March 30, 2023 Thesis Open Access

Alem, Atnaf

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    <subfield code="a">DETERMINANTS OF STILLBIRTH AMONG WOMEN WHO GAVE BIRTH IN NORTH WOLLO ZONE HOSPITALS, NORTHEAST ETHIOPIA, 2022</subfield>
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    <subfield code="a">&lt;p&gt;Background: Stillbirth is still a tragic reality that affects the normal life of women, the entire family and the country at large. In 2019, over 2 million infants worldwide were born at 28 weeks of pregnancy or later without showing any signs of life. However, stillbirth continues to be ignored and Specific stillbirth specific targets were absent from sustainable development goals. An inadequate understanding of the risk factors that cause the majority of stillbirths may impede efforts to lower the stillbirth rate.&lt;br&gt;
Objective: To identify determinants of stillbirth among women who gave birth in North Wollo Zone hospitals, Northeast Ethiopia, 2022&lt;br&gt;
Methods: An institution-based unmatched case control study design was conducted among 412 (103 cases and 309 controls) mothers who gave birth in North Wollo Zone hospitals. A simple random sampling technique was applied to select both cases and controls of this study. Epi-data version 3.1 and SPSS version 25.0 statistical software were used for data entry and analysis, respectively. A multivariable logistic regression model was used to identify the independent predictors of stillbirth. The goodness of fit was tested using the Hosmer and Lemeshow goodness-of-fit. P-value &amp;lt; 0.05 was considered to declare a result as a statistically significant association.&lt;br&gt;
Results: In this study, 103 stillbirth cases and 309 controls were analyzed. Women with premature rapture of membrane (AOR = 5.53 [95% CI: 2.33&amp;ndash;9.94]), induced onset of labor (AOR = 2.24 [95% CI: 1.24&amp;ndash;4.07]), labor duration &amp;ge;24 h (AOR = 3.80 [95% CI: 1.94&amp;ndash;7.45]), no partograph used to follow their labor (AOR = 2.45 [95% CI: 1.41&amp;ndash;4.26]), preterm birth (AOR = 3.46 [95% CI: 1.87&amp;ndash;6.39]), postterm birth (AOR = 3.47 [95% CI: 1.35&amp;ndash;8.91), and carry a female fetus (AOR = 1.81 [95% CI: 1.02&amp;ndash;3.22]) were found to be at higher risk of having stillbirth.&lt;br&gt;
Conclusions: Presence of premature rapture of membrane, induce onset of labor, labor duration &amp;ge;24 h, lack of partograph utilization, carrying female fetus, and prematurity and postmaturity were found the determinants of stillbirth. Therefore, conscious care for these pregnancies with complication like premature rapture of membrane, early identification of labor complications by using partograph and strong referral system for complicated and/or prolonged labors are required.&lt;br&gt;
Keywords: Determinant, North Wollo, Stillbirth, Northeast Ethiopia&lt;/p&gt;</subfield>
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