Risk factors and prevalence of stillbirths in Uganda based on UDHS 2011: Cross-sectional Study
Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesisAlternative title
Analysis of secondary data : Cross-sectional Study (English)
Background: Stillbirth is a neglected issue globally. In low-income countries, this accounts for more than a half of perinatal deaths. Despite a large number of stillbirths, little is known about risk factors and solutions. Stillbirths were not registered amongst the global health priorities. Part of this global issue is that very little is known as regards to which socio-demographic factors is highly associated with stillbirth and the reasons for high prevalence in low-income-countries.
Objective: The aim was to identify and assess socio-demographic and maternal risk factors and stillbirth occurrence in Uganda.
Design: This was a cross-section of secondary analysis of Uganda DHS data to determine stillbirth occurrence and risk factors associated with stillbirth in the five-year period preceding the survey.
Methods: A total of 8071 pregnancy outcomes were analysed. These were pregnancies of at least seven months recorded during the survey period. Data were analysed using multiple logistic regression. Both crude and adjusted analyses were performed.
Results: Of pregnancy outcomes, 164 were stillbirths and 7907 live births. Stillbirth rate was 20/1000 births (95%CI, 17-24/1000) in the five-year period preceding the survey. The association of stillbirth was strong only with women from richer households compared to poorest women (OR: 2.5 95% CI: 1.2 – 5.7). Other maternal predictors were statistically not significant.
Conclusion: This unexpected association of stillbirth observed among richer women needs more investigation. Understanding why stillbirth is more prevalent in western region could be improved using the 3 delays model, which was originally developed for understanding maternal death.
Place, publisher, year, edition, pages
2016. , 44 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-294985OAI: oai:DiVA.org:uu-294985DiVA: diva2:932164
Subject / course
Public Health C, Degree Project
Master Programme in International Health
2016-06-30, Aula Gunnesalen, Entrance 10 Akademiska Sjukhuset, Uppsala, 18:01 (English)
Selling, KatarinaKällestål, Carina
Lars Åke, Persson