TrhasTadesse Berehe¹, Prof. Lebitsi Maud Modibia²

¹Yekatit 12 Hospitals, Department of Public Health, College of Medicine, Addis Ababa, Ethiopia

2 University of South Africa, Department of Health studies College of Human Sciences., Pretoria, South Africa

Email address:

ttrhas@gmail.com (T. Tadesse), modiblm@unisa.ac.za

Abstract

Still birth is the main problem in developing country like Ethiopia. Quality antenatal care (ANC) is supposed to reduce the risk of many adverse birth outcomes. To this end the main aim of this study was to determine the effect of quality antenatal care on Antepartum still birth

Method: A prospective longitudinal observational facility based study was conducted among 1123 mothers whose gestational age of less than 16 weeks was identified and followed until birth to detect of quality of ANC on the antepartum still birth from July 2017 to Jun 2018. Structured, pre-defined and pretested observation check list, participants interview questionnaire and likert scales were employed to obtain the necessary information after getting both written and verbal consent from the concerned bodies and study participant. Data was entered in to EpiInfo 3.5 version 3.5 and transferred to STATA Version 14 software and cleaned by reviewing frequency tables, logical errors, and checking outliers. General estimating equation logistic regression analysis was done to determine the effect of quality antenatal care on antepartum stillbirth.

Result: Poor quality of ANC services was associated with increased risk of antepartum stillbirth by 81% (AOR 0.19 at 95% CI; 0.088 to 0.435). Furthermore, there was a strong association between pre-existing hypertension and stillbirth. Those mothers who had pre-existing hypertension were 3.1 times more likely to have still birth compared to those mothers who had no history of pre-existing hypertension (AOR 3.1 at 95%CI ;1.443,6.769).

Conclusion and recommendation: Therefore, the quality of ANC significantly reduces stillbirth and the strategies should be developed focusing on the problems identified to enhance the quality of ANC and improve birth outcome.

Key wards: Quality, Donabedian model, Antenatal care, Antepartum stillbirth ,Hadya zone, Longitudinal study