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Risk factors and causes of stillbirths among pregnant women in Pakistan. | LitMetric

Risk factors and causes of stillbirths among pregnant women in Pakistan.

Afr Health Sci

Department of Zoology and Biology, Faculty of Sciences, PMAS-Arid Agriculture University, Rawalpindi-46300, Pakistan.

Published: March 2019

Background: Globally 3 million stillbirths occur per year, and Pakistan is ranked 3 among the countries having the highest burden. Despite being a major public health problem, efforts to reduce this figure are insufficient.

Objective: The aim of the study was to identify and measure the inequalities in stillbirth associated risk factors, causes and fertility risk behaviors.

Methods: Data were derived from the Pakistan Demographic and Health Surveys (PDHS) 1990-2013. Inequalities on determinants were evaluated using rate differences and rate ratios; time trends computed with annualized reduction rate (ARR).

Results: Overall ARR determined for stillbirth was -12.52 percent per annum. The high ARR were recorded for mothers age <20, urban areas, educated mothers and for highest wealth quintile. The relative inequalities were most pronounced for wealth quintiles, education and age of mothers. Stillbirth causes were unexplained antepartum (33%), unexplained intrapartum (21%), intrapartum asphyxia (21%) and antepartum maternal disorders (19%). The high fertility risk behavior was found in mothers with age >34 and birth order >3.

Conclusion: The study concluded that to achieve gain in child survival, there is need to promote antenatal care, birth spacing, and family planning programs in developing countries.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6531978PMC
http://dx.doi.org/10.4314/ahs.v19i1.24DOI Listing

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