Abstract：
OBJECTIVE: This study was performed to determine predisposing factors of perinatal mortality among deliveries at tertiary hospitals in East Wollega, Western Ethiopia.
METHODS: This institutional-based unmatched retrospective case-control study involved 810 samples (270 perinatal deaths and 540 controls) selected from the study hospitals. For each case, two controls were selected. Data were collected using a pretested structured questionnaire. Data were entered into EpiData Version 3.1 and exported to SPSS Version 25 for analysis. Descriptive analysis and logistic regression were performed. The adjusted odds ratio with 95% confidence interval was calculated, and statistical significance was declared at a P-value of <0.05.
RESULTS: The statistical analysis revealed the following independent determinants of perinatal mortality: rural residence, lack of antenatal care, preterm delivery, induction of labor, presence of obstetric complications, breech presentation, shoulder presentation, low birth weight, congenital malformation, and not using a partograph.
CONCLUSIONS: Given the determinant factors of perinatal mortality in the study area, health facilities are recommended to implement appropriate antenatal care, intrapartum care, and neonatal care to prevent perinatal mortality. They are also advised to use partographs and ensure better access to antenatal care facilities.
METHODS: This institutional-based unmatched retrospective case-control study involved 810 samples (270 perinatal deaths and 540 controls) selected from the study hospitals. For each case, two controls were selected. Data were collected using a pretested structured questionnaire. Data were entered into EpiData Version 3.1 and exported to SPSS Version 25 for analysis. Descriptive analysis and logistic regression were performed. The adjusted odds ratio with 95% confidence interval was calculated, and statistical significance was declared at a P-value of <0.05.
RESULTS: The statistical analysis revealed the following independent determinants of perinatal mortality: rural residence, lack of antenatal care, preterm delivery, induction of labor, presence of obstetric complications, breech presentation, shoulder presentation, low birth weight, congenital malformation, and not using a partograph.
CONCLUSIONS: Given the determinant factors of perinatal mortality in the study area, health facilities are recommended to implement appropriate antenatal care, intrapartum care, and neonatal care to prevent perinatal mortality. They are also advised to use partographs and ensure better access to antenatal care facilities.
摘要：
目的：本研究的目的是确定东沃勒加三级医院分娩围产期死亡率的诱发因素。埃塞俄比亚西部。
方法：这项基于机构的无匹配的回顾性病例对照研究涉及从研究医院选择的810个样本（270个围产期死亡和540个对照）。对于每种情况，选择了两个对照。使用预先测试的结构化问卷收集数据。将数据输入到EpiData版本3.1中并导出到SPSS版本25中进行分析。进行描述性分析和逻辑回归。计算95%置信区间的调整后比值比，P值<0.05时具有统计学意义。
结果：统计分析揭示了以下围产期死亡率的独立决定因素：农村居民，缺乏产前护理，早产,引产,产科并发症的存在，臀位介绍,肩部演示,低出生体重,先天性畸形,而不是使用Partograph。
结论：考虑到研究区域围产期死亡率的决定因素，建议医疗机构实施适当的产前护理，产时护理,和新生儿护理，以防止围产期死亡。还建议他们使用分娩图，并确保更好地使用产前护理设施。
方法：这项基于机构的无匹配的回顾性病例对照研究涉及从研究医院选择的810个样本（270个围产期死亡和540个对照）。
结果：统计分析揭示了以下围产期死亡率的独立决定因素：农村居民，
结论：考虑到研究区域围产期死亡率的决定因素，
