MATERNAL MEDICAL CONDITIONS DETERMINING THE OCCURRENCE OF STILLBIRTHS AMONG WOMEN OF CHILDBEARING AGE AT KENYATTA NATIONAL HOSPITAL OBSTETRIC UNIT, NAIROBI COUNTY, KENYA
Abstract
Introduction: Stillbirth leads to heavy burden of psychosocial and economic costs to kinfolks, community, and countries. Despite this, the rate of stillbirth has remained high especially in low and middle-income countries. In Kenya its three stillbirths per day. To address this global health problem, the determinant of stillbirths opts to be understood. This research assessed maternal medical conditions that determine the occurrence of stillbirths among women of childbearing age at Kenyatta National Hospital obstetric unit, Nairobi County, Kenya. Methods: The research adopted retrospective analytical study design. The research study subjects were mothers who delivered in the obstetric unit of KNH Nairobi county within the three months of January 2022 to March 2022. Study subjects were systematically sampled from the list of deliveries in those months from the health records department. Data was collected using a Pretested and structured questionnaire and analysed using SPSS-27 statistical software. Descriptive analysis was done followed by univariate and bivariate, logistic regression was employed to identify the determinants of stillbirths. On ethical considerations necessary clearance from the KNH ethical committee NACOSTI and MKU university were sought. Informed consent was sought from KNH records officer in charge through the HOD medical records. Findings and conclusion; Diabetes mellitus was a significant maternal medical condition determining occurrence of stillbirths. Alternative hypothesis that there is a relationship between maternal and medical conditions and occurrence of stillbirth in KNH was true. Recommendations; During antenatal visits any pre-existing conditions like diabetes mellitus once identified urgent interventions should be taken.
Keywords: Maternal Medical Conditions, Stillbirths, Women Of Childbearing Age, Kenyatta National Hospital
Full Text:
PDFReferences
Afulani, P. (2016). Determinants of stillbirths in Ghana: does quality of antenatal care matter. BMC Pregancy and childbirth.
Aminu, Bar-Zeev, White, Mathai, Van, Den, &Broek. (2019). Understanding causes of stillbirth: a prospective observational multi-country study from Sub-saharan Africa. BMC Pregnancy Childbirth, 1-1171-1 3 1-8 2 4 5 4- 40.
Badimsuguru, Adam, Nyarko, Sackey, Samuel, Kubio, . . .Oko. (2016). Determinants of stillbirths in northern Ghana: a case control study. Pan Afr Med J.
Berhe, Tesfay, Hailay, Gebreyesus, Haftom, &teklay. (2019). A facility-based, cross-sectional research was conducted to determine the prevalence of stillbirth and the factors that contributed to it among women who gave birth at Aksum General Hospital. Research Notes from the BMC.
Bhusal, Mahesh, gautam, Lim, Tongkumchum, Phattrawan, &Nirmal. (2019). factors associated with stillbirth among pregnant women in Nepal. J Prev Med Public Health, 154-160.
Blencowe, Cousens, Jassir, Say, Chou, & Mathers. (2016). National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: a systematic analysis. Lancet glob health, 9 8-1171-1 3 1-8 2 4 5 4- 4 0 8.
Blencowe, Hannah, Chou, Victoria, Lawn, Bhutta, & Zulfiqar. (2017). Modelling stillbirth mortality reduction with the Lives Saved Tool. BMC Public health.
Cacciatore, J. (2019). Psychological effects of stillbirth.Semin.Fetal Neonatal Med.
Fern, CF, MC, Hern, Mar, IM, & C-A.(2020). Impact of perinatal death on social and family context of the parents.Int. J. Environ. Res. Publ. Health, 1-18.
Gwako, Gichangi, Were, Kinuthia, Gachuno, Bosire, &Obimbo. (2020). Determinants of stillbirths in Nairobi, Kenya.JOGECA, 77-86.
Ikechukwu, Mbachu, Achgbu, Odinaka, Uchenna, Kelech, &Osim. (2018). Tracking stillbirths by referral pattern and causes in a rural tertiary hospital in Southern Nigeria. Niger Postgrad Med J., 81-1 3 1-8 2 4 5 4- 48 2 5 4 9 77-93.
Kiguli, JK, Munabi, Ssegujja, ES, & IG. (2016). Still birth in Sub-saharan Africa: Unspoken grief. Lancet, 161-1 3 1-8 2 4 5 4- 48 2 5 4 9 7-18.
