Background :The annual global burden of stillbirths is approximately 2.6 million, 98% of which occur in Sub Saharan Africa.In 2016, approximately 24 still births per month occurred in Mbagathi County Hospital (MCH) representing a 33.3% increase from 2015.A third of these were Fresh Still Births (FSBs).Objectives : To establish factors influencing increase in FSB among women delivering at MCH. Méthodologie : The study was conducted at MCH postnatal ward.A descriptive cross sectional study design was employed.Forty three respondents with FSBs were consecutively sampled.Clearance to conduct the study was sought from Ethics Review Committee, MCH and respondents.Researcher administered questionnaires were used for data collection over two months.Descriptive data involved calculation of measures of central tendency.Findings were presented in tables, graphs and narrative.Results : A majority of the respondents were less than 20 years old, had low education level and were unemployed.A also the biggest proportion had preterm deliveries ; Prolonged premature rupture of membranes, had medical conditions and attended antenatal care less than four times.Most of the FSBs had complications and were delivered preterm.The facility had inadequate staffing, lacked prompt triaging equipment, and rarely used partograph to monitor labor.Conclusion : Maternal, fetal and hospital related factors influenced high prevalence of FSB.Recommendations : Improve uptake of focused antenatal care among women.Need for girl child empowerment in line with Sustainable Development Goal 5. Improve midwife to patient ratio, develop protocol regarding triaging and labor monitoring.Avail hospital equipment for proper maternity care.

Background:The annual global burden of stillbirths is approximately 2.6 million, 98% of which occur in Sub Saharan Africa.In 2016, approximately 24 stillbirths per month occurred in Mbagathi County Hospital (MCH) representing a 33.3% increase from 2015.A third of these were Fresh Still Births (FSBs).Objectives: To establish factors influencing increase in FSB among women delivering at MCH. Methodology: The study was conducted at MCH postnatal ward.A descriptive cross sectional study design was employed.Forty three respondents with FSBs were consecutively sampled.Clearance to conduct the study was sought from Ethics Review Committee, MCH and respondents.Researcher administered questionnaires were used for data collection over two months.Descriptive data involved calculation of measures of central tendency.Findings were presented in tables, graphs and narrative.Results: A majority of the respondents were less than 20 years old, had low education level and were unemployed.Also the biggest proportion had preterm deliveries; prolonged premature rupture of membranes, had medical conditions and attended antenatal care less than four times.Most of the FSBs had complications and were delivered preterm.The facility had inadequate staffing, lacked prompt triaging equipment, and rarely used partograph to monitor laboratory.Conclusion: Maternal, fetal and hospital related factors influenced high prevalence of FSB.Recommendations: Improve uptake of focused antenatal care among women.Need for girl child empowerment in line with Sustainable Development Goal 5. Improve midwife to patient ratio, develop protocol regarding triaging and laboratory monitoring.Avail hospital equipment for proper maternity care.

Background:The annual global burden of stillbirths is approximately 2.6 million, 98% of which occur in Sub Saharan Africa.In 2016, approximately 24 still births per month occurred in Mbagathi County Hospital (MCH) representing a 33.3% increase from 2015.A third of these were Fresh Still Births (FSBs).Objectives: To establish factors influencing increase in FSB among women delivering at MCH. Methodology: The study was conducted at MCH postnatal ward.A descriptive cross sectional study design was employed.Forty three respondents with FSBs were consecutively sampled.Clearance to conduct the study was sought from Ethics Review Committee, MCH and respondents.Researcher administered questionnaires were used for data collection over two months.Descriptive data involved calculation of measures of central tendency.Findings were presented in tables, graphs and narrative.Results: A majority of the respondents were less than 20 years old, had low education level and were unemployed.Also the biggest proportion had preterm deliveries; prolonged premature rupture of membranes, had medical conditions and attended antenatal care less than four times.Most of the FSBs had complications and were delivered preterm.The facility had inadequate staffing, lacked prompt triaging equipment, and rarely used partograph to monitor labor.Conclusion: Maternal, fetal and hospital related factors influenced high prevalence of FSB.Recommendations: Improve uptake of focused antenatal care among women.Need for girl child empowerment in line with Sustainable Development Goal 5. Improve midwife to patient ratio, develop protocol regarding triaging and labor monitoring.Avail hospital equipment for proper maternity care.

