Determinants of stillbirths among women who gave birth at Hawassa university comprehensive specialized hospital, Hawassa, Sidama, Ethiopia 2019: a case-control study

Abstract

Background Globally over 2.6 million pregnancy ends with stillbirth annually. Despite this fact, only a few sherds of evidence were available about factors associated with stillbirth in Ethiopia. Therefore, the study aimed to spot factors related to stillbirth among women who gave birth at Hawassa University Comprehensive Specialized Hospital Hawassa, Sidama Ethiopia, 2019. Methods Facility-based unmatched case-control study was conducted at Hawassa University Comprehensive Specialized Hospital. Cases were selected using simple random sampling technique and controls were recruited to the study consecutively after every case selection with case to control ratio of 1 to 3. Data were coded and entered into Epi-data version 3.1 and exported to SPSS version 24 for analysis. Results A total of 106 cases and 318 controls were included in the study. Number of antenatal care visit [AOR = 0.38, 95% CI (0.15, 0.95)], lack of partograph utilization [AOR = 4.1 95% CI (2.04, 10.5)], prolonged labor [AOR = 6.5, 95% CI (2.9, 14.4)], obstructed labor [AOR = 3.5, 95% CI (1.5, 9.4)], and congenital defect [AOR = 9.7, 95% CI (4.08, 23.0)] were significantly associated with stillbirth. Conclusion Absence of partograph utilization, prolonged labor, obstructed labor, antepartum hemorrhage and congenital anomaly were found to have positive association with stillbirth.

Determinants of stillbirth among women who delivered in hospitals of North Wollo Zone, Northeast Ethiopia: A case-control study

“…The sample size for this study was determined using Epi Info version-7 software, employing an unmatched case-control formula. The calculation considered an assumed power of 80%, a significance level of 95%, a case-to-control ratio of 1:3, and the previous study’s identification of antenatal care (ANC) follow-up as a significant determinant of stillbirth with a percentage of controls exposed of 74.2% [ 15 ]. Consequently, the final sample size was set at 412, comprising 103 cases and 309 controls.…”

“…Data collection for this study utilized a structured checklist that was developed in English. The checklist was formulated following an extensive literature analysis, taking into account insights from prior studies [ 15 ], and a review of sample charts to ensure the inclusion of pertinent variables. The checklist encompassed various aspects, including sociodemographic data, obstetric factors, medical history, healthcare-related factors, and birth outcomes.…”

Magnitude and associated factors of stillbirth among women who gave birth at Hiwot Fana Specialized University Hospital, Harar, eastern Ethiopia

“…The data collection tool was adapted from various literature [27][28][29][30][31][32] . It possesses five parts: 1) three questions on sociodemographic characteristics, 2) seventeen questions on obstetric factors, 3) six questions on maternal medical factors, 4) two questions on health-related factors, and 5) five questions on fetal factors.…”