Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xA24iS. Diffusion soumise à autorisation]. Background Recent studies have shown that the most important risk factors for perinatal mortality in developing countries are not detectable during antenatal care but can be observed only shortly before or during labour. Although 60% of perinatal deaths in these countries are stillbirths, few epidemiological studies focus on them. We tested the hypothesis that the risk factors for late stillbirth in West Africa are detectable principally shortly before or during labour. Methods Data came from a prospective population-based study (the MOMA survey) that collected information about 20 326 pregnant women in seven areas, primarily urban, in West Africa. Results There were 19 870 singleton births. The stillbirth rate was 25.9 per 1000 total births (95% CI : 23.7-28.1). In the crude analysis, after adjustment and consideration of prevalence, the principal risk factors for late stillbirth were : late antenatal or intrapartum vaginal bleeding, intrapartum hypertension, dystocia, and infection. Other risk factors were : maternal height (35 years), previous stillbirths, hypertension at the 8-month antenatal visit and number of antenatal visits (
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