Risk factors associated with stillbirths in the rural area of Western Maharashtra, India

Background: Overall perinatal mortality rates have fallen considerably in the past several decades but fetal deaths have not decreased as rapidly as the neonatal portion. In 2009, two-third of the stillbirths in the world occurred in South Asia and sub-Saharan Africa and 55% stillbirths occurred in...

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Main Authors: Shubhada Sunil Avachat, Deepak B Phalke, Vaishali D Phalke
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Archives of Medicine and Health Sciences
Subjects:
Online Access:http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=1;spage=56;epage=59;aulast=Avachat
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author Shubhada Sunil Avachat
Deepak B Phalke
Vaishali D Phalke
author_facet Shubhada Sunil Avachat
Deepak B Phalke
Vaishali D Phalke
author_sort Shubhada Sunil Avachat
collection DOAJ
description Background: Overall perinatal mortality rates have fallen considerably in the past several decades but fetal deaths have not decreased as rapidly as the neonatal portion. In 2009, two-third of the stillbirths in the world occurred in South Asia and sub-Saharan Africa and 55% stillbirths occurred in rural families from these regions. Knowledge of the relative importance of the different causes of stillbirth and neonatal deaths in developing countries is still lacking. Objective: A retrospective to assess the extent of stillbirths in a teaching hospital located in rural area. To study various causative and contributing factors for stillbirths. Materials and Methods: All the case records of the deliveries occurred in the study setting during study period (April 2009 to March 2010) were evaluated with the help of a predesigned proforma. Total 3,458 deliveries occurred, of them 141 were stillbirths. Results: Total 75.6% stillbirths occurred to the women in the age group of 20-35 years. Most of the stillbirths were preterm (67.3%) as compared to term or post-date deliveries. Significant association was observed between gestational age and stillbirth. Total 82 (58.15%) babies had low birth weight. Maternal factors were responsible for majority of stillbirths (53.19%) while 34% stillbirths were idiopathic. Conclusion: More than half of the stillbirths were associated with maternal factors like pregnancy-induced hypertension, antepartum hemorrhage and anemia. Improvement in availing essential obstetric care can reduce the magnitude of stillbirths.
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spelling doaj.art-9201d748798340a3915a22f55e8d5c252022-12-21T17:48:23ZengWolters Kluwer Medknow PublicationsArchives of Medicine and Health Sciences2321-48482015-01-0131565910.4103/2321-4848.154946Risk factors associated with stillbirths in the rural area of Western Maharashtra, IndiaShubhada Sunil AvachatDeepak B PhalkeVaishali D PhalkeBackground: Overall perinatal mortality rates have fallen considerably in the past several decades but fetal deaths have not decreased as rapidly as the neonatal portion. In 2009, two-third of the stillbirths in the world occurred in South Asia and sub-Saharan Africa and 55% stillbirths occurred in rural families from these regions. Knowledge of the relative importance of the different causes of stillbirth and neonatal deaths in developing countries is still lacking. Objective: A retrospective to assess the extent of stillbirths in a teaching hospital located in rural area. To study various causative and contributing factors for stillbirths. Materials and Methods: All the case records of the deliveries occurred in the study setting during study period (April 2009 to March 2010) were evaluated with the help of a predesigned proforma. Total 3,458 deliveries occurred, of them 141 were stillbirths. Results: Total 75.6% stillbirths occurred to the women in the age group of 20-35 years. Most of the stillbirths were preterm (67.3%) as compared to term or post-date deliveries. Significant association was observed between gestational age and stillbirth. Total 82 (58.15%) babies had low birth weight. Maternal factors were responsible for majority of stillbirths (53.19%) while 34% stillbirths were idiopathic. Conclusion: More than half of the stillbirths were associated with maternal factors like pregnancy-induced hypertension, antepartum hemorrhage and anemia. Improvement in availing essential obstetric care can reduce the magnitude of stillbirths.http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=1;spage=56;epage=59;aulast=AvachatCausesrural arearisk factorsstillbirths
spellingShingle Shubhada Sunil Avachat
Deepak B Phalke
Vaishali D Phalke
Risk factors associated with stillbirths in the rural area of Western Maharashtra, India
Archives of Medicine and Health Sciences
Causes
rural area
risk factors
stillbirths
title Risk factors associated with stillbirths in the rural area of Western Maharashtra, India
title_full Risk factors associated with stillbirths in the rural area of Western Maharashtra, India
title_fullStr Risk factors associated with stillbirths in the rural area of Western Maharashtra, India
title_full_unstemmed Risk factors associated with stillbirths in the rural area of Western Maharashtra, India
title_short Risk factors associated with stillbirths in the rural area of Western Maharashtra, India
title_sort risk factors associated with stillbirths in the rural area of western maharashtra india
topic Causes
rural area
risk factors
stillbirths
url http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=1;spage=56;epage=59;aulast=Avachat
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