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Risk Factors Associated with Intrauterine Fetal Death at the Kalaban-Coro Reference Health Center in Mali, 2023

Received: 7 December 2025     Accepted: 19 December 2025     Published: 16 January 2026
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Abstract

Background: In-utero fetal death is a public health problem associated with several factors. The main objective was to study the factors associated with in-utero fetal death at the Kalaban-Coro referral health center in 2023. Methods: This was a case-control study including 70 cases and 134 controls. The study was conducted from July 1, 2023, to November 13, 2024. The cases were patients with fetal death who were not in labor, with a gestational age ≥ 22 weeks of amenorrhea or a fetal weight ≥ 500g and with a usable obstetric record. The controls were mothers who had given birth to live babies at term. The data were analyzed using SPSS version 21 software. Logistic regression was performed to identify the factors. The association was considered significant when the confidence interval excluded 1. The significance threshold was 5%. We adhered to the ethical principles of the Declaration of Helsinki. Results: The risk of intrauterine fetal death is five times higher in women with multiple pregnancies (aOR = 5.25; 95% IC: 1.05-26.29). This risk was 16 times higher in women who had experienced antepartum hemorrhage (aOR= 16.4; 95% IC: 1.33-202.7). The absence of prenatal care increased the risk of intrauterine fetal death by 45.37 times (aOR= 45.4; 95% IC: 2.38-866.4). Conclusion: Advanced prenatal care strategies are needed to reduce the burden of intrauterine fetal death.

Published in World Journal of Public Health (Volume 11, Issue 1)
DOI 10.11648/j.wjph.20261101.13
Page(s) 20-29
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2026. Published by Science Publishing Group

