Document Detail


The hazard of pregnancy loss and stillbirth among women in Kersa, East Ethiopia: A follow up study.
MedLine Citation:
PMID:  22980735     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Although pregnancy loss causes considerable challenge to women's health, population-based studies in rural areas are not widely available in low-income countries. This study aims to determine the hazard of pregnancy loss and related factors in the rural communities of Ethiopia.
METHODOLOGY: A prospective community-based study was conducted over a period of 1year. Pregnancy was identified as early as possible by a pregnancy urine test. All pregnant women identified during the screening were followed up at their home until termination of pregnancy or delivery of the neonate. The total follow-up time was 7802 'pregnant person months'. A Cox regression analysis was done to estimate the hazard of pregnancy loss.
RESULT: Out of a total of 1438 terminated pregnancies, 143 (9.9%) did not end in live birth, 116 ended due to bleeding and 27 were stillbirths. Whilst the hazard of pregnancy loss was low among women with pregnancy interval of two or more years [AHR 0.3 (95%CI: 0.15, 0.43)], it was high among women having unplanned pregnancy [AHR 2.2 (95%CI: 1.56, 3.11)], among those who complained STI like symptoms during the index pregnancy [AHR 4.5 (95%CI: 2.79, 7.38)] and among those never received antenatal care [AHR 1.8 (95%CI: 1.13, 2.73)].
CONCLUSION: Pregnancy loss was higher amongst women experienced unplanned pregnancy, complained STI like symptoms and women who had not attended antenatal care services.
RECOMMENDATION: To reduce pregnancy loss in rural Ethiopia expanding and promoting the use of family planning, antenatal services and other reproductive health care is necessary.
Authors:
Nega Assefa; Yemane Berhane; Alemayehu Worku; Amy Tsui
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Publication Detail:
Type:  Journal Article     Date:  2012-06-23
Journal Detail:
Title:  Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives     Volume:  3     ISSN:  1877-5764     ISO Abbreviation:  Sex Reprod Healthc     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101530546     Medline TA:  Sex Reprod Healthc     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  107-12     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier B.V. All rights reserved.
Affiliation:
College of Health Science, Haramaya University, Harar, Ethiopia. Electronic address: negaassefa@yahoo.com.
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