| Title |
Population-based estimates of still birth, induced abortion and miscarriage in the Indian state of Bihar
|
|---|---|
| Published in |
BMC Pregnancy and Childbirth, December 2014
|
| DOI | 10.1186/s12884-014-0413-z |
| Pubmed ID | |
| Authors |
Priyanka S Kochar, Rakhi Dandona, G Anil Kumar, Lalit Dandona |
| Abstract |
BackgroundWe report population-based data on still birth, induced abortion and miscarriage from the Indian state of Bihar to assess the magnitude of the problem and to inform corrective action.MethodsA representative sample of women from all districts of Bihar with a pregnancy outcome in the last 12 months was obtained through multistage sampling in early 2012. Still birth rate was calculated as fetuses born with no sign of life at 7 or more months of gestation per 1,000 births. Induced abortion and miscarriage rates were defined as expulsion of dead fetuses at less than 7 months of gestation induced by any means or without inducement, respectively, per 1000 pregnancies that had an outcome. Multiple regression models were used to explore possible associations with stillbirths, induced abortions and miscarriages. Multi-level models were developed for the relatively less developed north zone and for the south zone of Bihar to examine contextual factors associated with still births, induced abortions and miscarriages.ResultsStill birth rate was estimated as 20 per 1,000 births (95% CI 15.6-24.5), and induced abortion and miscarriage rates as 8.6 (6.6-10.6), and 46 (40.8-51.3) per 1,000 pregnancies with outcome, respectively. The odds of induced abortion and miscarriage were significantly higher in the south zone (odds ratio 2.53 [95% CI 1.79-3.57] and 1.27 [95% CI 1.10-1.47], respectively). In the multi-level model for the north zone, the odds of induced abortion were higher for women with husband¿s having mean years of education higher than the state mean (2.62; 95% CI 1.47-4.69). Among the nine divisions of Bihar, comprising of groups of districts, higher induced abortion rate was associated with lower neonatal mortality rate (R2¿=¿0.68, p¿=¿0.01).ConclusionsThese population-based data show a significant burden of still births in Bihar, suggesting that addressing these must become an important part of maternal and child health initiatives. The higher induced abortion in the more developed districts, and the inverse trend between induced abortion and neonatal mortality rates, have programmatic implications. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 33% |
| Kenya | 1 | 17% |
| Sweden | 1 | 17% |
| Unknown | 2 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 4 | 67% |
| Scientists | 1 | 17% |
| Practitioners (doctors, other healthcare professionals) | 1 | 17% |
Mendeley readers
The data shown below were compiled from readership statistics for 85 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 1% |
| India | 1 | 1% |
| Unknown | 83 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 16 | 19% |
| Researcher | 14 | 16% |
| Student > Bachelor | 12 | 14% |
| Student > Postgraduate | 6 | 7% |
| Student > Ph. D. Student | 6 | 7% |
| Other | 9 | 11% |
| Unknown | 22 | 26% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 28 | 33% |
| Social Sciences | 10 | 12% |
| Nursing and Health Professions | 7 | 8% |
| Agricultural and Biological Sciences | 3 | 4% |
| Unspecified | 2 | 2% |
| Other | 8 | 9% |
| Unknown | 27 | 32% |
Attention Score in Context
This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 January 2015.
All research outputs
#6,326,409
of 22,774,233 outputs
Outputs from BMC Pregnancy and Childbirth
#1,754
of 4,183 outputs
Outputs of similar age
#80,575
of 331,266 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#17
of 55 outputs
Altmetric has tracked 22,774,233 research outputs across all sources so far. This one has received more attention than most of these and is in the 72nd percentile.
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