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1. Maternal and fetal characteristics and causes of stillbirth in a tertiary care hospital of Nepal: secondary analysis of registry-based surveillance data

Author

Suraj Bhattarai, Basant Sharma, Sabita Shrestha, Rakshya Joshi, Renuka Tamrakar, Prekshya Singh, Jully Chaudhary, and Upendra Pandit

Subjects
Medicine
Abstract

Objectives Stillbirth is one of the vital indicators of quality care. This study aimed to determine maternal-fetal characteristics and causes of stillbirth in Nepal.Design Secondary analysis of single-centred registry-based surveillance data.Setting The study was conducted at the Department of Obstetrics and Gynecology, Chitwan Medical College Teaching Hospital, a tertiary care hospital located in Bharatpur, Nepal.Participants All deliveries of intrauterine fetal death, at or beyond 22 weeks’ period of gestation and/or birth weight of 500 g or more, conducted between 16 July 2017 and 15 July 2019 were included in the study.Main outcome measures The primary outcome measure of this study was stillbirth, and the secondary outcome measures were maternal and fetal characteristics and cause of stillbirth.Results Out of 5282 institutional deliveries conducted over 2 years, 79 (1.5%) were stillbirths, which gives the stillbirth rate of 15 per 1000 births. Of them, the majority (75; 94.9%) were vaginal delivery and only four (5.1%) were caesarean section (p

Published
2021
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2. Maternal and fetal characteristics and causes of stillbirth in a tertiary care hospital of Nepal: secondary analysis of registry-based surveillance data

Author

Sabita Shrestha, Rakshya Joshi, Basant Sharma, Jully Chaudhary, Suraj Bhattarai, Upendra Pandit, Prekshya Singh, and Renuka Tamrakar

Subjects
fetal medicine, medicine.medical_specialty, Birth weight, medicine.medical_treatment, Tertiary Care Centers, perinatology, Nepal, Obstetrics and gynaecology, Pregnancy, Obstetrics and Gynaecology, medicine, Humans, Maternal hypertension, Caesarean section, Registries, reproductive and urinary physiology, maternal medicine, Cesarean Section, Vaginal delivery, Obstetrics, business.industry, Public health, public health, Prenatal Care, General Medicine, Stillbirth, Fetal Malpresentation, Medicine, Gestation, Female, business
Abstract

ObjectivesStillbirth is one of the vital indicators of quality care. This study aimed to determine maternal-fetal characteristics and causes of stillbirth in Nepal.DesignSecondary analysis of single-centred registry-based surveillance data.SettingThe study was conducted at the Department of Obstetrics and Gynecology, Chitwan Medical College Teaching Hospital, a tertiary care hospital located in Bharatpur, Nepal.ParticipantsAll deliveries of intrauterine fetal death, at or beyond 22 weeks’ period of gestation and/or birth weight of 500 g or more, conducted between 16 July 2017 and 15 July 2019 were included in the study.Main outcome measuresThe primary outcome measure of this study was stillbirth, and the secondary outcome measures were maternal and fetal characteristics and cause of stillbirth.ResultsOut of 5282 institutional deliveries conducted over 2 years, 79 (1.5%) were stillbirths, which gives the stillbirth rate of 15 per 1000 births. Of them, the majority (75; 94.9%) were vaginal delivery and only four (5.1%) were caesarean section (pConclusionHigh rate of stillbirths in Nepal could be due to the lack of quality antenatal care. The country’s health systems should be strengthened so that pregnancy-related risks such as maternal hypertension and infections are identified early on. Upgrading mothers’ hygiene and health awareness is equally crucial in reducing fetal deaths in low-resource settings.

Published
2021

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