Evidence map›Paper›PMID 41053735›Full record

ArticleBMC public health2025

Perinatal mortality rate and associated risk factors in mogadishu, somalia: A hospital-based cross-sectional study.

Abdalla Mohamed Hussein, Ali Mohamed Sodal, Abas Yusuf Mohamud, Abdiaziz Siad Mohamed, Abdishakur Abdirahman Yusuf, Abdinasir Artan Jumbur, Fartuun Hassan Ali

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Abdalla Mohamed HusseinDepartment of Anesthesia & Critical Care, Kalkaal Hospital Afarta Jardiin, Mogadishu, Somalia. abdallemoh@gmal.com.
Ali Mohamed SodalDepartment of Pediatrics and Child Health, Jazeera University Hospital, Jazeera University, Mogadishu, Somalia.
Abas Yusuf MohamudJazeera University, Mogadishu, Somalia.
Abdiaziz Siad MohamedJazeera University, Mogadishu, Somalia.
Abdishakur Abdirahman YusufJazeera University, Mogadishu, Somalia.
Abdinasir Artan JumburJazeera University, Mogadishu, Somalia.
Fartuun Hassan AliJazeera University, Mogadishu, Somalia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPerinatal mortality is a critical barometer of maternal and newborn health. In fragile states like Somalia, which grapple with prolonged conflict and systemic healthcare challenges, this indicator is particularly stark. Despite global progress, contemporary, localized data from this region remain scarce, hindering targeted public health initiatives. This study aimed to quantify the perinatal mortality rate (PMR) and identify key determinants within two major referral hospitals in Mogadishu.

methodsWe conducted a hospital-based, cross-sectional study with a seven-day prospective follow-up from January to April 2020, including 352 mother-newborn dyads. Data on maternal demographics, antenatal care, delivery mode, and neonatal outcomes were collected via structured questionnaires and medical records. Multivariate logistic regression was used to identify independent predictors of perinatal mortality.

resultsFrom 358 recorded deliveries, 62 perinatal deaths occurred, yielding an alarmingly high PMR of 173 per 1,000 total births. Stillbirths were the predominant component, accounting for 82% of these deaths. After multivariate adjustment, significant protective factors included maternal age of 22–29 years (Adjusted Odds Ratio [AOR]: 0.44; 95% CI: 0.21–0.94), primary or secondary education (AOR: 0.40; 95% CI: 0.16–0.95), and delivery via cesarean section (AOR: 0.33; 95% CI: 0.11–0.98). A history of previous stillbirth was a significant predictor in unadjusted but not in the final multivariate model.

conclusionThis study reveals a severe, localized crisis of perinatal mortality in Mogadishu, driven overwhelmingly by stillbirths. The protective effects of maternal education and emergency obstetric care underscore the urgent need for systemic investments in maternal health services. Interventions must prioritize enhancing the quality of both antenatal and intrapartum care to avert these preventable tragedies.

Indexed as

Perinatal MortalityAdultCross-Sectional StudiesFemaleHumansInfant, NewbornPregnancyProspective StudiesRisk FactorsSomaliaYoung AdultEarly neonatal deathFragile statesPerinatal mortalitySomaliaStillbirth

Identifiers

PMID41053735
PMCPMC12502440

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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 OpenQuestion graph.