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An investigation of the stillbirths at a tertiary hospital in limpopo province of South Africa.
MedLine Citation:
PMID:  23121750     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To determine the stillbirth rate and identify the causal factors associated with it in a tertiary hospital.
METHODS: A retrospective review of records of women who had stillbirths at a tertiary hospital of the Limpopo Province was conducted. The study period was two years from January 1, 2009 to December 31, 2010. The hospital maternity registers were used to identify the women who gave birth during the study period. Data were collected using a data collection form designed for the study. The data collected included maternal age, parity, gestation, mode of delivery, obstetric complications, infant or foetal's gender and weight; whether the birth was fresh stillbirth or macerated and cause of stillbirth.
RESULTS: There were 5597 deliveries during the two years period of the study. The hospital-based stillbirth rate was 38.4 per 1000 births, with 71% being macerated. The majority of women with stillborn infant in this study were in the age group (24%) 20-34 years, followed by (23%) aged 35 years and older. Nulliparity was associated with stillbirth. Unexplained intrauterine foetal death, hypertensive disease, placenta abruptio was the leading causes of stillbirth.
CONCLUSION: In this study stillbirth rate seems to be unacceptably high, though less than those reported in other settings. The causal factors associated with it were identified as nulliparity, unexplained intrauterine foetal deaths, hypertensive disease, and placenta abruptio. Because of the high rate of stillbirths reported in this study, it is recommended that interventions be made to introduce fetal autopsies at the tertiary healthcare facilities and that an educational intervention aimed teaching pregnant women be instituted.
Authors:
Sam Thembelihle Ntuli; Ntambwe Malangu
Publication Detail:
Type:  Journal Article     Date:  2012-09-24
Journal Detail:
Title:  Global journal of health science     Volume:  4     ISSN:  1916-9736     ISO Abbreviation:  Glob J Health Sci     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101519495     Medline TA:  Glob J Health Sci     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  141-7     Citation Subset:  IM    
Affiliation:
School of Public Health University of Limpopo Medunsa Campus Pretoria, South Africa. gustavmalangu@gmail.com.
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