Stillbirth rate and quality of care before and during labour at four hospitals at Pemba Island, Tanzania: a prospective observational study

​Most stillbirths across the globe occur in low- and middle-income countries. With this study we aim to determine a hospital-based stillbirth rate and the association between birth outcome and pregnancy and obstetric care and factors on Pemba Island, Tanzania.

A research project by Tine Bruhn Skytte

​In 2015 there was an estimated number of 2,6 million third trimester stillbirths. Stillbirth numbers has reduced slower than neonatal mortality and maternal mortality, these were a specific target in the WHO Millennium Development Goals. The Every Newborn Action Plan has a target of fewer than 12 stillbirths per 1000 births in every country, but especially Sub-Sahara Africa are far from these goals. Tanzania is placed in top ten of the Every Newborn Action Plan with the most intra-partum stillbirths. There is an urgent need for determination of factors and causes of these high stillbirth rates. There is, however, a poor registration of stillbirths and no official number for stillbirths on Pemba Island, Tanzania.  

This article therefore seeks to determine a hospital-based stillbirth rate and to understand the correlation between quality of care before and during birth and birth outcome. 

With this article we hope to cast light over factors associated with stillbirth and especially preventable causes of stillbirth on Pemba Island, Tanzania. 



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