Differences Of Still Birth Rate Between Cesarean Section And Normal Vaginal Delivery in Al-Nasiriyah At 2019: A Comparative Study

Authors

  • Khudhair Abbas Salih DCH
  • Falah Abd Basher Al-Hamdani DCH
  • Suad Saddam Salih DGO

Abstract

Background: A born baby with no any life signs  within or after 28 weeks  of gestation is define as stillbirth, . 3rd trimester  SB  account 2.6 million globally at 2015. Objectives:  to compare  SBR  by the 2 places of birth  in Al-Nasiriyah city, and to determine the expected determinants of the still birth. Methodology: An analytical-comparative,  hospital based  study,  extending all over the past 1 years; from 1st day of January   till the end of December  of   2019 in Bint Al-Huda maternity and pediatrics hospital-Thi-qar/Iraq. Including all Still birth, from 2 different places of labor that including:  Main labor room and  operative theater  room, informed consent also was taken from all participants parent. SPSS version 25 had been used, P value <0.05 is considered significant. Results: Among 8772 delivered fetus as a normal  vaginal delivery, 136 delivered died with a total still birth rate 0f 15.5/1000, compared to a total deliveries by cesarean section of 5810, were the total still birth of 97 delivered died with a rate of 16.7/1000.Still birth rates difference was of not a great values in their distribution according to different months and seasons of the year 2019. Age of the  parents and weight of  SB had a significant  role  in SBR. Conclusion:  delivery  by CS and NVD show  no significant statistical difference of the SBR between those who are., also  no difference in monthly trends of SBR all-over the period of the study, whether was by CS or NVD. Different  age groups in different places and within the same place  show   a highly significant statistical association,  B. wt. of deliverd baby was  also one of the main determinants  of the SBR and the age of father that extending the 41 years show significant difference in the occurance of the SB.

References

International Classification of Disease 10th Revision (ICD-10) [Internet]. 2010. Available from: http ://www.who.int/classifications/icd/ICD10Volume2_en_2010.pdf?ua-1. [cited Dec 12, 2017].

Lawn JE, Blencowe H, Waiswa P, Amouzou A, Mathers C, Hogan D, et al. Stillbirths: rates, risk factors, and acceleration towards 2030. Lancet. 2016;387(10018):587–603. doi: 10.1016/S0140-6736(15)00837-5. [PubMed] [CrossRef] [Google Scholar]

Goldenberg RL, Saleem S, Pasha O, Harrison MS, Mcclure EM. Reducing stillbirths in low-income countries. Acta Obstet Gynecol Scand. 2016;95(2):135–143. doi: 10.1111/aogs.12817. [PubMed] [CrossRef] [Google Scholar]

Aminu M, Unkels R, Mdegela M, Utz B, Adaji S, den Broek N. Causes of and factors associated with stillbirth in low-and middle-income countries: a systematic literature review. BJOG Int J Obstet Gynaecol. 2014;121(s4):141–153. doi: 10.1111/1471-0528.12995. [PubMed] [CrossRef] [Google Scholar]

Flenady V, Koopmans L, Middleton P, Frøen JF, Smith GC, Gibbons K, et al. Major risk factors for stillbirth in high-income countries: a systematic review and meta-analysis. Lancet. 2011;377(9774):1331–1340. doi: 10.1016/S0140-6736(10)62233-7. [PubMed] [CrossRef] [Google Scholar]

Manasyan A, Saleem S, Koso-Thomas M, Althabe F, Pasha O, Chomba E, et al. Assessment of obstetric and neonatal health services in developing country health facilities. Am J Perinatol. 2013;30(09):787–794. doi: 10.1055/s-0032-1333409. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Lawn JE, Blencowe H, Pattinson R, Cousens S, Kumar R, Ibiebele I, et al. Stillbirths: where? when? why? How to make the data count? Lancet. 2011;377(9775):1448–1463. doi: 10.1016/S0140-6736(10)62187-3. [PubMed] [CrossRef] [Google Scholar]

Blencowe H, Cousens S, Jassir FB, Say L, Chou D, Mathers C, et al. National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: a systematic analysis. Lancet Glob Health. 2016;4(2):e98–e108. doi: 10.1016/S2214-109X(15)00275-2. [PubMed] [CrossRef] [Google Scholar]

Saleem S, McClure EM, Bux R, Shaheed A, Goldenberg RL, Pappas G. Pregnancy behavior of pakistani women over their reproductive life span. Al Ameen J Med Sci. 2010;3:228–236. [Google Scholar]

McClure EM, Saleem S, Goudar SS, Moore JL, Garces A, Esamai F, et al. Stillbirth rates in low-middle income countries 2010-2013: a population-based, multi-country study from the global network. Reprod Health. 2015;12(2):S7. doi: 10.1186/1742-4755-12-S2-S7. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Pasha O, Saleem S, Ali S, Goudar SS, Garces A, Esamai F, et al. Maternal and newborn outcomes in Pakistan compared to other low and middle income countries in the global Network’s maternal newborn health registry: an active, community-based, pregnancy surveillance mechanism. Reprod Health. 2015;12(2):S15. doi: 10.1186/1742-4755-12-S2-S15. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

McClure EM, Saleem S, Pasha O, Goldenberg RL. Stillbirth in developing countries: a review of causes, risk factors and prevention strategies. J Matern Fetal Neonatal Med. 2009;22(3):183–190. doi: 10.1080/14767050802559129. [PMC free article] [PubMed] [CrossRef] [Google Scholar)

Sarah Saleem, 1 Shiyam Sunder Tikmani,1 Elizabeth M. McClure et al, Trends and determinants of stillbirth in developing countries: results from the Global Network’s Population-Based Birth Registry, Reprod Health. 2018; 15(Suppl 1): 100. Published online 2018 Jun 22. doi: 10.1186/s12978-018-0526-3 PMCID: PMC6019981 , PMID: 29945647

WHO U . Every newborn: an action plan to end preventable newborn deaths. Geneva: World Health Organization; 2014. [Google Scholar]

Chou D, Daelmans B, Jolivet RR, Kinney M, Say L. Ending preventable maternal and newborn mortality and stillbirths. BMJ. 2015;351:h4255. doi: 10.1136/bmj.h4255. [PubMed] [CrossRef] [Google Scholar].

Bellad MB, Vidler M, Honnungar NV, Mallapur A, Ramadurg U, Charanthimath U, et al. Maternal and newborn health in Karnataka state, India: the community level interventions for pre-eclampsia (CLIP) Trial’s baseline study results. PLoS One. 2017;12(1):e0166623. doi: 10.1371/journal.pone.0166623. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Demographic K. Health survey 2008–2009. 2010. Kenya Service Provision Assessment: Nairobi; 2015. [Google Scholar]

Demographic Z . Central statistical office, central Board of Health, and ORC macro Calverton. Maryland: Demographic Z; 2003. Health Survey 2001–2002. [Google Scholar]

Stillbirth Collaborative Research Network Writing Group. Association between stillbirth and risk factors known at pregnancy confirmation. JAMA. 2011;306(22):2469–79. [PMC free article] [PubMed]

Stringer EM, Vwalika B, Killam WP, Giganti MJ, Mbewe R, Chi BH, et al. Determinants of stillbirth in Zambia. Obstet Gynecol. 2011;117(5):1151–1159. doi: 10.1097/AOG.0b013e3182167627. [PubMed] [CrossRef] [Google Scholar]

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2020-09-08

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