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Perinatal mortality and associated risk factors: a case control study
1Department of Gynecology and Obstetrics, College of Medicine and Public Health Sciences, Hawassa University.
Ethiopian Journal of Health Sciences
|December 5, 2012
Summary
Perinatal mortality is high in Ethiopia, with obstructed labor, malpresentation, preterm birth, antepartum hemorrhage, and hypertensive disorders being key predictors. Further research is needed to understand the causes of obstructed labor.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Health
- Public Health
Background:
- Perinatal mortality rates are significantly higher in developing countries compared to developed nations.
- Risk factors for perinatal mortality in Ethiopia's Southern Nations National Regional State are not well-understood.
- This study addresses the knowledge gap regarding perinatal mortality determinants in this specific region.
Purpose of the Study:
- To identify the risk factors associated with perinatal mortality in Southern Nations National Regional State, Ethiopia.
- To investigate predictors for stillbirths and early neonatal deaths separately.
- To inform targeted interventions for reducing perinatal mortality.
Main Methods:
- A case-control study was conducted at a university hospital from 2008 to 2010.
- Cases included stillbirths and early neonatal deaths; controls were live newborns discharged from the hospital.
- Subgroup binary logistic regression analyses were employed to identify associated risk factors.
Main Results:
- The adjusted perinatal mortality rate was 85/1000 total deliveries, with stillbirths comprising 87% of cases.
- Obstructed labor was a leading cause, accounting for over one-third of perinatal deaths.
- Independent predictors for perinatal mortality included obstructed labor, malpresentation, preterm birth, antepartum hemorrhage, and hypertensive disorders of pregnancy.
Conclusions:
- Perinatal mortality in the study area was more than double the national estimate.
- Obstructed labor, malpresentation, preterm birth, antepartum hemorrhage, and hypertensive disorders are significant independent predictors.
- Further investigation into the causes of poor labor progression and obstructed labor is warranted.
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