Predictors of Intrapartum Stillbirths among Women Delivering at Mulago Hospital, Kampala, Uganda
DOI:
https://doi.org/10.21106/ijma.409Keywords:
- Stillbirths,
- Intrapartum,
- Predictors,
- Maternal Health,
- Child Health,
- Child Death,
- MCH,
- Case-Control,
- Uganda,
- Africa
Abstract
Background: Over the last decade, Uganda has registered a significant improvement in the utilization of maternity care services. Unfortunately, this has not resulted in a significant and commensurate improvement in the maternal and child health (MCH) indicators. More than half of all the stillbirths (54 per 1,000 deliveries) occur in the peripartum period. Understanding the predictors of preventable stillbirths (SB) will inform the formulation of strategies to reduce this preventable loss of newborns in the intrapartum period. The objective of this study was to determine the predictors of intrapartum stillbirth among women delivering at Mulago National Referral and Teaching Hospital in Central Uganda.
Methods: This was an unmatched case-control study conducted at Mulago Hospital from October 29, 2018 to October 30, 2019. A total of 474 women were included in the analysis: 158 as cases with an intrapartum stillbirth and 316 as controls without an intrapartum stillbirth. Bivariable and multivariable logistic regression was done to determine the predictors of intrapartum stillbirth.
Results: The predictors of intrapartum stillbirth were history of being referred from lower health units to Mulago hospital (aOR 2.5, 95% CI:1.5-4.5); maternal age 35 years or more (aOR 2.9, 95% CI:1.01- 8.4); antepartum hemorrhage (aOR 8.5, 95% CI:2.4-30.7); malpresentation (aOR 6.29; 95% CI:2.39-16.1); prolonged/obstructed labor (aOR 6.2; 95% CI:2.39-16.1); and cesarean delivery (aOR 7.6; 95% CI:3.2- 13.7).
Conclusion and Global Health Implications: Referral to hospital, maternal age 35 years and above, obstetric complication during labor, and cesarean delivery were predictors of intrapartum stillbirth in women delivering at Mulago hospital. Timely referral and improving access to quality intrapartum obstetric care have the potential to reduce the incidence of intrapartum SB in our community.
Downloads
Similar Articles
- Vinay Kumar, Gunjan Arora, Ish Kumar Midha, Yogender Pal Gupta, Infant and Young Child Feeding Behaviors among Working Mothers in India: Implications for Global Health Policy and Practice , Vol. 3 No. 1 (2015): International Journal of Maternal and Child Health and AIDS
- Samantha A. Slinkard, Jennifer R. Pharr, Tamara Bruno, Dina Patel, Amaka Ogidi, Michael Obiefune, Echezona E. Ezeanolue, Determinants of Infant Mortality in Southeast Nigeria: Results from the Healthy Beginning Initiative, 2013-2014 , Vol. 7 No. 1 (2018): International Journal of Maternal and Child Health and AIDS
- Mousumi Datta, Shamima Yasmin, Rahul Biswas, Immunization Status, Immunization Coverage, and Factors Associated with Immunization Service Utilization Among HIV-Exposed and HIV-Infected Children in India , Vol. 13 No. Continuous (2024): International Journal of Maternal and Child Health and AIDS
- Hyunjung Lee, Gopal K. Singh, Psychological Distress and Heart Disease Mortality in the United States: Results from the 1997-2014 NHIS-NDI Record Linkage Study , Vol. 9 No. 3 (2020): International Journal of Maternal and Child Health and AIDS
- Danladi Abubakar, Yetunde B. Aremu-Kasumu, Musa Yakubu, Olaniyi T. Fasanu, Sophia O. Baidoo-Adeiza, Birth Preparedness and Complication Readiness among Antenatal Attendees in a Tertiary Hospital in Northern Nigeria , Vol. 13 No. Continuous (2024): International Journal of Maternal and Child Health and AIDS
- Nathan Isabirye, Amara E. Ezeamama, Rachel Kyeyune-Bakyayita, Danstan Bagenda, Wafaie W. Fawzi, David Guwatudde, Dietary Micronutrients and Gender, Body Mass Index and Viral Suppression Among HIV-Infected Patients in Kampala, Uganda , Vol. 9 No. 3 (2020): International Journal of Maternal and Child Health and AIDS
- Isabel Griffin, Boubakari Ibrahimou, Natasha Navejar, Anjali Aggarwal, Kristopher Myers, Daniel Mauck, Korede K. Yusuf, Usman J. Wudil, Muktar H. Aliyu, Hamisu M. Salihu, Maternal Caffeine Consumption and Racial Disparities in Fetal Telomere Length , Vol. 9 No. 1 (2020): International Journal of Maternal and Child Health and AIDS
- Wah W. Myint, David J. Washburn, Brian Colwell, Jay E. Maddock, Determinants of HIV Testing Uptake among Women (aged 15-49 years) in the Philippines, Myanmar, and Cambodia , Vol. 10 No. 2 (2021): International Journal of Maternal and Child Health and AIDS
- Hamisu M. Salihu, Amina A. Umar, Romuladus E. Azuine, Special Collection: Implementation Research Evidence for Prevention and Treatment of Postpartum Hemorrhage in High-Burden Low- and Middle-Income Countries , Vol. 13 No. S1 (2024): International Journal of Maternal and Child Health and AIDS
- Nazrul Islam Mondal, Monzur Morshad Nasir Ullah, Nuruzzaman Khan, Mohammad Zamirul Islam, Nurul Islam, Sabiha Yasmin Moni, Nazrul Hoque, Mashiur Rahman, Socioeconomic and Demographic Disparities in Knowledge of Reproductive Healthcare among Female University Students in Bangladesh , Vol. 4 No. 2 (2015): International Journal of Maternal and Child Health and AIDS
<< < 13 14 15 16 17 18 19 20 21 22 > >>
You may also start an advanced similarity search for this article.
Published
How to Cite
Issue
Section
License
Copyright © 2021 Paul Kiondo, Annettee Nakimuli, Samuel Ononge, Julius N. Wandabwa, Milton W. Musaba. Published by Global Health and Education Projects, Inc., USA.
This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License , which permits others to remix, transform, and build upon the work non-commercially, provided the original author is credited and the new creations are licensed under the same terms.