title: Baird-Pattinson Aetiological Classification and Phases of Delay Contributing to Stillbirths in a Nigerian Tertiary Hospital.
abstract: OBJECTIVE
  This study aims to identify triggers of stillbirth in the study setting and to make suggestions to reduce the prevalence.
  
  
  METHODS
  A three-year retrospective case-control study of stillbirths at Ekiti State University Teaching Hospital.
  
  
  RESULTS
  The stillbirth rate was 33 per 1000 births. Based on Baird-Pattinson classification of the primary obstetric causes of stillbirth, adverse intrapartum events, hypertensive diseases, and unexplained intrapartum fetal deaths were topmost causes of stillbirths. In comparison with the controls, other identified predictors of SB were grand multiparity (p = 0.016), delays in seeking medical care and/or in receiving treatment (p = 0.001), wrong initial diagnosis (p = 0.001), inadequate intrapartum monitoring (p = 0.001), and inappropriate clinical management (p = 0.001).
  
  
  CONCLUSIONS
  Stillbirth rate remains high in our setting. Elimination of obstacles to accessing care, effective management of hypertensive disorders in pregnancy, updated health facilities, improved dedication to duty, and retraining of health workers will reduce the prevalence.
authors.affiliation: Department of Obstetrics and Gynaecology, Ekiti State University, Ado-Ekiti, Nigeria.
authors.forename: Jacob Olumuyiwa
authors.initials: JO
authors.lastname: Awoleke
authors.affiliation: Department of Obstetrics and Gynaecology, Ekiti State University, Ado-Ekiti, Nigeria.
authors.forename: Abiodun Idowu
authors.initials: AI
authors.lastname: Adanikin
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D002423:Cause of Death; D000013:Congenital Abnormalities / Q000453:epidemiology; D003951:Diagnostic Errors / Q000706:statistics & numerical data*; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000453:epidemiology*; D008423:Maternal Age; D009549:Nigeria / Q000453:epidemiology; D007744:Obstetric Labor Complications / Q000453:epidemiology*; D007752:Obstetric Labor, Premature / Q000453:epidemiology; D010298:Parity; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D066087:Perinatal Death / Q000209:etiology* / Q000517:prevention & control; D011247:Pregnancy; D015995:Prevalence; D012189:Retrospective Studies; D050497:Stillbirth / Q000453:epidemiology*; D062606:Tertiary Care Centers; D013997:Time Factors; D014592:Uterine Hemorrhage / Q000150:complications / Q000453:epidemiology*; D055815:Young Adult