Background:The annual global burden of stillbirths is approximately 2.6 million, 98% of which occur in Sub Saharan Africa.En 2016, approximately 24 still births per month occurred in Mbagathi County Hospital (MCH) representing a 33.3% increase from 2015.A third of these were Fresh Still Births (FSBs) .Objectives: To establish factors influencing increase in FSB among women delivering at MCH. Methodology: The study was conducted at MCH postnatal ward.A descriptive cross sectional study design was employed.Forty three respondents with FSBs were consecutively sampled.Clearance to conduct the study was sought from Ethics Review Committee, MCH and respondents.Researcher administered questionnaires were used for data collection over two months.Descriptive data involved calculation of measures of central tendency.Findings were presented in tables, graphs and narrative.Results: A majority of the respondents were less than 20 years old, had low education level and were unemployed.Also the biggest proportion had pretermiveries; prolonged premature rupture of membranes, had medical conditions and attended antenatal care less than four times.Most of the FSBs had complications and were delivered preterm.The facility had inadequate staffing, lacked prompt triaging equipment, and rarely used partograph to monitor labor.Conclusion: Maternal, fetal and hospital related factors influenced high prevalence of FSB.Recommendations: Improve uptake of focused antenatal care among women.Need for girl child empowerment in line with Sustainable Development Goal 5. Improve midwife to patient ratio, develop protocol regarding triaging and labor monitoring.Avail hospital equipment for proper maternity care.

معلومات أساسية:يبلغ العبء العالمي السنوي لحالات الإملاص حوالي 2.6 مليون حالة، 98 ٪ منها تحدث في أفريقيا جنوب الصحراء الكبرى. في عام 2016، حدث ما يقرب من 24 حالة إملاص شهريًا في مستشفى مقاطعة مباغاتي (MCH) مما يمثل زيادة بنسبة 33.3 ٪ عن عام 2015. وكان ثلث هذه الحالات من الولادات الميتة الطازجة (FSBs). الأهداف: تحديد العوامل التي تؤثر على الزيادة في عدد حالات الإملاص بين النساء اللواتي يلدن في مستشفى مقاطعة مباغاتي. المنهجية: أجريت الدراسة في جناح صحة الأم والطفل بعد الولادة. تم استخدام تصميم دراسة وصفية مقطعية. تم أخذ عينات متتالية من ثلاثة وأربعين مستجيبًا من FSBs. تم الحصول على تصريح لإجراء الدراسة من لجنة مراجعة الأخلاقيات و MCH والمستجيبين. تم استخدام الاستبيانات التي يديرها الباحث لجمع البيانات على مدى شهرين. تضمنت البيانات الوصفية حساب مقاييس الاتجاه المركزي. تم عرض النتائج في الجداول والرسوم البيانية والسرد. النتائج: كانت غالبية المستجيبين أقل من 20 عامًا، وكان مستوى تعليمهم منخفضًا وكانوا عاطلين عن العمل. كما كانت النسبة الأكبر من الولادات المبكرة ؛ تمزق الأغشية السابق لأوانه لفترة طويلة، وكان لديها حالات طبية وحضرت الرعاية السابقة للولادة أقل من أربع مرات. كان لدى معظم أجهزة FSB مضاعفات وتم تسليمها قبل الأوان. كان لدى المرفق عدد غير كافٍ من الموظفين، ويفتقر إلى معدات الفرز الفوري، ونادراً ما يستخدم partograph لمراقبة المختبر. الخاتمة: أثرت العوامل المتعلقة بالأم والجنين والمستشفى على ارتفاع معدل انتشار FSB. التوصيات: تحسين امتصاص الرعاية المركزة قبل الولادة بين النساء. الحاجة إلى تمكين الطفلة بما يتماشى مع هدف التنمية المستدامة 5. تحسين نسبة القابلة إلى المريض، ووضع بروتوكول بشأن الفرز والمراقبة المختبرية. توفير معدات المستشفى لرعاية الأمومة المناسبة.