{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T08:59:28Z","timestamp":1787907568156,"version":"build-2784847793"},"reference-count":40,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T00:00:00Z","timestamp":1620000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Although the rate of stillbirth has decreased globally, it remains unacceptably high in low- and middle-income countries. Only ten countries including Ethiopia attribute more than 65% of global burden of still birth. Ethiopia has the 7\n                      <jats:sup>th<\/jats:sup>\n                      highest still birth rate in the world. Identifying the predictors of stillbirth is critical for developing successful interventions and monitoring public health programs. Although certain studies have assessed the predictors of stillbirth, they failed in identify the proximate predictors of stillbirth. In addition, the inconsistent findings in identify the predictors of stillbirth, and the methodological limitations in previously published works are some of the gaps. Therefore, this study aimed to identify the predictors of stillbirth among mothers who gave birth in six referral hospitals in Southern, Ethiopia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A hospital-based unmatched case-control study was conducted in six referral hospitals in Southern, Ethiopia from October 2019 to June 2020. Consecutive sampling techniques and simple random techniques were used to recruit cases and controls respectively. A structured standard tool was used to identify the predictors of stillbirth. Data were entered into Epi Info 7 and exported to SPSS 23 for analysis. A multivariable logistic regression model was used to identify the independent predictors of stillbirth. The goodness of fit was tested using the Hosmer and Lemeshow goodness-of-fit. In this study P-value &lt;\u20090.05 was considered to declare a result as a statistically significant association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In this study 138 stillbirth cases and 269 controls were included. Women with multiple pregnancy [AOR = 2.98, 95%CI: 1.39\u20136.36], having preterm birth [AOR = 2.83, 95%CI: 1.58\u2013508], having cesarean mode of delivery [AOR = 3.19, 95%CI: 1.87\u20135.44], having no ANC visit [AOR = 4.17, 95%CI: 2.38\u20137.33], and being hypertensive during pregnancy [AOR = 3.43, 95%CI: 1.93\u20136.06] were significantly associated with stillbirth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The predictors of stillbirth identified are manageable and can be amenable to interventions. Therefore, strengthening maternal antenatal care utilization should be encouraged by providing appropriate information to the mothers. There is a need to identify, screen, and critically follow high-risk mothers: those who have different complications during pregnancy, and those undergoing cesarean section due to different indications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0249865","type":"journal-article","created":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T13:36:28Z","timestamp":1620048988000},"page":"e0249865","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":27,"title":["Predictors of stillbirth among women who had given birth in Southern Ethiopia, 2020: A case-control study"],"prefix":"10.1371","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4416-714X","authenticated-orcid":true,"given":"Haimanot","family":"Abebe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solomon","family":"Shitu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haile","family":"Workye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayenew","family":"Mose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2021,5,3]]},"reference":[{"issue":"5","key":"pone.0249865.ref001","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0215864","article-title":"Application of the ICD-PM classification system to stillbirth in four sub-Saharan African countries.","volume":"14","author":"M Aminu","year":"2019","journal-title":"PLoS One."},{"issue":"4","key":"pone.0249865.ref002","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1093\/inthealth\/ihz015","article-title":"Stillbirth in low-and middle-income countries: Addressing the \u201csilent epidemic.\u201d","volume":"11","author":"M Aminu","year":"2019","journal-title":"Int Health"},{"issue":"8","key":"pone.0249865.ref003","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pmed.1002363","article-title":"Identification of factors associated with stillbirth in the Indian state of Bihar using verbal autopsy: A population-based study.","volume":"14","author":"R Dandona","year":"2017","journal-title":"PLoS Med."},{"issue":"10","key":"pone.0249865.ref004","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-034562","article-title":"Spatial distribution of stillbirth and associated factors in Ethiopia: A spatial and multilevel analysis","volume":"10","author":"GA Tesema","year":"2020","journal-title":"BMJ Open"},{"issue":"2","key":"pone.0249865.ref005","doi-asserted-by":"crossref","first-page":"e98","DOI":"10.1016\/S2214-109X(15)00275-2","article-title":"National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: A systematic analysis","volume":"4","author":"H Blencowe","year":"2016","journal-title":"Lancet Glob Heal"},{"issue":"5","key":"pone.0249865.ref006","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0197708","article-title":"Reducing stillbirths in Ethiopia: Results of an intervention programme.","volume":"13","author":"B Lindtj\u00f8rn","year":"2018","journal-title":"PLoS One."},{"key":"pone.0249865.ref007","article-title":"The Every New Born Action Plan","author":"W UNICEF","year":"2020","journal-title":"Ending Preventable newborn deaths and stillbirths by 2030"},{"key":"pone.0249865.ref008","first-page":"1","volume-title":"The WHO application of ICD-10 to deaths during the perinatal period: ICD-PM","author":"WHO","year":"2016"},{"issue":"2","key":"pone.0249865.ref009","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0229013","article-title":"Trends and risk factors associated with stillbirths: A case study of the Navrongo War Memorial Hospital in Northern Ghana.","volume":"15","author":"A Nonterah","year":"2020","journal-title":"PLoS One."},{"issue":"8","key":"pone.0249865.ref010","doi-asserted-by":"crossref","first-page":"605","DOI":"10.2471\/BLT.13.127464","article-title":"A prospective study of maternal, fetal and neonatal deaths in low- and middle-income countries","volume":"92","author":"S Saleem","year":"2014","journal-title":"Bull World Health Organ"},{"issue":"4","key":"pone.0249865.ref011","doi-asserted-by":"crossref","first-page":"160","DOI":"10.15406\/ipcb.2019.05.00168","article-title":"Mothers experiences with still birth: a dead fetus as a\u2019tax\u2019 given to allah: qualitative phenomenological study.","volume":"5","author":"D Tiruneh","year":"2019","journal-title":"Int J Pregnancy Child Birth"},{"key":"pone.0249865.ref012","unstructured":"WHO, UNICEF. 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