Lakshmi, Sujatha, Thankappan, Preetha, Anuja, Ushakumari, &Sankar. (2017). Risk factors for stillbirth: a hospital-based case control study. International journal of reproduction, obstetrics and gynaecology, 470-474.
Lavin,& Pattinson. (2017). Does the timing of prenatal care have an effect on the risk of stillbirth in the third trimester? A secondary investigation of the data from the prenatal death audit in South Africa. BJOG, 140-147.
Maducolil, Abid, Lobo, Chaghtai, Afzl, Hah, &saleh. (2018). Risk factors and classification of stillbirth in a middle Eastern population: A retrospective study. . J Perinat Med, 101-1 3 1-8 2 4 5 4- 48 2 5 4 9 722-1027.
McClure, EM, Saleem, Goudar, Moore, Garces, &Esamai. (2015). Rates of stillbirth in low- and middle-income countries from 2010 to 2013: findings from a population-based, international research conducted by the global network A Healthy Reprodution.
Neogi, Sutapa, Jyoti, Sharma, Preeti, Monika, . . .Sethy. (2018). Risk factors for stillbirth: how much can a responsive health system prevent? BMC Pregnancy and childbirth.
Newtonraj, Ariarathinam, Manmeet, Kaur, Madhu, Gupta, & Kumar. (2017). A population-based case control study was conducted in Chandigarh, India, to investigate the level of stillbirth as well as its potential causes and risk factors. BMC Pregnancy and giving birth to a child. 171-1 3 1-8 2 4 5 4- 4
Njoku, Emechebe, Eyong, Ukaga, Anachuna, & JT. (2016). Prevalence and risk factors for stillbirth in a tertiary hospital in Niger delta area of Nigeria: a ten year review. AJOL. 171-1 3 1-8 2 4 5 4- 4
Nuzum, D>, Meaney, Donoghue, DS, KO, & SM. (2018). The impact of stillbirth on bereaved parents: a qualitative study. Plos one, 1-1 3 1-8 2 4 5 4- 48 2 5 4 9 7..
Okochi, Owoicho, Anthony, Isah, Eyaofun, Agida, & Adewole. (2018). Stillbirth at a nigerian tertiary hospital. Open journal of obstetrics and gynaecology.
Okonofua, Friday, Lorretta, Favour, Ntoimo, Ogu, . . .Okike. (2019). Prevalence and determinants of still birth in Nigerian referral hospital: a multicentre study. BMC Pregnacy and childbirth.
Ongeso, Lukorito, &Kabo. (2018). Factors influencing high prevalence of fresh stillbirths in Mbagathi County Hospital, nairobi, Kenya. International journal of Advanced research, 36-1-1 3 1-8 2 4 5 4- 48 2 5 4 9 748.
Qu, Qi, Yi, Chen, Pan, & HS. (2019). Risk factors of stillbirths in rural China: a national cohort study. Sci. Rep, 1-8 2 4 5 4- 48 2 5 4 9 7.
Redshaw, Hennegan, Henderson, JM, MR, & HJ. (2016). Impact of holding the baby following stillbirth on maternal mental health and well-being: findings from a national survey. BMJ Open, 15-171-1 3 1-8 2 4 5 4- 48 2 5 4 9 7.
Tesema, Getayeneh, Zemenu, Tessema, Sisay, Tamirat, &Teshale. (2021). Prevalence of stillbirth and its associated factors in East Africa: generalised linear mixed modelling. BMC Pregnancy and childbirth. 171-1 3 1-8 2 4 5 4- 4
Vanotoo, L. A. (2019). Predictors of intrapartum stillbirths in singletons in six public hospitals in the Greater Accra Region, Ghana.University of Ghana.
Waiswa, Piggins, Mubiri, Butrick, Merai, Kirumbi, & MB. (2020). Pregnancy outcomes in facilities in Kenya and Uganda: A large cross-sectional analysis of maternity registers illuminating opportunities for mortality prevention. Plos One.
WHO, UNICEF (2019). Levels and trends in child mortality report 2018. Estimates developed by the United Nations Inter-Agency group for child mortality estimates. Ney York city. 1-1 3 1-8 2 4 5 4- 48 2 5 4 9 7
Refbacks
- There are currently no refbacks.