Factors Associated With Stillbirth Among Pregnant Women in Nepal
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Objectives: Stillbirth is a common adverse pregnancy outcome that represents a distressing and traumatic event for women and their partners. The aim of this study was to identify factors associated with stillbirth in ever-pregnant women in Nepal. Methods: This study utilized the individual women’s dataset from the Nepal Demographic and Health Survey, conducted in 2016. The dependent variable of interest was whether women had at least 1 stillbirth during their lifetime. The associations between independent variables and the dependent variable of the study were analyzed using a multiple logistic regression model. Results: Among 8918 ever-pregnant women aged 15-49 years, 488 had experienced at least 1 stillbirth during their lifetime, representing 5.5% of the total. After adjusting each factor for the confounding effects of other factors, maternal age, maternal education, place of residence, and sub-region remained significantly associated with having experienced stillbirth. Conclusions: Stillbirth continues to be a major problem among women, especially those with higher maternal age, those who are illiterate, and residents of certain geographical regions. To minimize stillbirth in Nepal, plans and policies should be focused on women with low education levels and residents of rural areas, especially in the western mountain and far-western hill regions.
Abstract
Objectives: Stillbirth is a common adverse pregnancy outcome that represents a distressing and traumatic event for women and their partners. The aim of this study was to identify factors associated with stillbirth in ever-pregnant women in Nepal. Methods: This study utilized the individual women’s dataset from the Nepal Demographic and Health Survey, conducted in 2016. The dependent variable of interest was whether women had at least 1 stillbirth during their lifetime. The associations between independent variables and the dependent variable of the study were analyzed using a multiple logistic regression model. Results: Among 8918 ever-pregnant women aged 15-49 years, 488 had experienced at least 1 stillbirth during their lifetime, representing 5.5% of the total. After adjusting each factor for the confounding effects of other factors, maternal age, maternal education, place of residence, and sub-region remained significantly associated with having experienced stillbirth. Conclusions: Stillbirth continues to be a major problem among women, especially those with higher maternal age, those who are illiterate, and residents of certain geographical regions. To minimize stillbirth in Nepal, plans and policies should be focused on women with low education levels and residents of rural areas, especially in the western mountain and far-western hill regions.
참고문헌 (28)
- Cousens S, "National, regional, and worldwide estimates of stillbirth rates in 2009 with trends since 1995 : a systematic analysis", Lancet, 377(9774), pp.1319~1330 (2011)
- McClure EM, "Epidemiology of stillbirth in low-middle income countries : a Global Network Study", Acta Obstet Gynecol Scand, 90(12), pp.1379~1385 (2011)
- "Maternal and newborn health disparities: Nepal" (2017)[URL]
- Lee AC, "Community-based stillbirth rates and risk factors in rural Sarlahi, Nepal", Int J Gynaecol Obstet, 113(3), pp.199~204 (2011)
- Flenady V, "Major risk factors for stillbirth in high-income countries : a systematic review and meta-analysis", Lancet, 377(9774), pp.1331~1340 (2011)
- Aminu M, "Causes of and factors associated with stillbirth in low-and middle-income countries : a systematic literature review", BJOG, 121(Suppl 4), pp.141~153 (2014)
- Lawn JE, "Stillbirths : Where? When? Why? How to make the data count", Lancet, 377(9775), pp.1448~1463 (2011)
- Vogel JP, "Maternal and perinatal outcomes of twin pregnancy in 23 low-and middle-income countries", PLoS One, 8(8), pp.e70549~ (2013)
- Goldenberg RL, "Stillbirths : the vision for 2020", Lancet, 377(9779), pp.1798~1805 (2011)
- Turton P, "Long-term psychosocial sequelae of stillbirth : phase II of a nested case-control cohort study", Arch Womens Ment Health, 12(1), pp.35~41 (2009)
- Lamont K, "Risk of recurrent stillbirth: systematic review and meta-analysis", BMJ, 350, pp.h3080~ (2015)
- "Every newborn: an action plan to end preventable deaths" (2014)[URL]
- K C A, "Risk factors for antepartum stillbirth : a case-control study in Nepal", BMC Pregnancy Childbirth, 15, pp.146~ (2015)
- "Nepal Demographic and Health Survey 2016" (2017)[URL]
- Tongkumchum P, "Confidence intervals using contrasts for regression model", Songklanakarin J Sci Technol, 31(2), pp.151~156 (2009)
- Asiki G, "Adverse pregnancy outcomes in rural Uganda(1996-2013) : trends and associated factors from serial cross sectional surveys", BMC Pregnancy Childbirth, 15, pp.279~ (2015)
- Sharma SR, "Factors associated with place of delivery in rural Nepal", BMC Public Health, 14, pp.306~ (2014)
- Lama S, "Barriers in utilization of maternal health care services: perceptions of rural women in Eastern Nepal", Kathmandu Univ Med J (KUMJ), 12(48), pp.253~258 (2014)
- Auger N, "Maternal education and stillbirth : estimating gestational-age-specific and cause-specific associations", Epidemiology, 23(2), pp.247~254 (2012)
- McClure EM, "Stillbirth rates in low-middle income countries 2010-2013: a population-based, multi-country study from the Global Network", Reprod Health, 12(Suppl 2), pp.S7~ (2015)
- "Livelihood insecurity and social conflict in Nepal" (2010)[URL]
- Choulagai B, "Barriers to using skilled birth attendants’ services in mid-and far-western Nepal : a cross-sectional study", BMC Int Health Hum Rights, 13, pp.49~ (2013)
- Thapa DK, "Women’s autonomy and husbands’ involvement in maternal health care in Nepal", Soc Sci Med, 93, pp.1~10 (2013)
- Nepal B, "Population mobility and spread of HIV across the Indo-Nepal border", J Health Popul Nutr, 25(3), pp.267~277 (2007)
- Lakshmi PV, "Household air pollution and stillbirths in India : analysis of the DLHS-II National Survey", Environ Res, 121, pp.17~22 (2013)
- Marufu TC, "Maternal smoking and the risk of still birth : systematic review and meta-analysis", BMC Public Health, 15, pp.239~ (2015)
- Gupta PC, "Smokeless tobacco use and risk of stillbirth : a cohort study in Mumbai, India", Epidemiology, 17(1), pp.47~51 (2006)
- Habib NA, "Sociodemographic characteristics and perinatal mortality among singletons in North East Tanzania : a registry-based study", J Epidemiol Community Health, 62(11), pp.960~965 (2008)