Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Department of Obstetrics and Gynecology, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
J Int Med Res. 2023 Feb;51(2):3000605231155782. doi: 10.1177/03000605231155782.
This study was performed to determine predisposing factors of perinatal mortality among deliveries at tertiary hospitals in East Wollega, Western Ethiopia.
This institutional-based unmatched retrospective case-control study involved 810 samples (270 perinatal deaths and 540 controls) selected from the study hospitals. For each case, two controls were selected. Data were collected using a pretested structured questionnaire. Data were entered into EpiData Version 3.1 and exported to SPSS Version 25 for analysis. Descriptive analysis and logistic regression were performed. The adjusted odds ratio with 95% confidence interval was calculated, and statistical significance was declared at a -value of <0.05.
The statistical analysis revealed the following independent determinants of perinatal mortality: rural residence, lack of antenatal care, preterm delivery, induction of labor, presence of obstetric complications, breech presentation, shoulder presentation, low birth weight, congenital malformation, and not using a partograph.
Given the determinant factors of perinatal mortality in the study area, health facilities are recommended to implement appropriate antenatal care, intrapartum care, and neonatal care to prevent perinatal mortality. They are also advised to use partographs and ensure better access to antenatal care facilities.
本研究旨在确定埃塞俄比亚西部东沃洛格地区三级医院分娩围产儿死亡的易患因素。
本基于机构的非匹配回顾性病例对照研究涉及 810 个样本（270 例围产儿死亡和 540 例对照），从研究医院中选取。每个病例选择 2 个对照。使用经过预测试的结构化问卷收集数据。将数据录入 EpiData 版本 3.1 并导出到 SPSS 版本 25 进行分析。进行描述性分析和逻辑回归。计算调整后的优势比及其 95%置信区间，并在 - 值<0.05 时宣布具有统计学意义。
统计分析显示围产儿死亡的以下独立决定因素：农村居住、缺乏产前保健、早产、引产、存在产科并发症、臀位、肩先露、低出生体重、先天性畸形和未使用产图。
鉴于研究地区围产儿死亡的决定因素，建议卫生机构实施适当的产前保健、分娩期保健和新生儿保健，以预防围产儿死亡。还建议他们使用产图并确保更好地获得产前保健设施。
