Tasew Hagos, Zemicheal Micheal, Teklay Girmay, Mariye Teklewoini
School of Nursing, College of Health Science and Comprehensive Specialized Hospital, Aksum University, Tigray, Ethiopia.
School of Medicine, College of Health Science and Comprehensive Specialized Hospital, Aksum University, Tigray, Ethiopia.
Afr Health Sci. 2019 Jun;19(2):1930-1937. doi: 10.4314/ahs.v19i2.16.
Stillbirth is a death before the complete expulsion or extraction from the mother. The burden is severe and high in developing countries. Risk factors for stillbirth are not yet studied in Ethiopia.
To identify risk factors of stillbirth among mothers delivered in public hospitals of Central Zone Tigray, Ethiopia.
A case-control study design was used. Data collection period was from January to April 2018. Study subjects 63 cases and 252 controls were selected using systematic random sampling technique from respective hospitals. The interviewer-administered questionnaire, observational, and chart analysis were used to collect the data. A binary logistic regression model was employed. Results were presented at significance level P-value <0.05.
Maternal hypertension [AOR=12.83; 95% CI 3.38, 48.83], low birth weight [AOR=5.6; 95% CI 2.39, 13.38], pre-term [AOR=2.6;95%CI 1.12,6.16], alcohol intake [AOR=7.56; 95% CI 1.68, 34.04], polyhydramnios [AOR=13.43; 95% CI 3.63, 49.67], and meconium stained amniotic fluid [AOR=7.88; 95% CI 1.73, 8.18] were risk factors of stillbirth.
The risk of stillbirth is increased with increasing maternal complication like maternal hypertension, alcohol consumption, polyhydramnios, and meconium-stained amniotic fluid. The occurrence of preterm and low birth weight of the fetus had an effect on the risk of stillbirth.
死产是指胎儿在完全从母体排出或取出之前死亡。在发展中国家,死产的负担沉重且发生率高。埃塞俄比亚尚未对死产的风险因素进行研究。
确定在埃塞俄比亚提格雷中部地区公立医院分娩的母亲中死产的风险因素。
采用病例对照研究设计。数据收集期为2018年1月至4月。使用系统随机抽样技术从各医院选取63例病例和252例对照作为研究对象。通过访谈式问卷、观察和图表分析收集数据。采用二元逻辑回归模型。结果以显著性水平P值<0.05呈现。
母亲高血压[AOR=12.83;95%可信区间3.38,48.83]、低出生体重[AOR=5.6;95%可信区间2.39,13.38]、早产[AOR=2.6;95%可信区间1.12,6.16]、饮酒[AOR=7.56;95%可信区间1.68,34.04]、羊水过多[AOR=13.43;95%可信区间3.63,49.67]和羊水胎粪污染[AOR=7.88;95%可信区间1.73,8.18]是死产的风险因素。
死产风险随着母亲并发症如母亲高血压、饮酒、羊水过多和羊水胎粪污染的增加而升高。胎儿早产和低出生体重的发生对死产风险有影响。