopia: Addis Ababa; 2012. EDHS. Ethiopian demographic and health survey 2011, central statistics Agency of Ethiopia and ORCMacro USA. Ethiopia: Addis Ababa; 2012.
15.
16.
go back to reference Sather M, Fajon A-V, Zaentz R, Rubens CE. Global report on preterm birth and stillbirth (5 of 7): advocacy barriers and opportunities. BMC Pregnancy Childbirth. 2010;10(1):S5.CrossRefPubMedPubMedCentral Sather M, Fajon A-V, Zaentz R, Rubens CE. Global report on preterm birth and stillbirth (5 of 7): advocacy barriers and opportunities. BMC Pregnancy Childbirth. 2010;10(1):S5.CrossRefPubMedPubMedCentral
17.
go back to reference Adane AA, Ayele TA, Ararsa LG, Bitew BD, Zeleke BM. Adverse birth outcomes among deliveries at Gondar University hospital, Northwest Ethiopia. BMC Pregnancy Childbirth. 2014;14(1):90.CrossRefPubMedPubMedCentral Adane AA, Ayele TA, Ararsa LG, Bitew BD, Zeleke BM. Adverse birth outcomes among deliveries at Gondar University hospital, Northwest Ethiopia. BMC Pregnancy Childbirth. 2014;14(1):90.CrossRefPubMedPubMedCentral
18.
go back to reference Bhutta ZA, Darmstadt GL, Haws RA, Yakoob MY, Lawn JE. Delivering interventions to reduce the global burden of stillbirths: improving service supply and community demand. BMC Pregnancy Childbirth. 2009;9(1):S7.CrossRefPubMedPubMedCentral Bhutta ZA, Darmstadt GL, Haws RA, Yakoob MY, Lawn JE. Delivering interventions to reduce the global burden of stillbirths: improving service supply and community demand. BMC Pregnancy Childbirth. 2009;9(1):S7.CrossRefPubMedPubMedCentral
19.
go back to reference Ha YP, Hurt LS, Tawiah-Agyemang C, Kirkwood BR, Edmond KM. Effect of socioeconomic deprivation and health service utilisation on antepartum and intrapartum stillbirth: population cohort study from rural Ghana. PLoS One. 2012;7(7):e39050.CrossRefPubMedPubMedCentral Ha YP, Hurt LS, Tawiah-Agyemang C, Kirkwood BR, Edmond KM. Effect of socioeconomic deprivation and health service utilisation on antepartum and intrapartum stillbirth: population cohort study from rural Ghana. PLoS One. 2012;7(7):e39050.CrossRefPubMedPubMedCentral
20.
go back to reference Wood S CS, Ross S, Sauve R. The risk of unexplained antepartum stillbirth in second pregnancies following caesarean section in thefirst pregnancy. BJOG. 2008;115. Epub 731. Wood S CS, Ross S, Sauve R. The risk of unexplained antepartum stillbirth in second pregnancies following caesarean section in thefirst pregnancy. BJOG. 2008;115. Epub 731.
21.
go back to reference Audu B, Alhaji M, Takai U, Bukar M. Risk factors for stillbirths at universty of Maiduguri teaching hospital, Maiduguri, Nigeria: a cross-sectional retrospective analysis. Niger Med J. 2009;50(2):42. Audu B, Alhaji M, Takai U, Bukar M. Risk factors for stillbirths at universty of Maiduguri teaching hospital, Maiduguri, Nigeria: a cross-sectional retrospective analysis. Niger Med J. 2009;50(2):42.
22.
go back to reference McClure EM, Saleem S, Pasha O, Goldenberg RL. Stillbirth in developing countries: a review of causes, risk factors and prevention strategies. J Matern Fetal Neonatal Med. 2009;22(3):183–90.CrossRefPubMedPubMedCentral McClure EM, Saleem S, Pasha O, Goldenberg RL. Stillbirth in developing countries: a review of causes, risk factors and prevention strategies. J Matern Fetal Neonatal Med. 2009;22(3):183–90.CrossRefPubMedPubMedCentral
23.
go back to reference Assefa N, Berhane Y, Worku A, Tsui A. The hazard of pregnancy loss and stillbirth among women in Kersa, East Ethiopia: a follow up study. Sex Reprod Healthc. 2012;3(3):107–12.CrossRefPubMed Assefa N, Berhane Y, Worku A, Tsui A. The hazard of pregnancy loss and stillbirth among women in Kersa, East Ethiopia: a follow up study. Sex Reprod Healthc. 2012;3(3):107–12.CrossRefPubMed
Metadata
Title
Determinants of stillbirth among women deliveries at Amhara region, Ethiopia
Authors
Demeke Lakew
Dereje Tesfaye
Haile Mekonnen
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2017
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-017-1573-4

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