Risk Factors Associated with Perinatal Mortality at Besat Hospital in Sanandaj: A Case-control Study
Background & aim: Perinatal mortality is used in international scales as a reflection of the quality of maternal and newborn care. Therefore, the current study aimed to determine perinatal mortality and its associated factors at Besat Hospital of Sanandaj, Iran. Methods: This retrospective case-...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2021-04-01
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| Series: | Journal of Midwifery & Reproductive Health |
| Subjects: | |
| Online Access: | https://jmrh.mums.ac.ir/article_17358_0ff794ecd32a7741d4e522ba74847aa4.pdf |
| _version_ | 1818381818859094016 |
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| author | Leila Hasheminasab Fariba Ranaei Jamileh Majidi Farzaneh Zaheri Roya Karime |
| author_facet | Leila Hasheminasab Fariba Ranaei Jamileh Majidi Farzaneh Zaheri Roya Karime |
| author_sort | Leila Hasheminasab |
| collection | DOAJ |
| description | Background & aim: Perinatal mortality is used in international scales as a reflection of the quality of maternal and newborn care. Therefore, the current study aimed to determine perinatal mortality and its associated factors at Besat Hospital of Sanandaj, Iran. Methods: This retrospective case-control study was conducted using medical records available at Sanandaj Besat Hospital during 2013- 2015. Sampling was conducted through the census method. Firstly, all cases of perinatal mortalities in the delivery and neonatal wards whose medical files were complete (n=466) were selected as the case group, and a file of live birth for each case was randomly chosen on the same day as the control (n=466). Data analysis was performed by SPSS 21 using the Chi-square, independent samples t-test, and logistic regression. Results: The rate of perinatal mortality was reported as 38.3 per 1,000 births. Parental consanguinity, parity, number of abortions, birth weight, gestational age, pregnancy and delivery complications as well as congenital abnormalities were significantly different between the two groups (p <0.05). The most important risk factors associated with perinatal mortality were prematurity (OR=15.6; 95% CI: 8.7-29.3; p <0.001), low birth weight (OR=0.6; 95% CI: 0.5-0.7; p <0.001), congenital abnormalities (OR=6; 95% CI: 2.2-16.4; p <0.001), pregnancy complications (OR=2.2; 95% CI: 1.1-4.6; p <0.03), delivery complications (OR=2; 95% CI: 1.5-4.7; p <0.001), and parental consanguinity (OR=21.7; 95% CI: 1.23-2.41; p <0.001). Conclusion: Parental consanguinity, LBW, preterm birth, hypertension, and premature rupture of membranes were the most important factors increasing the risk of perinatal mortality. |
| first_indexed | 2024-12-14T02:40:38Z |
| format | Article |
| id | doaj.art-5a70f89cfb454f95b18c13a408151ca4 |
| institution | Directory Open Access Journal |
| issn | 2345-4792 2345-4792 |
| language | English |
| last_indexed | 2024-12-14T02:40:38Z |
| publishDate | 2021-04-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Journal of Midwifery & Reproductive Health |
| spelling | doaj.art-5a70f89cfb454f95b18c13a408151ca42022-12-21T23:20:02ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922345-47922021-04-01922707271410.22038/jmrh.2021.50209.162417358Risk Factors Associated with Perinatal Mortality at Besat Hospital in Sanandaj: A Case-control StudyLeila Hasheminasab0Fariba Ranaei1Jamileh Majidi2Farzaneh Zaheri3Roya Karime4Lecturer, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IranLecturer, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IranMSc in Midwifery, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IranAssistant Professor, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IranLecturer, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IranBackground & aim: Perinatal mortality is used in international scales as a reflection of the quality of maternal and newborn care. Therefore, the current study aimed to determine perinatal mortality and its associated factors at Besat Hospital of Sanandaj, Iran. Methods: This retrospective case-control study was conducted using medical records available at Sanandaj Besat Hospital during 2013- 2015. Sampling was conducted through the census method. Firstly, all cases of perinatal mortalities in the delivery and neonatal wards whose medical files were complete (n=466) were selected as the case group, and a file of live birth for each case was randomly chosen on the same day as the control (n=466). Data analysis was performed by SPSS 21 using the Chi-square, independent samples t-test, and logistic regression. Results: The rate of perinatal mortality was reported as 38.3 per 1,000 births. Parental consanguinity, parity, number of abortions, birth weight, gestational age, pregnancy and delivery complications as well as congenital abnormalities were significantly different between the two groups (p <0.05). The most important risk factors associated with perinatal mortality were prematurity (OR=15.6; 95% CI: 8.7-29.3; p <0.001), low birth weight (OR=0.6; 95% CI: 0.5-0.7; p <0.001), congenital abnormalities (OR=6; 95% CI: 2.2-16.4; p <0.001), pregnancy complications (OR=2.2; 95% CI: 1.1-4.6; p <0.03), delivery complications (OR=2; 95% CI: 1.5-4.7; p <0.001), and parental consanguinity (OR=21.7; 95% CI: 1.23-2.41; p <0.001). Conclusion: Parental consanguinity, LBW, preterm birth, hypertension, and premature rupture of membranes were the most important factors increasing the risk of perinatal mortality.https://jmrh.mums.ac.ir/article_17358_0ff794ecd32a7741d4e522ba74847aa4.pdfperinatal mortalityneonatal mortalitystillbirthpregnancychildbirth |
| spellingShingle | Leila Hasheminasab Fariba Ranaei Jamileh Majidi Farzaneh Zaheri Roya Karime Risk Factors Associated with Perinatal Mortality at Besat Hospital in Sanandaj: A Case-control Study Journal of Midwifery & Reproductive Health perinatal mortality neonatal mortality stillbirth pregnancy childbirth |
| title | Risk Factors Associated with Perinatal Mortality at Besat Hospital in Sanandaj: A Case-control Study |
| title_full | Risk Factors Associated with Perinatal Mortality at Besat Hospital in Sanandaj: A Case-control Study |
| title_fullStr | Risk Factors Associated with Perinatal Mortality at Besat Hospital in Sanandaj: A Case-control Study |
| title_full_unstemmed | Risk Factors Associated with Perinatal Mortality at Besat Hospital in Sanandaj: A Case-control Study |
| title_short | Risk Factors Associated with Perinatal Mortality at Besat Hospital in Sanandaj: A Case-control Study |
| title_sort | risk factors associated with perinatal mortality at besat hospital in sanandaj a case control study |
| topic | perinatal mortality neonatal mortality stillbirth pregnancy childbirth |
| url | https://jmrh.mums.ac.ir/article_17358_0ff794ecd32a7741d4e522ba74847aa4.pdf |
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