Stillbirth is considered one of the most important maternal and pregnancy health and healthcare indicators. This study investigates the association of stillbirth with a wide range of factors related to geo-demographics, maternal health and pregnancy history in public hospitals at Peshawar, Pakistan. Data on geo-demographics, maternal health indicators, pregnancy history and outcome scores for new-born babies and their families (n=1039) were collected prospectively in a cross-sectional survey of four public hospitals in Peshawar. Crude and adjusted odds ratios were used to investigate the factors associated with stillbirth. The stillbirth rate was found to be 78.5 per 1000 births. The factors independently associated with stillbirth were maternal age (≥35years), paternal illiteracy, consanguinity, maternal height (<1.55 cm), congenital malformation and caesarean delivery. However, three factors (paternal education, congenital malformations and caesarean delivery) were highly associated with stillbirth (p<0.0001). In addition to congenial malformation and caesarean delivery, this study highlights the importance of paternal education regarding stillbirth rate in this area. The effect of paternal illiteracy on stillbirth might be due to its strong association with low family social-status, deprived area of residence, and maternal health conditions.
Sareer Badshah, Linda Mason, Paulo J.G. Lisboa. (2011) Risk Factors Associated with Stillbirths in Public-Hospitals in Peshawar, Pakistan , The Journal of Humanities & Social Sciences, Volume-19, Issue-2.