Reducing stillbirths in Ethiopia: Results of an intervention programme

PloS One
Bernt LindtjørnYaliso Yaya

Abstract

Previous studies from South Ethiopia have shown that interventions that focus on intrapartum care substantially reduce maternal mortality and there is a need to operationalize health packages that could reduce stillbirths. The aim of this paper is to evaluate if a programme that aimed to improve maternal health, and mainly focusing on strengthening intrapartum care, also would reduce the number of stillbirths, and to estimate if there are other indicators that explains high stillbirth rates. Our study used a "continuum of care" approach and focussed on providing essential antenatal and obstetric services in communities through health extension workers, at antenatal and health facility services. In this follow up study, which includes the same 38.312 births registered by community health workers, shows that interventions focusing on improved intrapartum care can also reduce stillbirths (by 46%; from 14.5 to 7.8 per 1000 births). Other risk factors for stillbirths are mainly related to complications during delivery and illnesses during pregnancy. We show that focusing on Comprehensive Emergency Obstetric Care and antenatal services reduces stillbirths. However, the study also underlines that illnesses during pregnancy and complic...Continue Reading

References

Apr 15, 2008·Lancet·UNKNOWN Countdown 2008 Equity Analysis GroupCesar G Victora
Nov 15, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·C EngmannL L Wright
Dec 10, 2014·Ethiopian Journal of Health Sciences·Yifru Berhan, Asres Berhan
Jun 28, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Emmanuel OtolorinBlami Dao
Feb 24, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Karen BallardHabtamu Atnafu
Sep 20, 2016·Lancet·Oona M R CampbellPatricia Bailey
Sep 24, 2016·Maternal Health, Neonatology and Perinatology·Kidanemariam Alem Berhie, Habtamu Gebremariam Gebresilassie
Dec 2, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·H E ReinebrantV Flenady

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Citations

May 21, 2019·Health Policy and Planning·Solomon Tessema MemirieKjell Arne Johansson
Dec 16, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Melaku DestaGetachew Kassa

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