Author/Authors :
Khalili, Narjes Department of Community and Family Medicine - School of Medicine, Iran University of Medical Sciences, Tehran, Iran , Heidarzadeh, Mohammad Department of Pediatrics - Tabriz University of Medical Sciences, Tabriz, Iran , Habibelahi, Abbas Neonatal Health Office - Ministry of Health and Medical Education, Tehran, Iran , Tayefi, Batool Department of Community and Family Medicine - School of Medicine, Iran University of Medical Sciences, Tehran, Iran , Ramezani, Mozhdeh Department of Community and Family Medicine - School of Medicine, Iran University of Medical Sciences, Tehran, Iran , Rampisheh, Zahra Department of Community and Family Medicine - School of Medicine, Iran University of Medical Sciences, Tehran, Iran , Tehrani-Banihashemi, Arash Department of Community and Family Medicine - School of Medicine, Iran University of Medical Sciences, Tehran, Iran , Mirbaha, Fariba Department of Community and Family Medicine - School of Medicine, Iran University of Medical Sciences, Tehran, Iran , Raji, Farima Neonatal Health Office - Ministry of Health and Medical Education, Tehran, Iran , Babaee, Ebrahim Department of Community and Family Medicine - School of Medicine, Iran University of Medical Sciences, Tehran, Iran , Taghizadeh Asl, Rahim Department of Health Promotion - Maastricht University, Maastricht, Netherlands , Moradi-Lakeh, Maziar Department of Community and Family Medicine - School of Medicine, Iran University of Medical Sciences, Tehran, Iran , Naghavi, Mohsen Institute for Health Metrics and Evaluation - University of Washington, Seattle, Washington, USA , Mokdad, Ali H. Institute for Health Metrics and Evaluation - University of Washington, Seattle, Washington, USA
Abstract :
Background: Under Every Newborn Action Plan (ENAP), stillbirth rate in every country should be reduced by 12 or fewer per
1000 total births by 2030. The aims of this study were to determine stillbirth rate at national and subnational levels and to investigate
its associated risk factors in Iran.
Methods: Using all data from Iranian Maternal and Neonatal Network (IMaN), we calculated stillbirth rate of Iran from 2014-2016.
This network registers information of almost all births across the country. The logistic regression was used to estimate the adjusted
odds ratio (aOR) with 95% confidence intervals (CIs) for stillbirth.
Results: In 2014, still birth rate was 7.40 per 1000 births. In 2015 and 2016, stillbirth rates were 7.22 per 1000 births and 7.63 per
1000 births, respectively. The most important related factors of stillbirth were preterm birth (aOR= 62.53, 95% CI; 60.77-64.34),
sexual ambiguity (aOR= 14.51, 95% CI; 12.76-16.50), and post term birth (aOR= 3.31, 95% CI; 2.66-4.13).
Conclusion: Under Every Newborn Action Plan (ENAP), stillbirth rate in every country should be reduced by 12 or fewer per 1000
total births by 2030. Iran has achieved stillbirth target of ENAP at national level. It is important for the health care system to establish
and improve specific and focused policies, interventions, and programs for achieving this target even in the most deprived areas.
