Faculty of Social Sciences, Yazd University, Yazd, Iran.
Social Determinants of Health Research Center, School of Public Health, Department of Health Education and Promotion, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Inquiry. 2024 Jan-Dec;61:469580241236272. doi: 10.1177/00469580241236272.
The stillbirth rate is among the most important indicators of access to and quality of care during pregnancy. This study investigated the factors related to the stillbirth rate in the Yazd province, Iran. The current research is descriptive and cross-sectional and the results of Shahdieh city cohort study which was conducted on 4756 women were used. Data related to the history of stillbirth, demographic characteristics, fertility history and, various female diseases were extracted from the results of the cohort study. The result shows that 7.2% of studied women had a history of stillbirth. Among the multiple variables, predictor variables including education level, marriage age, age of the first conception, number of children, consanguineous marriage, Employment status, and diseases like diabetes, hypertension, and history of depression had a significant relationship with a history of stillbirth ( ≤ .05). The stillbirth rate in Shahedieh is high compared to the global stillbirth Rate, but it is comparable with the stillbirth Rate in Yazd province. Although Yazd province, as one of the industrial hubs of Iran, has relatively acceptable indicators of income, employment, and medical and health facilities and welfare compared to other provinces, this study showed that factors such as diabetes, hypertension, low level of women's education, consanguineous marriage, and women's employment status and social welfare can affect Stillbirth Rate.
死产率是衡量孕妇获得医疗保健服务的机会和质量的重要指标之一。本研究旨在探讨伊朗亚兹德省与死产率相关的因素。本研究为描述性和横断面研究,使用了 Shahdieh 城市队列研究的结果,该研究共纳入了 4756 名妇女。从队列研究的结果中提取了与死产史、人口统计学特征、生育史和各种女性疾病相关的数据。结果显示,7.2%的研究对象有过死产史。在多个变量中,教育水平、初婚年龄、首次受孕年龄、子女数量、近亲结婚、就业状况以及糖尿病、高血压和抑郁症等疾病与死产史显著相关(P≤0.05)。与全球死产率相比,Shahedieh 的死产率较高,但与亚兹德省的死产率相当。尽管亚兹德省作为伊朗的工业中心之一,与其他省份相比,在收入、就业、医疗和卫生设施以及社会福利方面的指标相对可以接受,但本研究表明,糖尿病、高血压、妇女教育水平低、近亲结婚以及妇女就业状况和社会福利等因素可能会影响死产率。