Singh Snigdha, Nayak Manas Kumar, Routray Prashanta Kumar, Naik Sushree Samiksha, Mohakud Nirmal Kumar
Department of Community Medicine, KIMS, KIIT Deemed University, Bhubaneswar, Odisha, India.
Department of Pediatrics, KIMS, KIIT Deemed University, Bhubaneswar, Odisha, India.
Indian J Community Med. 2021 Jul-Sep;46(3):430-433. doi: 10.4103/ijcm.IJCM_547_20. Epub 2021 Oct 13.
Stillbirth rate has shown less or no improvement in developing countries. India was estimated to have the largest number of stillbirths globally in 2015. Systematic review of stillbirths is a strategy that helps in identifying gaps in the care of a pregnant mother, and is a useful and comprehensive indicator of the quality of maternity care.
The objective of this study was to assess the quality of maternal care, and factors causing stillbirth, and to provide some doable plans to reduce its incidence in the Odisha state.
The stillbirth review was undertaken over 4-month timeline (August to November 2014) in ten high-priority districts (HPDs) of Odisha. It included development of tools, desk reviews, training of staffs, and data handling. The deaths were estimated from Annual Health Survey. It was compared to the estimated stillbirth of each district to get the underreporting/overreporting districts. A report was generated on stillbirth process indicators, and program indicators after completion of assessment.
In the selected HPDs of Odisha, 4689 stillbirths were observed during the study period. However, the labor room register stated the reason of death in only 408 cases (8.7%). Further, at the time of admission, a provisional diagnosis could be made for only 3038 (64.7%) cases, of which 11% diagnosed as safe delivery resulted in stillbirth.
The present study could contribute to a larger extent to address some of the gaps in the stillbirth review process in Odisha.
在发展中国家，死产率几乎没有改善或根本没有改善。据估计，2015年全球死产数量最多的国家是印度。对死产进行系统评价是一种有助于找出孕妇护理方面差距的策略，也是衡量孕产妇护理质量的一个有用且全面的指标。
本研究的目的是评估孕产妇护理质量、导致死产的因素，并提供一些可行的计划以降低奥里萨邦的死产发生率。
在奥里萨邦的10个高优先级地区（HPDs）进行了为期4个月（2014年8月至11月）的死产回顾。这包括工具开发、案头审查、工作人员培训和数据处理。死亡数据来自年度健康调查。将其与每个地区的估计死产数进行比较，以确定报告不足/报告过度的地区。在评估完成后，生成了一份关于死产过程指标和项目指标的报告。
在奥里萨邦选定的高优先级地区，研究期间观察到4689例死产。然而，产房登记册仅记录了408例（8.7%）的死亡原因。此外，入院时，仅对3038例（64.7%）病例做出了初步诊断，其中11%被诊断为可安全分娩的病例却导致了死产。
本研究在很大程度上有助于解决奥里萨邦死产回顾过程中的一些差距。
