Cheptum Joyce J, Muiruri Nelly, Mutua Ernest, Gitonga Moses, Juma Mwangi
Dedan Kimathi University of Technology, School of Health Sciences, Department of Nursing, P.O Box 657-10100, Nyeri, KENYA.
Nyeri Provincial General Hospital, P.O Box 27-10100, Nyeri, KENYA.
Int J MCH AIDS. 2016;5(1):24-31. doi: 10.21106/ijma.89.
Death of a baby in-utero is a very devastating event to the mother and the family. Most stillbirths occur during labor and birth with other deaths occurring during the antenatal period. Millions of families experience stillbirths, yet these deaths remain uncounted, and policies have not been clearly stipulated to address this issue. The aim of the study was to identify the possible causes of stillbirths as recorded in the medical records.
A retrospective study looking at medical records of women who experienced stillbirths between 1(st) January 2009 and 31(st) December 2013 at Nyeri Provincial General Hospital, Kenya. The hospital records containing cases of stillbirths were retrieved and data abstraction forms were used to collect data and information.
Both fresh and macerated stillbirths were equally common. The stillbirth rate was 12.2 per 1,000 births. There was significant association between stillbirths and the clients who were referred and reason for referral, (p=0.029) and (p=0.005), respectively. The number of ANC visits during pregnancy was also significant (p=0.05). Mode of delivery and the reason for cesarean section were significantly associated with stillbirths, (p=0.003) and (p=0.032), respectively. The type of labor and delivery complications experienced was associated with stillbirths (p= 0.022).
There were several factors associated with stillbirths thus efforts should be made to establish approaches aimed at prevention. Addressing the causes of stillbirths will contribute to reduction of perinatal mortality.
子宫内胎儿死亡对母亲和家庭来说是非常具有毁灭性的事件。大多数死产发生在分娩过程中，其他死亡则发生在产前阶段。数以百万计的家庭经历过死产，但这些死亡仍未得到统计，而且尚未明确制定相关政策来解决这一问题。本研究的目的是确定病历中记录的死产可能原因。
一项回顾性研究，观察2009年1月1日至2013年12月31日期间在肯尼亚涅里省总医院经历死产的妇女的病历。检索包含死产病例的医院记录，并使用数据提取表收集数据和信息。
新鲜死产和浸软死产同样常见。死产率为每1000例分娩中有12.2例。死产与被转诊的患者及其转诊原因之间存在显著关联，分别为（p = 0.029）和（p = 0.005）。孕期产前检查次数也具有显著性（p = 0.05）。分娩方式和剖宫产原因与死产显著相关，分别为（p = 0.003）和（p = 0.032）。所经历的分娩类型和分娩并发症与死产相关（p = 0.022）。
有几个因素与死产有关，因此应努力建立预防方法。解决死产原因将有助于降低围产期死亡率。
