Statistics Department, Science College, Bahir Dar University, P.O. Box: 79, Main Campus-Peda, Bahir Dar, Ethiopia.
BMC Pregnancy Childbirth. 2017 Nov 13;17(1):375. doi: 10.1186/s12884-017-1573-4.
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.
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.
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).
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.
死产是一个普遍的医学问题，可能对埃塞俄比亚这样的国家产生重大影响。本研究旨在确定在埃塞俄比亚阿姆哈拉地区分娩中死产的发生率和相关因素。
本研究使用了 2014 年在埃塞俄比亚 2555 名符合条件的阿姆哈拉地区妇女中收集的埃塞俄比亚微型人口与健康调查（EMDHS）数据。采用双变量和多变量二元逻辑回归分析。
死产结局的发生率为每 1000 例活产 85 例。此外，大多数妇女没有接受任何正规教育，也没有进行产前保健随访。首次分娩年龄在 18 岁以下的妇女有 1859 人（72.8%），前次分娩间隔的平均值为 33.6 个月。即使是接受过小学及以上教育的妇女，也有大约 50%的人发生了死产结局，而没有受过教育的妇女发生死产结局的可能性较小（AOR：0.505，95%CI 0.311-0.820），且家庭财富指数较高的妇女发生死产结局的可能性较小。此外，与前次分娩间隔小于 24 个月的妇女相比，前次分娩间隔大于 36 个月的妇女发生死产结局的可能性低约 89%（AOR：0.109，95%CI 0.071-8.0.168）。
可以推断，死产结果是阿姆哈拉地区的一个普遍医学问题。在本研究考虑的不同因素中，年龄、首次分娩年龄、财富指数、分娩顺序数和前次分娩间隔月被认为是与死产显著相关的因素。因此，可以建议提高对早产的认识、延长分娩间隔、加强产妇保健（针对高龄产妇）和早期分娩顺序数。
