Can clinical risk factors for late stillbirth in West Africa be detected during antenatal care or only during labour?

Chalumeau, Martin; Bouvier‐Colle, Marie‐Hélène; Breart, Gérard

doi:10.1093/ije/31.3.661

Cited by 42 publications

(50 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4,7 Hospitalization during pregnancy was significantly associated with fetal death in the bivariate analysis; but it was no longer significant when adjusted for complications of pregnancy. Absence or inadequacy of prenatal care was associated with fetal deaths, which is consistent with other studies.…”

Section: Discussionmentioning

confidence: 85%

“…Absence or inadequacy of prenatal care was associated with fetal deaths, which is consistent with other studies. 4,7 In the present study, adequacy of prenatal care was defined to include undergoing some essential procedures (laboratory tests, blood pressure measurements, counting fetal heart beats) together with the number of visits and early initiation. Adequate prenatal care reduced the risk of fetal death in women with diabetes, hypertension and bleeding.…”

Section: Discussionmentioning

confidence: 99%

“…Factors associated with antepartum fetal deaths include: socioeconomic and demographic conditions (social condition of head of household, social and psychological burden, no marital union, low maternal education); 4,11,18 characteristics of the mother before pregnancy (maternal age over 35, high parity, short inter-pregnancy interval, height <1.5 m, body mass index (BMI >29.0 kg/m 2 ); 4,7,11 previous unfavorable pregnancy outcomes; 7,19,24 conditions during pregnancy (syphilis or other infections, premature rupture of membranes, diabetes, hypertension, preeclampsia, bleeding, placental problems or smoking); 4,7 inadequate prenatal care; 4,7 fetal characteristics (intrauterine growth restriction, congenital malformations). 4,7,24 These factors show significant associations in almost all studies, but many of them did not adjust for potential confounders.…”

Section: Introductionmentioning

confidence: 99%

“…4,7,24 These factors show significant associations in almost all studies, but many of them did not adjust for potential confounders. Clinical conditions of mother and fetus are the dominant risk factors.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Risk-factors for antepartum fetal deaths in the city of São Paulo, Brazil

et al. 2007

View full text Add to dashboard Cite

OBJECTIVE:To assess risk factors for antepartum fetal deaths. METHODS:A population-based case-control study was carried out in the city of São Paulo from August 2000 to January 2001. Subjects were selected from a birth cohort from a linked birth and death certificate database. Cases were 164 antepartum fetal deaths and controls were drawn from a random sample of 313 births surviving at least 28 days. Information was collected from birth and death certificates, hospital records and home interviews. A hierarchical conceptual framework guided the logistic regression analysis. RESULTS:Statistically significant factors associated with antepartum fetal death were: mother without or recent marital union; mother's education under four years; mothers with previous low birth weight infant; mothers with hypertension, diabetes, bleeding during pregnancy; no or inadequate prenatal care; congenital malformation and intrauterine growth restriction. The highest population attributable fractions were for inadequacy of prenatal care (40%), hypertension (27%), intrauterine growth restriction (30%) and absence of a long-standing union (26%). CONCLUSIONS:Proximal biological risk factors are most important in antepartum fetal deaths. However, distal factors -mother's low education and marital status -are also significant. Improving access to and quality of prenatal care could have a large impact on fetal mortality. KEYWORDS

show abstract

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk-factors for antepartum fetal deaths in the city of São Paulo, Brazil

et al. 2007

View full text Add to dashboard Cite

show abstract

“…In the West African sub-region for example, SB accounts for 62% of perinatal deaths, out of which close to half are antepartum fetal death (AFD) [4,5]. Within the sub-region, on some occasions the baby's death is attributed to handiwork of evil spirits.…”

