ArticleBMC pregnancy and childbirth2019
Factors associated with perinatal mortality in Nepal: evidence from Nepal demographic and health survey 2001-2016.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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23 citing papers in PubMed, 50 citations in OpenAlex.
- Scaling Up Safer Birth Bundle Through Quality Improvement in Nepal (SUSTAIN)-a stepped wedge cluster randomized controlled trial in public hospitals.Implementation science : IS · 2019Trial
- Birth intervals and the risk of perinatal mortality in Indonesia: findings from a cross-sectional study.BMJ open · 2026Article
- Evaluating the association between household water, sanitation and hygiene (WASH) and selected placenta-related complications in The Gambia, Kenya and Mozambique.PLOS global public health · 2026Article
- Reducing Neonatal Mortality in Nepal's Remote Regions: A Narrative Review of Challenges, Disparities, and the Role of Helping Babies Breathe (HBB).Pediatric reports · 2025Review
- A decade of perinatal mortality in Pakistan: Systematic review of patterns and challenges (2013-2022).Journal of Taibah University Medical Sciences · 2025Review
- Predictors of pregnancy loss among urban and rural women aged 15 to 49 years in Pakistan.BMC public health · 2025Article
- Predictors of perinatal mortality in emerging regions of Ethiopia: Evidence from EDHS 2016.PloS one · 2025Article
- Space-time trends in fetal mortality in Brazil, 1996-2021.Revista de saude publica · 2025Article
- Lived experiences and perspectives of women who had undergone perinatal loss in Nairobi county, Kenya: a qualitative study.BMJ public health · 2024Article
- Profile of Perinatal Deaths at Masaka District Hospital in Kigali City, Rwanda: A Retrospective Cross Sectional Study.Rwanda journal of medicine and health sciences · 2024Article
- Article
- Predicting perinatal mortality based on maternal health status and health insurance service using homogeneous ensemble machine learning methods.BMC medical informatics and decision making · 2022Article
- Does provision of antenatal care in Southern Asia improve neonatal survival? A systematic review and meta-analysis.AJOG global reports · 2022Article
- Effects of inter-pregnancy intervals on preterm birth, low birth weight and perinatal deaths in urban South Ethiopia: a prospective cohort study.Maternal health, neonatology and perinatology · 2022Article
- Causes of perinatal mortality and associated maternal factors in a tertiary referral hospital of Gandaki province of Nepal: a cross-sectional study from a hospital-based surveillance.BMC pregnancy and childbirth · 2022Article
- Time to under-five mortality and its predictors in rural Ethiopia: Cox-gamma shared frailty model.PloS one · 2022Article
- Ambient temperature and stillbirth risks in northern Sweden, 1880-1950.Environmental epidemiology (Philadelphia, Pa.) · 2021Article
- Article
- Stillbirth maternity care measurement and associated factors in population-based surveys: EN-INDEPTH study.Population health metrics · 2021Article
- Perinatal death in Northern Uganda: incidence and risk factors in a community-based prospective cohort study.Global health action · 2021Article
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Authors and funding
6 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPerinatal mortality is a devastating pregnancy outcome affecting millions of families in many low and middle-income countries including Nepal. This paper examined the more distant factors associated with perinatal mortality in Nepal.
methodsA sample of 23,335 pregnancies > 28 weeks' gestation from the Nepal Demographic and Health Survey datasets for the period (2001-2016) was analysed. Perinatal Mortality (PM) is defined as the sum of stillbirth (fetal deaths in pregnancies > 28 weeks' gestation) and early neonatal mortality (deaths within the first week of life), while Extended Perinatal Mortality (EPM) is denoted as the sum of stillbirth and neonatal mortality (deaths within the first 28 days of life). Rates of PM and EPM were calculated. Logistic regression generalized linear latent and mixed models (GLLAMM) that adjusted for clustering and sampling weight was used to examine the factor associated with perinatal mortality.
resultsOver the study period, the PMR was 42 [95% Confidence Interval (CI): 39, 44] per 1000 births for the five-year before each survey; while corresponding EPMR was 49 (95% CI, 46, 51) per 1000 births. Multivariable analyses revealed that women residing in the mountains, who did not use contraceptives, women aged 15-18 years or 19-24 years, and women having no education were associated with increased PM and EPM. The study also identified households using biomass as cooking fuel, and households who reported unimproved sanitation or open defecation were significantly more likely to experience PM and EPM.
conclusionsInterventions aimed to improve use of contraceptives, and reduce biomass as a source of cooking fuel are needed to achieve the recommended target of < 12 perinatal deaths per 1000 births by 2030.
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