dc.contributor.author | Gwako, George N | |
dc.contributor.author | Obimbo, Moses M | |
dc.contributor.author | Gichangi, Peter B | |
dc.contributor.author | Kinuthia, John | |
dc.contributor.author | Gachuno, Onesmus W | |
dc.contributor.author | Were, Fredrick | |
dc.date.accessioned | 2021-08-16T06:35:37Z | |
dc.date.available | 2021-08-16T06:35:37Z | |
dc.date.issued | 2021-08 | |
dc.identifier.citation | Gwako GN, Obimbo MM, Gichangi PB, Kinuthia J, Gachuno OW, Were F. Association between obstetric and medical risk factors and stillbirths in a low-income urban setting. Int J Gynaecol Obstet. 2021 Aug;154(2):331-336. doi: 10.1002/ijgo.13528. Epub 2020 Dec 29. PMID: 33306840. | en_US |
dc.identifier.uri | https://pubmed.ncbi.nlm.nih.gov/33306840/ | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/155191 | |
dc.description.abstract | Objective: To evaluate the association between obstetric and medical risk factors and stillbirths in a Kenyan set-up.
Methods: A case-control study was conducted in four hospitals between August 2018 and April 2019. Two hundred and fourteen women with stillbirths and 428 with live births at more than >28 weeks of gestation were enrolled. Data collection was via interviews and abstraction from medical records. Outcome variables were stillbirth and live birth; exposure variables were sociodemographic characteristics, and medical and obstetric factors. The two-sample t test and χ2 test were used to compare continuous and categorical variables respectively. The association between the exposure and outcome variable was done using logistic regression. A P value less than 0.05 was considered statistically significant.
Results: Stillbirth was associated with pre-eclampsia without severe features (odds ratio [OR] 9.1, 95% confidence interval [CI] 2.6-32.5), pre-eclampsia with severe features (OR 7.4, 95% CI 2.4-22.8); eclampsia (OR 9.2, 95% CI 2.6-32.5), placenta previa (OR 8.6 95% CI 2.8-25.9), placental abruption (OR 6.9 95% CI 2.2-21.3), preterm delivery(OR 9.5, 95% CI 5.7-16), and gestational diabetes mellitus, (OR 11.5, 95% CI 2.5-52.6). Stillbirth was not associated with multiparity, anemia, and HIV.
Conclusion: Proper antepartum care and surveillance to identify and manage medical and obstetric conditions with the potential to cause stillbirth are recommended. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | low-and-middle-inco | en_US |
dc.title | Association between obstetric and medical risk factors and stillbirths in a low-income urban setting | en_US |
dc.type | Article | en_US |