Section: Introductionmentioning

confidence: 99%

Socio-Demographic Determinants of Antepartum Fetal Death

Awoleke¹,

Adanikin²

2017

J Gynecol Res Obstet

View full text Add to dashboard Cite

Background: Antepartum fetal death (AFD) contributes signifi cantly to stillbirths (SB) in low-and middle-income countries (LMIC). Modifying locally-prevalent demographic risk factors could lessen the burden of SB in the region.Objective: This study seeks to identify the prevalence and modifi able socio-demographic risks for antepartum fetal death (AFD) in a Nigerian setting with the aim of recommending appropriate interventions to reduce the burden. Method: Hospital-based 6 year (2009-2014) review of obstetric records at Ekiti State University Teaching Hospital (EKSUTH), Nigeria.Results: Stillbirth (SB) rate was 29/1000 births and AFD rate was 22.5/1000 birth. AFD was more among women with age ≤20years (93.8%), who had no antenatal care (83.2%), single (92.3%), with no formal education (95.6%), unskilled occupation (81.1%), parity ≥ 5 (92.3%), those with prior history of SB (81.0%) and Muslims (81.8%). Logistic regression analysis showed that absence of antenatal care (AOR: 3.32, 95% CI: 1.80-6.21, P<0.001) and lack of formal education (AOR: 0.18, 95% CI: 0.03-0.64, P= 0.005) signifi cantly predict likelihood of AFD. Conclusion:Absence of antenatal care and lack of formal education are associated with AFD during pregnancy. Educating women and health promotion towards improving the utilization of antenatal services can remarkably reduce the burden in low-resource settings. Research Article Socio-Demographic Determinants of Antepartum Fetal Death IntroductionDelivery of a still baby marks the tragic end of many months of joyful anticipation and the beginning of, sometimes un-abating, grief for the affected family. But, despite the serious adverse impact stillbirth (SB) could have on families, appropriate recognition is not given to it in the Global Burden of Disease, yet when compared with communicable and noncommunicable causes of death worldwide, SB would rank fi fth among the global health burdens -ahead of diarrhoea, HIV/ AIDS, tuberculosis, traffi c accidents and any form of cancer [1].Globally, up to three-quarters of all babies born dead died before labour began, with intra-partum deaths making up the remaining [2]. Estimates from a multi-centre intercontinental study show that 98% of the 3.2 million SB that occur annually are in low-and middle-income countries (LMIC) with the heaviest burdens occurring in South Asia and Africa [3].In the West African sub-region for example, SB accounts for 62% of perinatal deaths, out of which close to half are antepartum fetal death (AFD) [4,5]. Within the sub-region, on some occasions the baby's death is attributed to handiwork of evil spirits. However, often the grief of the families is compounded by social stigmatization that the SB was as a result of maternal sins [6].Some authors that evaluated strategies for prevention of SB concluded that recognition of risk factors, including modifi able socio-economic risk, will assist in identifying women in need of specialized care, surveillance and/or interventions to improve outcomes and prevent SB [7][8][9]. In spi...

show abstract

Association between obstetric and medical risk factors and stillbirths in a low‐income urban setting

Gwako

Obimbo

Gichangi

et al. 2020

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To evaluate the association between obstetric and medical risk factors and stillbirths in a Kenyan set‐up. Methods A case‐control study was conducted in four hospitals between August 2018 and April 2019. Two hundred and fourteen women with stillbirths and 428 with live births at more than >28 weeks of gestation were enrolled. Data collection was via interviews and abstraction from medical records. Outcome variables were stillbirth and live birth; exposure variables were sociodemographic characteristics, and medical and obstetric factors. The two‐sample t test and χ2 test were used to compare continuous and categorical variables respectively. The association between the exposure and outcome variable was done using logistic regression. A P value less than 0.05 was considered statistically significant. Results Stillbirth was associated with pre‐eclampsia without severe features (odds ratio [OR] 9.1, 95% confidence interval [CI] 2.6–32.5), pre‐eclampsia with severe features (OR 7.4, 95% CI 2.4–22.8); eclampsia (OR 9.2, 95% CI 2.6–32.5), placenta previa (OR 8.6 95% CI 2.8–25.9), placental abruption (OR 6.9 95% CI 2.2–21.3), preterm delivery(OR 9.5, 95% CI 5.7–16), and gestational diabetes mellitus, (OR 11.5, 95% CI 2.5–52.6). Stillbirth was not associated with multiparity, anemia, and HIV. Conclusion Proper antepartum care and surveillance to identify and manage medical and obstetric conditions with the potential to cause stillbirth are recommended.

show abstract

Can clinical risk factors for late stillbirth in West Africa be detected during antenatal care or only during labour?

Cited by 42 publications

References 28 publications

Risk-factors for antepartum fetal deaths in the city of São Paulo, Brazil

Risk-factors for antepartum fetal deaths in the city of São Paulo, Brazil

Socio-Demographic Determinants of Antepartum Fetal Death

Association between obstetric and medical risk factors and stillbirths in a low‐income urban setting

Contact Info

Product

Resources

About