title: Stillbirth in cases of severe acute maternal morbidity.
abstract: OBJECTIVE
  To determine the incidence and correlates of stillbirths among women with severe acute maternal morbidity (SAMM).
  
  
  METHODS
  In an observational study of 728 women who had SAMM between January 2007 and December 2010 at a referral tertiary health facility in Benin, Nigeria, the incidence of stillbirth, and the clinical and demographic correlates of stillbirth were evaluated.
  
  
  RESULTS
  The rate of stillbirth among women with SAMM was 210 per 1000 deliveries. The rate among women who had uterine rupture (643 per 1000 deliveries) far exceeded other cause-specific rates of stillbirth. Unbooked status (odds ratio [OR], 2.2; 95% confidence interval [CI], 1.3-3.8), low maternal education (OR, 2.1; 95% CI, 1.2-4.0), vaginal delivery (OR, 8.1; 95% CI, 5.1-13.0), and maternal comorbidity (OR, 12.9; 95% CI, 6.2-26.9) were factors associated with stillbirth after adjusting for confounding variables.
  
  
  CONCLUSIONS
  In Nigeria, SAMM was found to be associated with an unacceptably high rate of stillbirth. Strategies to improve fetal surveillance among women with SAMM are necessary to address the excessively high incidence of stillbirth among these patients.
authors.affiliation: Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynecology, University of Benin Teaching Hospital, Benin City, Nigeria. nelsonabiodun@yahoo.com
authors.forename: Biodun N
authors.initials: BN
authors.lastname: Olagbuji
authors.forename: Michael C
authors.initials: MC
authors.lastname: Ezeanochie
authors.forename: Solomon
authors.initials: S
authors.lastname: Igbaruma
authors.forename: Samson O
authors.initials: SO
authors.lastname: Okoigi
authors.forename: Adedapo B
authors.initials: AB
authors.lastname: Ande
mesh_terms: D000208:Acute Disease; D000328:Adult; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D009017:Morbidity; D009549:Nigeria / Q000453:epidemiology; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data; D015995:Prevalence; D012307:Risk Factors; D012720:Severity of Illness Index; D050497:Stillbirth / Q000453:epidemiology*; D014597:Uterine Rupture / Q000453:epidemiology; D055815:Young Adult