Predictors of perinatal mortality in rural population of Northwest Ethiopia a prospective longitudinal study 英文参考文献.docVIP

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Predictors of perinatal mortality in rural population of Northwest Ethiopia a prospective longitudinal study 英文参考文献.doc

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Predictors of perinatal mortality in rural population of Northwest Ethiopia a prospective longitudinal study 英文参考文献

Andargieetal.BMCPublicHealth2013,13:168 /1471-2458/13/168 RESEARCH ARTICLE OpenAccess Predictorsofperinatalmortalityinrural populationofNorthwestEthiopia:aprospective longitudinalstudy GashawAndargie1*,YemaneBerhane2,AlemayehuWorku3andYigzawKebede1 Abstract Background:PerinatalmortalityisoneoftheseriouschallengesinmeetingmaternalandchildMillennium DevelopmentGoalsindevelopingcountries.Identifyingitspredictorsisanimportantsteptodevelopfocusedand appropriatehealthinterventionsforreducingperinataldeaths.Thisstudythereforeaimsatidentifyingpredictorsof perinatalmortalityinaruralsettinginnorthwestEthiopia. Methods:AprospectivelongitudinalstudywasconductedatDabatHealthandDemographicSurveillancesite, northwestEthiopia,fromNovember2009toAugust2011.Datawerecollectedbyinterviewingthemothersor guardiansofeligiblechildren.Multiplelogisticregressionswereemployedtoidentifypotentialpredictors. Results:Atotalof1752eligiblechildrenwereincludedinthestudy.Perinatalmortalityrateinthestudypopulation was50.22per1000(95%CI:39.99,60.46)totalbirths.Inmultiplelogisticanalysis,previousstillbirth[(AOR=8.38, 95%CI:3.94,17.83)],twinbirth[(AOR=7.09,95%CI:(3.22,15.61)],notreceivingtetanustoxoidvaccineduringthe indexpregnancy[(AOR=3.62,95%CI:1.57,8.34)],shortbirthintervaloflessthan24months[(AOR=2.58,95%CI: (1.61,4.13)],maternalilliteracy[(AOR=4.83,95%CI:(1.45,16.05)]andmothers’runningownbusiness[(AOR=5.40, 95%CI:1.40,27.96)]werethemainpredictorsassociatedwithincreasedriskofperinataldeath. Conclusions:Predictorsofperinataldeathinthestudyareaareeasilyrecognizableandpotentiallypreventable withtheexistingmaternalhealthprograms.Effortsneedtobeintensifiedinexpandingmaternalandnewborn healthservicestosignificantlyreduceperinatalmortalityinruralsettings. Keywords:Perinatalmortality,Earlyneonatalmortality,Stillbirth,Ethiopia Background Global estimates show that the PNMR in developed Perinatal Mortality Rate (PNMR)isknown tobe oneof regions of the world is about 10 per 1000 total births the key health s