The magnitude of perinatal mortality rate and associated risk factors among deliveries at Dilla University Referral Hospital, Southern Ethiopia: A case-control study

Submitted: 8 July 2021
Accepted: 29 November 2021
Published: 4 January 2022
Abstract Views: 2162
PDF: 395
HTML: 13
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

The perinatal mortality rate is the sum of stillbirths and early neonatal deaths divided by the number of pregnancies of seven or more months’ duration. In Ethiopia, the death rate was 33 deaths/1000 total births in 2016. We aimed to identify the perinatal mortality rate and associated risk factors among deliveries in Dilla University Referral Hospital; January, 2016 - December, 2018. A hospital based retrospective case-control study was conducted using subgroup binary logistic regression analysis including 138 cases and 296 control group. The proportion of hospital perinatal deaths was 30% with 90% of the deaths were occurred as a result of stillbirths and antepartum hemorrhage. Adjusted odds ratios revealed that history of still birth, very low birth weight, short interval and nonuse of partograph found to be independent predictors of both stillbirths and early neonatal deaths besides to pregnancy induced hypertension and antepartum hemorrhage. The risk of perinatal mortality may be increased by not treating chronic illnesses, obstetrics complications and risk factors causing low birth weight as well as short birth intervals and not using partograph during labour.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Allanson E, Tunçalp Ö, Gardosi J, et al. Classify the causes of perinatal death. World Health Organization 2016;94:79. available at https://www.researchgate.net/publication/292676625.
Bradley SEK, Winfrey W, Croft TN. Contraceptive Use and Perinatal Mortality in the DHS: An Assessment of the Quality and Consistency of Calendars and Histories. DHS Program, 2015. Available from: www.dhsprogram.com/publications/publication-MR17-Methodological-Reports.cfm.
WHO, USAID, Panamerican Health Organization, et al. Latin American Center for Perinatology Women and Reproductive Health. Plan of action to accelerate the reduction of maternal mortality and severe maternal morbidity: monitoring and evaluation strategy. Montevideo: CLAP/WR; 2012. (CLAP/WR. Scientific Publication; 1593-02). http://perinatal.bvsalud.org/.
UNICEF. Levels and trends in child mortality. UN Inter-agency Group for Child Mortality Estimation. Published 2018. Accessed September 1, 2020. Available from: https://data.unicef.org/wp-content/uploads/2018/10/Child-Mortality-Report-2018.pdf.
Liu L, Oza S, Hogan D, et al. Global, regional and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet 2015;385:430-40.
Richardus JH, Graafmans WC, Verloove SP, et al. The perinatal mortality rate as an indicator of quality of care in international comparison. Medical Care 1998;36:54-66.
World Health Organization. The Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030): Sustanable Development Goal Report, Every Woman Every Child 2015. https://www.everywomaneverychild.org/global-strategy.
Little GA, Keenan WJ, Niermeyer S, et al. Neonatal nursing and helping babies breathe: an effective intervention to decrease global neonatal mortality. Newborn and Infant Nursing Reviews 2011;11:82-8.
Central Statistical Agency (CSA). Ethiopia mini demographic and health survey 2014. Addis Ababa: Central Statistical Agency [Ethiopia]. Available from: http://www.healthdata.org/ethiopia
Central Statistical Agency (CSA) Ethiopia and ICF. The 2016 Ethiopia demographic and health survey key findings. CSA and ICF, Addis Ababa, Ethiopia, and Rockville, Maryland, USA, 2017. Available from: https://dhsprogram.com/pubs/pdf/SR241/SR241.pdf.
Bayou G, Berhan Y. Perinatal mortality and associated factors: A case control study. Ethiop J Health Sci 2012;22:153-62.
Getiye Y, Fantahun M. Factors associated with perinatal mortality among public health deliveries in Addis Ababa, Ethiopia, an unmatched case control study. BMC Pregnancy Childbirth 2017;17:245.
Sullivan KM, Soe MM. Sample size for cross-sectional & cohort studies & clinical trials. OpenEpi, 2007. Available from: http://www.openepi.com/PDFDocs/SSCohortDoc.pdf.
Asefa D, Muleta G, Araya F, et al. Pattern of perinatal mortality among deliveries at Jimma University Teaching Hospital, South-West Ethiopia. J Woman Health Issues 2016:5:1000252.
Yirgu R, Molla M, Sibley L, Gebremariam A. Perinatal Mortality Magnitude, Determinants and Causes in West Gojam: Population-Based Nested Case-Control Study. PLoS ONE 2016;11:e0159390.
Andargie G, Berhane Y, Worku A, et al. Predictors of perinatal mortality in rural population of Northwest Ethiopia: a prospective longitudinal study. BMC Public Health 2013;13:168.
Shukla VV, Eggleston B, Ambalavanan N, et al. Predictive modeling for perinatal mortality in resource limited settings: Original investigation. JAMA Netw Open 2020;3:e2026750.
David McKinney, Melissa House , Aimin Chen,etal. The influence of interpregnancy interval on infant mortality.Am J Obstet Gynecol 2017;216:316.e1-316.e9.
Simetka O, Michalec I, Crkvenjas ZN, et al. Toxic epidermal necrolysis complicating antibi-otic treatment of puerperal endometritis: A case report. Ginekol Pol 2015;86:315-7.
Shilpi Srivastava, Sanjaya Sharma, Sushila Kharkwal, etal. A study of causes of perinatal mortality in tertiary center in Bundelkhand region. Int J Reprod Contracept Obstet Gynecol 2015;4:43-46.
Nakibuuka VK, Okong P, Waiswa P, et al. Perinatal death audits in a peri-urban hospital in Kampala, Uganda. Afr Health Sci 2012;12:435-42.
Jena M, Mishra S, Jena S, et al. Pregnancy induced hypertension & pre eclampsia: Pathophysiology & recent management trends: A review. J Pharmaceut Res Allied Sci 2016;5:326-34.

How to Cite

Lelamo Legu, K. ., Tamiso Debiso, A. ., & Mayisso Rodamo, K. (2022). The magnitude of perinatal mortality rate and associated risk factors among deliveries at Dilla University Referral Hospital, Southern Ethiopia: A case-control study. Healthcare in Low-Resource Settings, 9(1). https://doi.org/10.4081/hls.2021.9960