Profile of Risk Factors Associated with Stillbirth at Western Regional Hospital
Stillbirth (SB) incidents are one of the most common adverse
outcomes to occur during pregnancy. Studies indicate that approximately
3.3 million stillbirths are reported annually across the developing world.
Institutional registration and under reporting of still birth to an authorized
centre is a common problem.
The objective of this study is to
find out the incidence of SB after 28 weeks gestation and to find out the
associated risk factors at Western Regional Hospital of Nepal.
Materials and Methods:
This is a cross sectional study carried out at Western
Regional Hospital. Stillbirth babies born after 28 weeks of gestation or
birth weight ≥ 1 kilogram and their mothers were recruited for the study.
Intrapartum stillbirths were included despite of their ages, races or socioeconomic status. Descriptive analysis was done on the data.
There were 3380 deliveries during the period of study. Among them, 50 cases
were stillborn babies with a rate of 14 per thousand deliveries. The major
risk factors associated were oligohydramnios, decreased fetal movement,
growth restriction, meconium stained liquor and cord prolapse.
Oligohydramnios (amniotic fluid index < 5cm) was the most common
risk factor for stillbirth. Early identification and appropriate perinatal
management could help to promote perinatal health.