ArticleBMC pregnancy and childbirth2014
Stillbirths and very low Apgar scores among vaginal births in a tertiary hospital in Ghana: a retrospective cross-sectional analysis.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Predictors and prevalence of perinatal mortality in Ghana: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Determinants of low fifth minute Apgar scores among newborns at North Shoa Zone Public Hospitals in Ethiopia.Scientific reports · 2025Article
- Stillbirth rates, trend and distribution in the Volta region, Ghana: findings from institutional data analysis, 2018-2022.BMC pregnancy and childbirth · 2025Article
- The effect of maternal age on still birth in Africa: A systematic review and meta-analysis.Health science reports · 2024Article
- Perinatal care and its association with perinatal death among women attending care in three district hospitals of western Uganda.BMC pregnancy and childbirth · 2024Article
- Article
- Application of machine learning to identify risk factors of birth asphyxia.BMC pregnancy and childbirth · 2023Article
- Modeling clinical and non-clinical determinants of intrapartum stillbirths in singletons in six public hospitals in the Greater Accra Region of Ghana: a case-control study.Scientific reports · 2023Article
- Stillbirth incidence and determinants in a tertiary health facility in the Volta Region of Ghana.PloS one · 2023Article
- Prediction of low Apgar score at five minutes following labor induction intervention in vaginal deliveries: machine learning approach for imbalanced data at a tertiary hospital in North Tanzania.BMC pregnancy and childbirth · 2022Article
- Article
- Causes, survival rates, and short-term outcomes of preterm births in a tertiary hospital in a low resource setting: An observational cohort study.Frontiers in global women's health · 2022Article
- Predictors of Pregnancy Termination among Young Women in Ghana: Empirical Evidence from the 2014 Demographic and Health Survey Data.Healthcare (Basel, Switzerland) · 2021Article
- The determinants of 5th minute low Apgar score among newborns who delivered at public hospitals in Hawassa City, South Ethiopia.BMC pediatrics · 2021Article
- Cause and predictors of neonatal mortality among neonates admitted to neonatal intensive care units of public hospitals in eastern Ethiopia: a facility-based prospective follow-up study.BMC pediatrics · 2020Article
- Adverse pregnancy outcomes, 'stillbirths and early neonatal deaths' in Mutare district, Zimbabwe (2014): a descriptive study.BMC pregnancy and childbirth · 2019Article
- Article
- Maternal and fetal risk factors for stillbirth in Northern Tanzania: A registry-based retrospective cohort study.PloS one · 2017Article
- Fetal Deaths in Brazil: Historical Series Descriptive Analysis 1996-2012.Maternal and child health journal · 2016Article
- Determinants of stillbirths in Ghana: does quality of antenatal care matter?BMC pregnancy and childbirth · 2016Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundData pertaining to risk factors associated with stillbirths and very low Apgar scores is very sparse. This study was conducted to determine the prevalence of, and examine the socio-demographic and obstetric factors associated with stillbirths and very low Apgar scores among vaginal births in a tertiary health facility, Ghana.
methodsA retrospective cross-sectional review of vaginal deliveries conducted at a teaching hospital in Ghana from 1st January to 31st December, 2009. Background characteristics and obstetric history of the mother as well as the vital status of the baby at birth were extracted. Risk factors associated with stillbirths and very low Apgar scores were examined using binomial regression with a log-link function, and population attributable fractions calculated for significant risk factors.
resultsOf the 8,758 deliveries which met the inclusion criteria, 5.9% of the babies were stillbirths, and 6.5% and 1.9% of live births had very low Apgar scores in the first and fifth minutes respectively. Preterm delivery, hypertensive disorders in pregnancy, breech delivery and vacuum extraction were significant risk factors for stillbirths and very low Apgar scores in the fifth minute of life. Low birth weight was also a significant risk factor for very low Apgar scores.
conclusionThe prevalence of stillbirths and very low Apgar scores were high. Improving the quality of obstetric care during labour and delivery may help improve these adverse vaginal birth outcomes.
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