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.
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。