Risk Factors associated with Stillbirths inQuang Ninh province, Viet Nam: A case-referent study
Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Background: Stillbirth is one of the hidden global health problems which affects many families with the highest burden in low and middle-income countries amid diversified risk factors.Objective: To identify risk factors contributing to stillbirth in Northern Viet Nam, 2014.Methods: Community-based case-referent study matched for season of delivery with the ratio of one-to-two was conducted in northern Viet Nam. All stillbirths and live-births within one year prior to data collection time were taken as source population, of which, 38 stillbirths and 75randomly selected referents were included in the study. Conditional logistic regression wasundertaken to identify factors associated from each block of variables separately.Results: Respondents with perceived low economic status and having smaller family size than the national average have higher odds of stillbirth compared with their counterparts. Mothers who visited antenatal care in the third trimester of pregnancy were 73% less likely to suffer stillbirth compared to those who did not attend during the third trimester. Not receiving antenatal services was not statistically significant predictor when adjusted for other variables in the block[AOR=8.11(CI: 0.95-68.97), P=0.055]. Being low birthweight and/or born premature gave higher odds of stillbirth compared with normal birthweight and term babies; (AOR=15.31; 95%CI: 1.31-179.50) and (AOR=7.06; 95%CI: 1.10-45.35), respectively.Conclusion: Risk factors of stillbirth are potentially modifiable and more broad-based than clinical factors per se. Therefore, preventive measures should be designed involving partners in a mother-baby dyad continuum of care concept whereby all the distal, intermediate and proximal factors can be comprehensively addressed.
Place, publisher, year, edition, pages
2016. , 61 p.
Stillbirth, Risk factors, Matched, Case-referent, Vietnam, NeoKIP
Public Health, Global Health, Social Medicine and Epidemiology
IdentifiersURN: urn:nbn:se:uu:diva-295671OAI: oai:DiVA.org:uu-295671DiVA: diva2:934393
Master Programme in International Health
2016-05-30, Psychiatry building at Akademiska Sjukhuset, Entrance 10, Uppsala, 16:25 (English)
Källestål, Carina, Associate ProfessorSelling, Katarina, Associate professor
Bergström, Anna, Researcher