PDF(Pubmed)
Abstract：
BACKGROUND: 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.
RESULTS: 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.
CONCLUSIONS: 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.
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.
RESULTS: 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.
CONCLUSIONS: 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.
摘要：
背景：全球每年的死产负担估计为320万，其中98%发生在低收入和中等收入国家(LMICs)。在埃塞俄比亚的阿姆哈拉地区，死产结局的患病率为85/1000.埃塞俄比亚参加分娩的卫生专业人员人数正在增加，然而,死胎率并没有像预期的那样下降。然而,研究区域内与死产比例和相关因素相关的研究数量有限.这项研究旨在评估在TibebeGhion专科医院和FelegeHiwot综合专科医院分娩的妇女中死胎的比例和相关因素。
方法：对2020年4月1日至2020年8月30日在BahirDar的两家转诊医院分娩的366名妇女进行了一项基于机构的横断面研究。使用系统随机抽样技术选择研究参与者。使用清单和结构化问卷来检索客户及其服务人员的信息。收集的数据被清理，编码,并输入Epi-data版本3.1，然后导出到SPSS23进行分析。计算双变量和多变量逻辑回归分析，以确定具有统计学意义的相关因素，P值<0.05。结果呈现在表格和图表中。
结果：本研究区域死胎比例为3.8%。这项研究表明，教育水平，完成小学学业的人(AOR=0.12；95%CI(0.01，0.98))，不使用Partograph（AOR=3.77，95%；CI（1.02；13.93）），和产科并发症（AOR=6.7；95％CI（1.54，29.79）是影响死产的主要因素。
结论：我们的研究发现，死胎率仍然是一个主要的公共卫生问题。文盲,不使用Partograph，产科并发症是死产的主要相关因素。本研究中确定的风险因素可以通过在孕前提供适当的护理来预防和管理。产前,和分时。
方法：对2020年4月1日至2020年8月30日在BahirDar的两家转诊医院分娩的366名妇女进行了一项基于机构的横断面研究。使用系统随机抽样技术选择研究参与者。使用清单和结构化问卷来检索客户及其服务人员的信息。收集的数据被清理，编码,并输入Epi-data版本3.1，然后导出到SPSS23进行分析。计算双变量和多变量逻辑回归分析，以确定具有统计学意义的相关因素，P值<0.05。结果呈现在表格和图表中。
结果：本研究区域死胎比例为3.8%。这项研究表明，教育水平，完成小学学业的人(AOR=0.12；95%CI(0.01，0.98))，不使用Partograph（AOR=3.77，95%；CI（1.02；13.93）），和产科并发症（AOR=6.7；95％CI（1.54，29.79）是影响死产的主要因素。
结论：我们的研究发现，死胎率仍然是一个主要的公共卫生问题。文盲,不使用Partograph，产科并发症是死产的主要相关因素。本研究中确定的风险因素可以通过在孕前提供适当的护理来预防和管理。产前,和分时。
