Incidence and probable risk factors of stillbirth in Maternity Teaching Hospital in Erbil city

Shahlaa Abd Alrahmman -----; Shahla K. Al alaf

doi:10.15218/zjms.2015.0032

Authors

Shahlaa Abd Alrahmman ----- Kirkuk Health Directorate , Kirkuk, Iraq.
Shahla K. Al alaf Department of gynecology, college of medicine, Hawler Medical University, Erbil, Iraq

DOI:

https://doi.org/10.15218/zjms.2015.0032

Keywords:

Stillbirth, Maternity hospital, Erbil, Iraq

Abstract

Background and objective: Death of an infant in utero or at birth has always been a devastating experience for the mother and of concern in clinical practice. The aim of this study was to determine the prevalence, probable risk factors and association of stillbirth with different maternal variables in Erbil Maternity Teaching Hospital.

Methods: A cross-sectional design was used to determine the prevalence of stillbirth and a case control design was used to determine the probable risk factors and demographic characteristics of women with stillbirth in Maternity Teaching Hospital in Erbil city, Kurdistan region, Iraq, from April 1^st, to December 31^st, 2011.Three hundred seventy nine women having stillbirth were regarded as cases while 758 women delivering alive newborns were regarded as control group.

Results: The prevalence of stillbirth during the period of the study was 20.4 per1000 total births. Macerated stillbirth was about four times higher than the fresh stillbirth. There were statistically significant differences between the cases and controls in relation to: maternal age (≥ 35 years), level of education, history of antenatal care visits, parity, medical diseases of the mother, congenital anomalies of the newborn, and history of previous stillbirth. In 65.4% of cases the probable cause of death was unexplained.

Conclusion: The prevalence of stillbirth in the Maternity Teaching Hospital in Erbil is high in comparison to the rate in other countries. This could be due to high level of deliveries per day and lack of good follow up of patients during labour.

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References

James D. Perinatal mortality. In: David M L, Philip N B editors. Obstetrics and Gynaecology an evidence-based text for MRCOG. Second edition. Great Britain: Edward Arnold publishers; 2010. 482-83.

Frøen JF, Gordijn SJ, Abdel-Aleem H, Bergsjø P, Betran A, Duke CW, et al . Making stillbirths count, making numbers talk - issues in data collection for stillbirths. BMC Pregnancy Childbirth. 2009; 9:58.

Neonatal and Perinatal Mortality: Country, Regional, and Global Estimates. World Health Organization; Geneva, Switzerland: 2006.

Abdou J, Siri V, Juhanne S. Stillbirth in rural hospitals in The Gambia:A cross-sectional retrospective study. ObstetGynecolInt 2010; (1):2

Feresu SA, Harlow SD, Welch K, Gillespie BW. Incidence of stillbirth and perinatal mortality and their associated factors among women delivering at Harare maternity hospital, Zimbabwe: a cross-sectional retrospective analysis. BMC Pregnancy Childbirth 2005; 5(1):9.

DI Mario S, Say L, Lincetto O. Risk of stillbirth in developing countries: a systematic review. ReprodCHealth2006; 3:1

Arun K A, Vanita J, Rajesh K. Validity of verbal autopsy for ascertaining the causes of stillbirth. Central Bulletin WHO, 2010.

Audu BM, Alhaji MA, Takai UI, Bukar M. Risk factors for stillbirths at university of Maiduguri teaching hospital.BMC pregnancy and childbirth2009; 50(2):42-6.

Kumar R, Singhi S. Risk factors for stillbirth in rural community medical education and research Chandigarh. Indian J Pediatr1992; 59(4):455-61.

Petersson K, Stray PB, Malm G, Forsgen E, Vengard B. Seroprevalence of Toxoplasmosis gonodi among pregnant women in Sweden. Acta Obstet Gynecol Scand 2000; 79:824-9.

Lyon JL, Sara M, Alder SC, Varner M W. Effects of grand multipara on intrapartum and newborn complications in young women. Obstet Gynecol 2005; 106:454-60.

Agudelo A, Belizan JM, Rossello JL. Epidemiology of fetal death in Latin America.ActaObstetGynecolScand 2000; 79:371-8.

Magaan E F, Winchester MJ, Carter DP, Mastin JN, Bass JD. Pregnancy outcome. AMJ1995; 12:462-6.

Humphrey MD. Is grand multiparity an independent predictor of pregnancy risk? A retrospective observational study. Med J Aust 2003; 179(6): 294-6

Rizk ED, Khalfan M, Ezimokhai M. Obstetrics outcome in grand multipara in the United Arab Emirates. A case control study. Arch Gynecol.Obstet2001; 264(4):194-8.

Hinkula M , Kauppila A, Nayha S, Pukkalaa E, Causes specific mortality of Grand multiparous women in Finland. Am J Epidemiol 2006; 163(4):367-73.

Aliyu MH, Jolly PE, Ehiri JE, Salihu HM. High parity and adverse birth outcomes: exploring the maze. Birth 2005; 32(1):45-59.

Surkan P, Stephansson O, Dickman P, Cnattingius S. Previous Preterm and Small for gestational ages Births and the Subsequent Risk of Stillbirth. NEJM 2004;350:777-85.

Samueloff A, Xenakis EM, Berkus MD, Huff RW, Langer O. Recurrent stillbirth Significance and Characteristics . J Reprod Med 1993; 38(11):88.

Huang DY, Usher RH, Kramer MS, Yang TT, Morin, Fretts RC. Determinants of unexplained antrpartum fetal deaths. ObstetGyneacol 2000; 95:215-21.

Petridon E, Kotsifakis G, Revinthi K, Polychronopoulou A, Trichopoulos D. Determinants of stillbirth mortality in Greece. Soz Preventiv Med 1996; 41(2):70-8.

Gadow EC, Lopez CJ, Queenan JT. Stillbirth rates and associated risk factors among 8699750 Latin American hospital births 1982-1986. IJOG1991; 35(3):209-14.

Divon MY, Haglund B, Nisell H, Otterblad PO, Westgren M. Fetal and neonatal mortality in the post term pregnancy: the impact of gestational age and fatal growth restriction. AMJ Obstet. Gyneacol 1998; 178:726- 31.