Proportion of stillbirth and associated factors among women who deliver at public hospitals in Bahir Dar city, north-West Ethiopia

Abstract Introduction The annual global burden of stillbirths is estimated to be 3.2 million, of which 98% occur in low and middle-income countries (LMICs). In the Amhara region of Ethiopia, the prevalence of stillbirth outcomes was 85 per 1000. Ethiopia is experiencing an increase in the number of...

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Main Authors: Bantayehu Nega Arega, Lakachew Asrade Feleke, Hiwotemariam Alemu Tilahun, Dawud Muhammed Ahmed, Fekadie Getachew Hailu
Format: Article
Language:English
Published: BMC 2024-02-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-024-02920-8
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author Bantayehu Nega Arega
Lakachew Asrade Feleke
Hiwotemariam Alemu Tilahun
Dawud Muhammed Ahmed
Fekadie Getachew Hailu
author_facet Bantayehu Nega Arega
Lakachew Asrade Feleke
Hiwotemariam Alemu Tilahun
Dawud Muhammed Ahmed
Fekadie Getachew Hailu
author_sort Bantayehu Nega Arega
collection DOAJ
description Abstract Introduction The annual global burden of stillbirths is estimated to be 3.2 million, of which 98% occur in low and middle-income countries (LMICs). In the Amhara region of Ethiopia, the prevalence of stillbirth outcomes was 85 per 1000. Ethiopia is experiencing an increase in the number of health professionals attending deliveries, however, stillbirth rates are not decreasing as anticipated. However, there are limited numbers of studies done related to the proportion of stillbirths and associated factors in the study area. This study aimed to assess the proportion of stillbirths and associated factors among women who attended deliveries at Tibebe Ghion Specialized Hospital and Felege Hiwot Comprehensive Specialized Hospital. Methods An institutional-based cross-sectional study was conducted on 366 women who delivered at two referral hospitals in Bahir Dar from April 1, 2020, to August 30, 2020. Study participants were selected using systematic random sampling techniques. A checklist and structured questionnaire were used to retrieve information from the clients and their attendants. The collected data were cleaned, coded, and entered into Epi-data version 3.1 and then exported into SPSS 23 for analysis. Bivariate and multivariable logistic regression analysis was computed to identify statistically significant associated factors with a P value < 0.05. The results were presented in tables and charts. Result The proportion of stillbirths was 3.8% in this study area. This study showed that level of education, who completed primary school (AOR = 0.12; 95% CI (0.01, 0.98)), not using partograph (AOR = 3.77, 95%; CI (1.02; 13.93)), and obstetric complication (AOR = 6.7; 95% CI (1.54, 29.79) were the major factors affecting the stillbirth. Conclusion Our study found that stillbirth rate remains a major public health problem. Illiteracy, not using a partograph, and having obstetric complications were major associated factors for stillbirth. The risk factors identified in this study can be prevented and managed by providing appropriate care during preconception, antepartum, and intrapartum periods.
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spelling doaj.art-c99d9e586f1d44f2a54b7ed7f20c21442024-03-05T20:09:01ZengBMCBMC Women's Health1472-68742024-02-012411810.1186/s12905-024-02920-8Proportion of stillbirth and associated factors among women who deliver at public hospitals in Bahir Dar city, north-West EthiopiaBantayehu Nega Arega0Lakachew Asrade Feleke1Hiwotemariam Alemu Tilahun2Dawud Muhammed Ahmed3Fekadie Getachew Hailu4Department of obstetrics and gynecology, college of medicine and health sciences, Bahir Dar UniversityDepartment of obstetrics and gynecology, college of medicine and health sciences, Bahir Dar UniversityDepartment of obstetrics and gynecology, college of medicine and health sciences, Bahir Dar UniversityDepartment of obstetrics and gynecology, college of medicine and health sciences, Bahir Dar UniversityDepartment of obstetrics and gynecology, college of medicine and health sciences, Bahir Dar UniversityAbstract Introduction The annual global burden of stillbirths is estimated to be 3.2 million, of which 98% occur in low and middle-income countries (LMICs). In the Amhara region of Ethiopia, the prevalence of stillbirth outcomes was 85 per 1000. Ethiopia is experiencing an increase in the number of health professionals attending deliveries, however, stillbirth rates are not decreasing as anticipated. However, there are limited numbers of studies done related to the proportion of stillbirths and associated factors in the study area. This study aimed to assess the proportion of stillbirths and associated factors among women who attended deliveries at Tibebe Ghion Specialized Hospital and Felege Hiwot Comprehensive Specialized Hospital. Methods An institutional-based cross-sectional study was conducted on 366 women who delivered at two referral hospitals in Bahir Dar from April 1, 2020, to August 30, 2020. Study participants were selected using systematic random sampling techniques. A checklist and structured questionnaire were used to retrieve information from the clients and their attendants. The collected data were cleaned, coded, and entered into Epi-data version 3.1 and then exported into SPSS 23 for analysis. Bivariate and multivariable logistic regression analysis was computed to identify statistically significant associated factors with a P value < 0.05. The results were presented in tables and charts. Result The proportion of stillbirths was 3.8% in this study area. This study showed that level of education, who completed primary school (AOR = 0.12; 95% CI (0.01, 0.98)), not using partograph (AOR = 3.77, 95%; CI (1.02; 13.93)), and obstetric complication (AOR = 6.7; 95% CI (1.54, 29.79) were the major factors affecting the stillbirth. Conclusion Our study found that stillbirth rate remains a major public health problem. Illiteracy, not using a partograph, and having obstetric complications were major associated factors for stillbirth. The risk factors identified in this study can be prevented and managed by providing appropriate care during preconception, antepartum, and intrapartum periods.https://doi.org/10.1186/s12905-024-02920-8Still birthProportionAssociated factors
spellingShingle Bantayehu Nega Arega
Lakachew Asrade Feleke
Hiwotemariam Alemu Tilahun
Dawud Muhammed Ahmed
Fekadie Getachew Hailu
Proportion of stillbirth and associated factors among women who deliver at public hospitals in Bahir Dar city, north-West Ethiopia
BMC Women's Health
Still birth
Proportion
Associated factors
title Proportion of stillbirth and associated factors among women who deliver at public hospitals in Bahir Dar city, north-West Ethiopia
title_full Proportion of stillbirth and associated factors among women who deliver at public hospitals in Bahir Dar city, north-West Ethiopia
title_fullStr Proportion of stillbirth and associated factors among women who deliver at public hospitals in Bahir Dar city, north-West Ethiopia
title_full_unstemmed Proportion of stillbirth and associated factors among women who deliver at public hospitals in Bahir Dar city, north-West Ethiopia
title_short Proportion of stillbirth and associated factors among women who deliver at public hospitals in Bahir Dar city, north-West Ethiopia
title_sort proportion of stillbirth and associated factors among women who deliver at public hospitals in bahir dar city north west ethiopia
topic Still birth
Proportion
Associated factors
url https://doi.org/10.1186/s12905-024-02920-8
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