Article ID Journal Published Year Pages File Type
3951221 International Journal of Gynecology & Obstetrics 2012 4 Pages PDF
Abstract

ObjectiveTo determine the incidence and correlates of stillbirths among women with severe acute maternal morbidity (SAMM).MethodsIn an observational study of 728 women who had SAMM between January 2007 and December 2010 at a referral tertiary health facility in Benin, Nigeria, the incidence of stillbirth, and the clinical and demographic correlates of stillbirth were evaluated.ResultsThe rate of stillbirth among women with SAMM was 210 per 1000 deliveries. The rate among women who had uterine rupture (643 per 1000 deliveries) far exceeded other cause-specific rates of stillbirth. Unbooked status (odds ratio [OR], 2.2; 95% confidence interval [CI], 1.3–3.8), low maternal education (OR, 2.1; 95% CI, 1.2–4.0), vaginal delivery (OR, 8.1; 95% CI, 5.1–13.0), and maternal comorbidity (OR, 12.9; 95% CI, 6.2–26.9) were factors associated with stillbirth after adjusting for confounding variables.ConclusionIn Nigeria, SAMM was found to be associated with an unacceptably high rate of stillbirth. Strategies to improve fetal surveillance among women with SAMM are necessary to address the excessively high incidence of stillbirth among these patients.

Related Topics
Health Sciences Medicine and Dentistry Obstetrics, Gynecology and Women's Health
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