Determinants of stillbirth in Felege-Hiwot comprehensive specialized referral hospital, North-west, Ethiopia, 2019

Objective: The objective of this study was to identify determinants of stillbirth in Felege Hiwot comprehensive specialized referral hospital, North-west, Ethiopia: 2019. To conduct this study an institutional-based unmatched case-control study was used among 84 cases and 336 controls. Pretested, structured questioner with face to face interview was conducted and some data were also extracted from medical records using a checklist. The data were analyzed by using binary logistics regression. A p-value of < 0.05 was considered as significant at 95% confidence level and the strength of association was measured using odds ratio. Results: Illiteracy (AOR 3.8, 95% CI 1.4-10.2), sexually transmitted infection (AOR 5.7, 95% CI 1.1-29.7), Premature rupture of membrane (AOR 4.0, 95% CI 1.4-11.3), congenital anomaly (AOR 10.4, 95% CI 2.0-11.2) and history of perinatal death (AOR 10.4, 95% CI 3.7-29.2) were the determinants of stillbirth that increase risk of fetal death. Whereas taking at least two doses of tetanus toxoid vaccine (AOR 0.5, 95% CI 0.2-0.9) and partograph use (AOR 0.2, 95% CI 0.1-0.4) were found to be protective factors for stillbirth. To overcome this problem; empowering female education, facilitating women in taking tetanus toxoid vaccine, sexually transmitted infection prevention, and encourage health professionals to use partograph during labour follow up highly strongly recommended.