Predictors of Intrapartum Stillbirths among Women Delivering at Mulago Hospital, Kampala, Uganda
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 stillbirth...
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doaj-ed5be40fbb3947b4a6b504e903a7e1752021-09-02T21:40:40ZengGlobal Health and Education Projects, Inc.International Journal of Maternal and Child Health and AIDS2161-86742161-864X2021-07-01102Predictors of Intrapartum Stillbirths among Women Delivering at Mulago Hospital, Kampala, UgandaPaul Kiondo0Annettee Nakimuli1Samuel Ononge2Julius Namasake Wandabwa 3Milton Wamboko Musaba4Department of Obstetrics and Gynecology, School of Medicine, College of Health Sciences, Makerere University, Kampala, UGANDADepartment of Obstetrics and Gynecology, School of Medicine, College of Health Sciences, Makerere University, Kampala, UGANDADepartment of Obstetrics and Gynecology, School of Medicine, College of Health Sciences, Makerere University, Kampala, UGANDABusitema University, Faculty of Health Sciences, Department of Obstetrics and GynaecologyBusitema University, Faculty of Health Sciences, Department of Obstetrics and Gynaecology 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. Copyright © 2021 Kiondo et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited. https://mchandaids.org/index.php/IJMA/article/view/409StillbirthsIntrapartumPredictorsMaternal HealthChild healthChild Death |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Paul Kiondo Annettee Nakimuli Samuel Ononge Julius Namasake Wandabwa Milton Wamboko Musaba |
spellingShingle |
Paul Kiondo Annettee Nakimuli Samuel Ononge Julius Namasake Wandabwa Milton Wamboko Musaba Predictors of Intrapartum Stillbirths among Women Delivering at Mulago Hospital, Kampala, Uganda International Journal of Maternal and Child Health and AIDS Stillbirths Intrapartum Predictors Maternal Health Child health Child Death |
author_facet |
Paul Kiondo Annettee Nakimuli Samuel Ononge Julius Namasake Wandabwa Milton Wamboko Musaba |
author_sort |
Paul Kiondo |
title |
Predictors of Intrapartum Stillbirths among Women Delivering at Mulago Hospital, Kampala, Uganda |
title_short |
Predictors of Intrapartum Stillbirths among Women Delivering at Mulago Hospital, Kampala, Uganda |
title_full |
Predictors of Intrapartum Stillbirths among Women Delivering at Mulago Hospital, Kampala, Uganda |
title_fullStr |
Predictors of Intrapartum Stillbirths among Women Delivering at Mulago Hospital, Kampala, Uganda |
title_full_unstemmed |
Predictors of Intrapartum Stillbirths among Women Delivering at Mulago Hospital, Kampala, Uganda |
title_sort |
predictors of intrapartum stillbirths among women delivering at mulago hospital, kampala, uganda |
publisher |
Global Health and Education Projects, Inc. |
series |
International Journal of Maternal and Child Health and AIDS |
issn |
2161-8674 2161-864X |
publishDate |
2021-07-01 |
description |
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.
Copyright © 2021 Kiondo et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.
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topic |
Stillbirths Intrapartum Predictors Maternal Health Child health Child Death |
url |
https://mchandaids.org/index.php/IJMA/article/view/409 |
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