Abstract:
BACKGROUND ;The annual global burden of stillbirths is estimated to be 3.2 million, of
which 98% occurs in low and middle-income countries (LMICs).The prevalence of stillbirth
outcomes became 85 per 1000 in Amhara region. Stillbirth is a major problem among women
with higher maternal age, illiterate, preterm delivery, previous history of stillbirth, lack of
antenatal care attendance, maternal hypertensive disorder during pregnancy, and small weight for gestational age babies. In Ethiopia skilled deliveries are increasing but stillbirth is not
reducing as required. However; there are limited numbers of studies done related to proportion of
stillbirth and associated factors in the study area.
Objective; To assess proportion of still birth and associated factors among women who attended
deliveries at TGSH and FHCSH.
Methods: Cross sectional institutional based study was conducted on 366 women who attended
delivery service in 2 referral hospitals in Bahir Dar from April 1, 2020 to August 30, 2020.Study
participants were selected with systematic random sampling. Checklist and structured
questionnaire were used to retrieve information from the clients and their attendants. The
collected data was cleaned, coded and entered into Epi-data version 3.1 and then exported in to
SPSS 23 for analysis. Bivariate and multivariable logistic regression analysis was computed to
identify statistically significant associated factors with P value <0.05. The results were presented
in tables and charts.
RESULT: The proportion of stillbirth was 3.8% in this study area. This study showed that level
of education who completed primary school and above (AOR=0.12; 95% CI (0.01, 0.98), not
using partograph (AOR=3.77, 95%; CI (1.02, 13.93) and pregnancy related complication
(AOR=0.19; 95% CI (0.04, 0.75) were the major associated factors affecting the stillbirth.
CONCLUSION: The proportion of still birth among the study population was 3.8%. Illiteracy,
not using partograph and having pregnancy related complications were major associated factors
for still birth. The risk factors identified in this study can be prevented and managed by providing
appropriate care during preconception, antepartum and intrapartum period