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Stillbirths at a hospital in Nablus, 2010: a cohort study

BACKGROUND: Stillbirths are insufficiently reported in many countries. In Nablus, reporting has recently started; little is published in Palestine on the stillbirth rate and its risk factors. OBJECTIVE: To study the rate of stillbirths at Rafidia Hospital in 2010 and some of its risk factors. DESIGN...

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Autores principales: Cung, Tam Giao, Paus, Anne Sofie, Aghbar, Ammar, Kiserud, Torvid, Hinderaker, Sven Gudmund
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4157139/
https://www.ncbi.nlm.nih.gov/pubmed/25196827
http://dx.doi.org/10.3402/gha.v7.25222
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author Cung, Tam Giao
Paus, Anne Sofie
Aghbar, Ammar
Kiserud, Torvid
Hinderaker, Sven Gudmund
author_facet Cung, Tam Giao
Paus, Anne Sofie
Aghbar, Ammar
Kiserud, Torvid
Hinderaker, Sven Gudmund
author_sort Cung, Tam Giao
collection PubMed
description BACKGROUND: Stillbirths are insufficiently reported in many countries. In Nablus, reporting has recently started; little is published in Palestine on the stillbirth rate and its risk factors. OBJECTIVE: To study the rate of stillbirths at Rafidia Hospital in 2010 and some of its risk factors. DESIGN: A retrospective cohort design. METHODS: Data were collected from the delivery registry for all births and we analysed those with a gestation of 28 weeks or more at Rafidia Hospital. Stillbirth rates were estimated for available determinants. RESULTS: In 2010, a total of 5,644 women gave birth to 5,782 babies, of whom 41 were stillbirths, that is, a stillbirth rate of 7.1/1,000 births (95% confidence interval 5.2–9.5). Premature babies had a higher risk of being a stillbirth. For small babies, the lower the birth weight the higher was the probability of being a stillbirth, and for babies weighing 4,500 g or more there was a higher risk of being stillborn. The risk of stillbirth was also higher among babies from mothers with high haemoglobin concentration, but low maternal haemoglobin was not associated with stillbirths. CONCLUSIONS: The stillbirth rates at Rafidia hospital assessed in this study compares favourably with the reported national numbers, indicating a good reliability of the on-going registration. The rates were highest among premature births. Stillbirth was linked to low birth weight, foetal macrosomia, and maternal haemoconcentration. We believe the findings identify areas to address when designing antenatal care with the aim of improving perinatal mortality in the country.
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spelling pubmed-41571392014-09-24 Stillbirths at a hospital in Nablus, 2010: a cohort study Cung, Tam Giao Paus, Anne Sofie Aghbar, Ammar Kiserud, Torvid Hinderaker, Sven Gudmund Glob Health Action Original Article BACKGROUND: Stillbirths are insufficiently reported in many countries. In Nablus, reporting has recently started; little is published in Palestine on the stillbirth rate and its risk factors. OBJECTIVE: To study the rate of stillbirths at Rafidia Hospital in 2010 and some of its risk factors. DESIGN: A retrospective cohort design. METHODS: Data were collected from the delivery registry for all births and we analysed those with a gestation of 28 weeks or more at Rafidia Hospital. Stillbirth rates were estimated for available determinants. RESULTS: In 2010, a total of 5,644 women gave birth to 5,782 babies, of whom 41 were stillbirths, that is, a stillbirth rate of 7.1/1,000 births (95% confidence interval 5.2–9.5). Premature babies had a higher risk of being a stillbirth. For small babies, the lower the birth weight the higher was the probability of being a stillbirth, and for babies weighing 4,500 g or more there was a higher risk of being stillborn. The risk of stillbirth was also higher among babies from mothers with high haemoglobin concentration, but low maternal haemoglobin was not associated with stillbirths. CONCLUSIONS: The stillbirth rates at Rafidia hospital assessed in this study compares favourably with the reported national numbers, indicating a good reliability of the on-going registration. The rates were highest among premature births. Stillbirth was linked to low birth weight, foetal macrosomia, and maternal haemoconcentration. We believe the findings identify areas to address when designing antenatal care with the aim of improving perinatal mortality in the country. Co-Action Publishing 2014-09-05 /pmc/articles/PMC4157139/ /pubmed/25196827 http://dx.doi.org/10.3402/gha.v7.25222 Text en © 2014 Tam Giao Cung et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Cung, Tam Giao
Paus, Anne Sofie
Aghbar, Ammar
Kiserud, Torvid
Hinderaker, Sven Gudmund
Stillbirths at a hospital in Nablus, 2010: a cohort study
title Stillbirths at a hospital in Nablus, 2010: a cohort study
title_full Stillbirths at a hospital in Nablus, 2010: a cohort study
title_fullStr Stillbirths at a hospital in Nablus, 2010: a cohort study
title_full_unstemmed Stillbirths at a hospital in Nablus, 2010: a cohort study
title_short Stillbirths at a hospital in Nablus, 2010: a cohort study
title_sort stillbirths at a hospital in nablus, 2010: a cohort study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4157139/
https://www.ncbi.nlm.nih.gov/pubmed/25196827
http://dx.doi.org/10.3402/gha.v7.25222
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