Evidence map›Paper›PMID 38609848›Full record

ArticleBMC pregnancy and childbirth2024

Stillbirth rate and associated factors at the Bamenda Regional hospital, North-West region, Cameroon, from 2018 to 2022: a case control study.

Achuo Ascensius Ambe Mforteh, Dobgima Walter Pisoh, Merlin Boten, Nkomodio Enanga-Linda Andoh, Theodore Yangsi Tameh, Audrey-Fidelia Eyere Mbi-Kobenge, Kingsley Sama Ombaku, William Ako Takang, Robinson Enow Mbu

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Prevalence and Determinants of Singleton Stillbirths at a Tertiary Hospital in Port-Harcourt, Nigeria.Nigerian medical journal : journal of the Nigeria Medical Association
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Achuo Ascensius Ambe MfortehFaculty of Health Sciences, University of Bamenda, P.O. Box 39, Bamenda, Cameroon. achuoascensius@gmail.com.
Dobgima Walter PisohFaculty of Health Sciences, University of Bamenda, P.O. Box 39, Bamenda, Cameroon.
Merlin BotenFaculty of Health Sciences, University of Bamenda, P.O. Box 39, Bamenda, Cameroon.
Nkomodio Enanga-Linda AndohFaculty of Health Sciences, University of Bamenda, P.O. Box 39, Bamenda, Cameroon.
Theodore Yangsi TamehFaculty of Health Sciences, University of Bamenda, P.O. Box 39, Bamenda, Cameroon.
Audrey-Fidelia Eyere Mbi-KobengeFaculty of Health Sciences, University of Bamenda, P.O. Box 39, Bamenda, Cameroon.
Kingsley Sama OmbakuBamenda Regional Hospital, Bamenda, Cameroon.
William Ako TakangFaculty of Health Sciences, University of Bamenda, P.O. Box 39, Bamenda, Cameroon.
Robinson Enow MbuFaculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaounde, Cameroon.
University of Bamenda · CMBamenda University of Science and Technology · CMUniversité de Yaoundé I · CM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStillbirth is a common adverse pregnancy outcome worldwide, with an estimated 2.6 million stillbirths yearly. In Cameroon, the reported rate in 2015 was 19.6 per 1000 live births. Several risk factors have been described, but region-specific risk factors are not known in the northwest region of Cameroon. This study aims to determine the stillbirth rate and associated factors at the Bamenda Regional hospital, North-West region of Cameroon. MATERIALS AND

methodsA Hospital-based case‒control study conducted from December 2022 to June 2023 on medical files from 2018 to 2022 at the Bamenda Regional Hospital. Cases were women with stillbirths that occurred at a gestational age of ≥ 28 weeks, while controls were women with livebirths matched in a 1:2 (1 case for 2 controls) ratio using maternal age. Sociodemographic, obstetric, medical, and neonatal factors were used as exposure variables. Multivariable logistic regression was used to determine adjusted odds ratios of exposure variables with 95% confidence intervals and a p value of < 0.05.

resultsA total of 12,980 births including 116 stillbirths giving a stillbirth rate of 8.9 per 1000 live births. A hundred cases and 200 controls were included. Factors associated with stillbirths after multivariable analysis include nulliparity (aOR = 3.89; 95% CI: 1.19-12.71; p = 0.025), not attending antenatal care (aOR = 104; 95% CI: 3.17-3472; p = 0.009), history of stillbirth (aOR = 44; 95% CI: 7-270; p < 0.0001), placenta abruption (aOR = 14; 95% CI: 2.4-84; p = 0.003), hypertensive disorder in pregnancy (aOR = 18; 95% CI: 3.4-98; p = 0.001), malaria (aOR = 8; 95% CI: 1.51-42; p = 0.015), alcohol consumption (aOR = 9; 95% CI: 1.72-50; p = 0.01), birth weight less than 2500 g (aOR = 16; 95% CI: 3.0-89; p = 0.001), and congenital malformations (aOR = 12.6; 95% CI: 1.06-149.7;p = 0.045).

conclusionThe stillbirth rate in BRH is 8.9 per 1000 live births. Associated factors for stillbirth include nulliparity, not attending antenatal care, history of stillbirth, placental abruption, hypertensive disorder in pregnancy, malaria, alcohol consumption, birth weight less than 2500 g, and congenital malformations. Close antenatal care follow-up of women with such associated factors is recommended.

Indexed as

Abruptio PlacentaeHypertensionMalariaBirth WeightCameroonCase-Control StudiesFemaleHospitalsHumansInfantInfant, NewbornMalePlacentaPregnancyStillbirthBamendaCameroonCase–controlRisk factorsStillbirthStillbirth rate

Identifiers

PMID38609848
PMCPMC11010432
OpenAlexW4394753799

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.