Baird-Pattinson Aetiological Classification and Phases of Delay Contributing to Stillbirths in a Nigerian Tertiary Hospital
Purpose. This study aims to identify triggers of stillbirth in the study setting and to make suggestions to reduce the prevalence. Method. A three-year retrospective case-control study of stillbirths at Ekiti State University Teaching Hospital. Results. The stillbirth rate was 33 per 1000 births. Ba...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2016/1703809 |
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| author | Jacob Olumuyiwa Awoleke Abiodun Idowu Adanikin |
| author_facet | Jacob Olumuyiwa Awoleke Abiodun Idowu Adanikin |
| author_sort | Jacob Olumuyiwa Awoleke |
| collection | DOAJ |
| description | Purpose. This study aims to identify triggers of stillbirth in the study setting and to make suggestions to reduce the prevalence. Method. A three-year retrospective case-control study of stillbirths at Ekiti State University Teaching Hospital. Results. The stillbirth rate was 33 per 1000 births. Based on Baird-Pattinson classification of the primary obstetric causes of stillbirth, adverse intrapartum events, hypertensive diseases, and unexplained intrapartum fetal deaths were topmost causes of stillbirths. In comparison with the controls, other identified predictors of SB were grand multiparity (p=0.016), delays in seeking medical care and/or in receiving treatment (p=0.001), wrong initial diagnosis (p=0.001), inadequate intrapartum monitoring (p=0.001), and inappropriate clinical management (p=0.001). Conclusion. Stillbirth rate remains high in our setting. Elimination of obstacles to accessing care, effective management of hypertensive disorders in pregnancy, updated health facilities, improved dedication to duty, and retraining of health workers will reduce the prevalence. |
| format | Article |
| id | doaj-art-22f69f5921d94464a352d031a44f4023 |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-22f69f5921d94464a352d031a44f40232025-02-03T05:44:28ZengWileyJournal of Pregnancy2090-27272090-27352016-01-01201610.1155/2016/17038091703809Baird-Pattinson Aetiological Classification and Phases of Delay Contributing to Stillbirths in a Nigerian Tertiary HospitalJacob Olumuyiwa Awoleke0Abiodun Idowu Adanikin1Department of Obstetrics and Gynaecology, Ekiti State University, Ado-Ekiti, NigeriaDepartment of Obstetrics and Gynaecology, Ekiti State University, Ado-Ekiti, NigeriaPurpose. This study aims to identify triggers of stillbirth in the study setting and to make suggestions to reduce the prevalence. Method. A three-year retrospective case-control study of stillbirths at Ekiti State University Teaching Hospital. Results. The stillbirth rate was 33 per 1000 births. Based on Baird-Pattinson classification of the primary obstetric causes of stillbirth, adverse intrapartum events, hypertensive diseases, and unexplained intrapartum fetal deaths were topmost causes of stillbirths. In comparison with the controls, other identified predictors of SB were grand multiparity (p=0.016), delays in seeking medical care and/or in receiving treatment (p=0.001), wrong initial diagnosis (p=0.001), inadequate intrapartum monitoring (p=0.001), and inappropriate clinical management (p=0.001). Conclusion. Stillbirth rate remains high in our setting. Elimination of obstacles to accessing care, effective management of hypertensive disorders in pregnancy, updated health facilities, improved dedication to duty, and retraining of health workers will reduce the prevalence.http://dx.doi.org/10.1155/2016/1703809 |
| spellingShingle | Jacob Olumuyiwa Awoleke Abiodun Idowu Adanikin Baird-Pattinson Aetiological Classification and Phases of Delay Contributing to Stillbirths in a Nigerian Tertiary Hospital Journal of Pregnancy |
| title | Baird-Pattinson Aetiological Classification and Phases of Delay Contributing to Stillbirths in a Nigerian Tertiary Hospital |
| title_full | Baird-Pattinson Aetiological Classification and Phases of Delay Contributing to Stillbirths in a Nigerian Tertiary Hospital |
| title_fullStr | Baird-Pattinson Aetiological Classification and Phases of Delay Contributing to Stillbirths in a Nigerian Tertiary Hospital |
| title_full_unstemmed | Baird-Pattinson Aetiological Classification and Phases of Delay Contributing to Stillbirths in a Nigerian Tertiary Hospital |
| title_short | Baird-Pattinson Aetiological Classification and Phases of Delay Contributing to Stillbirths in a Nigerian Tertiary Hospital |
| title_sort | baird pattinson aetiological classification and phases of delay contributing to stillbirths in a nigerian tertiary hospital |
| url | http://dx.doi.org/10.1155/2016/1703809 |
| work_keys_str_mv | AT jacobolumuyiwaawoleke bairdpattinsonaetiologicalclassificationandphasesofdelaycontributingtostillbirthsinanigeriantertiaryhospital AT abiodunidowuadanikin bairdpattinsonaetiologicalclassificationandphasesofdelaycontributingtostillbirthsinanigeriantertiaryhospital |