Keywords

Intrauterine Fetal Death, Risk Factors, Kalaban-Coro, Mali

References
[1] Lansac J, Marret H, Oury JF. Accouchement dun enfant malforme´ ou mort in utero. Pratique de laccouchement. Paris : Masson. 2006 : 233-58.
[2] UNICEF. A Neglected Tragedy: The global burden of stillbirths. UNICEF DATA. 2020 [cite 31 dec 2024]. Disponible sur:
[3] Quibel T, Bultez T, Nizard J, Subtil D, Huchon C, Rozenberg P. Morts fœtales in utero. Journal de Gynecologie Obstetrique et Biologie de la Reproduction. 1 dec 2014; 43(10): 883-907.
[4] Jovanovic I, Ivanovic K, Kostic S, Tadic J, Dugalic S, Petronijevic M, et al. Intrauterine Fetal Death in Term Pregnancy-A Single Tertiary Clinic Study. Life (Basel). 10 dec 2023; 13(12): 2320.
[5] Mpoy CW, Katembo BM, Missumba WK, Kinenkinda XK. Study of utero fetal death in Lubumbashi, Democratic Republic of Congo. Rev l’Infirmier Congo. 2022; 6(1): 21–7.
[6] Chuwa FS, Mwanamsangu AH, Brown BG, Msuya SE, Senkoro EE, Mnali OP, et al. Maternal and fetal risk factors for stillbirth in Northern Tanzania: A registry-based retrospective cohort study. PLoS One. August 15, 2017; 12(8): e0182250.
[7] Douaguibe B, Aboubakari AS, Bassowa A, Ajavon D, Ketevi T, Logbo-Akey KE, et al. Fœtal Death in Utero: Maternal Epidemiological and Prognostic Aspects at Sylvanus Olympio Teaching Hospital in Lome. Open Journal of Obstetrics and Gynecology. 29 mars 2019; 9(4): 511-20.
[8] Momo SAF, Claudine TT, Hawa BO, Marie TP, Telly S. Epidemiological Profile and Management of Pregnant Women Presenting with Intrauterine Fetal Death Before Labor in a Level II Maternity Ward in Guinea. HEALTH SCIENCES AND DISEASE. 5 Feb 2018 [cited 31 Dec 2024]; 19(1) (Suppl). Available from:
[9] Niare B. Study of intrauterine fetal death at the reference health center of Commune IV [Thesis]. University of Sciences, Techniques and Technologies of Bamako; 2021 [cited 31 Dec 2024]. Available from:
[10] Flenady V, Koopmans L, Middleton P, Frøen JF, Smith GC, Gibbons K, et al. Major risk factors for stillbirth in high-income countries: a systematic review and meta-analysis. Lancet. 16 avr 2011; 377(9774): 1331-40.
[11] Avachat SS, Phalke DB, Phalke VD. Risk factors associated with stillbirths in the rural area of Western Maharashtra, India. Archives of Medicine and Health Sciences. juin 2015; 3(1): 56.
[12] Hankins GDV, Longo M. The role of stillbirth prevention and late preterm (near-term) births. Semin Perinatol. fevr 2006; 30(1): 20-3.
[13] Kangulu IB, ANkoy AMT, Lumbule JN, Umba EKN, Nzaji MK, Kayamba PKM. Frequency and maternal risk factors for intrauterine fetal death in Kamina, Democratic Republic of Congo. The Pan African Medical Journal. 17 March 2016 [cited 31 Dec 2024]; 23(114). Available from:
[14] Kangulu IB, ANkoy AMT, Moyambe JNT, Kalume XK, Kazadi AM, Umba EKN, et al. Prevalence of In Utero Fetal Death in the Third Trimester of Pregnancy in Kamina from January 2021 to May 2022. African Journal of Medicine and Public Health. 25 July 2023; 6(2): 68-88.
[15] Diallo M, Balde I, Diallo O, Diallo B, Balde A, Barry S. In utero fetal death (IUFD): sociodemographic aspect, management and maternal prognosis at the Maternity Ward of the MaMou Regional Hospital. 2016; 18(3): 2310-234.
[16] Garabedian C, Sibiude J, Anselem O, Attie-Bittach T, Bertholdt C, Blanc J, et al. Fetal death: formalized consensus of experts from the French National College of Gynecologists and Obstetricians. Gynecology Obstetrics Fertility & Senology. 1 Oct 2024; 52(10): 549-611.
[17] raore FB, Sidibe Y, Kayentao K, Diarra B, Sima M, Sylla M, et al. Prevalence et facteurs associes a la mortinatalite dans le district de Bamako. 2021; 02(26): 4-15.
[18] Thakur SK, Dangal G. Factors Associated with Intrauterine Fetal Death at Paropakar Maternity Womens Hospital. Kathmandu Univ Med J (KUMJ). 2022; 20(79): 260-3.
[19] Fang L, Wang T, Chen L, Zhang S, Chen L, Qin J. Adverse pregnancy outcomes among mothers with hypertensive disorders in pregnancy: A meta-analysis of cohort studies. Pregnancy Hypertens. juin 2021; 24: 107-17.
[20] Panaitescu AM, Syngelaki A, Prodan N, Akolekar R, Nicolaides KH. Chronic hypertension and adverse pregnancy outcome: a cohort study. Ultrasound Obstet Gynecol. août 2017; 50(2): 228-35.
[21] Lawn J, Shibuya K, Stein C. No cry at birth: global estimates of intrapartum stillbirths and intrapartum-related neonatal deaths. Bull World Health Organ. juin 2005; 83(6): 409-17.
[22] Kangulu IB, Umba EKN, Nzaji MK, Kayamba PKM. Risk factors for low birth weight in the semi-rural area of Kamina, Democratic Republic of Congo. Pan Afr Med J. 20 March 2014; 17: 220.
[23] Vintzileos AM, Ananth CV, Smulian JC, Scorza WE, Knuppel RA. The impact of prenatal care in the United States on preterm births in the presence and absence of antenatal high-risk conditions. Am J Obstet Gynecol. nov 2002; 187(5): 1254-7.
Cite This Article
  • APA Style

    Sogodogo, A., Telly, N., Kone, Y., Keita, S., Coulibaly, M., et al. (2026). Risk Factors Associated with Intrauterine Fetal Death at the Kalaban-Coro Reference Health Center in Mali, 2023. World Journal of Public Health, 11(1), 20-29. https://doi.org/10.11648/j.wjph.20261101.13

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    ACS Style

    Sogodogo, A.; Telly, N.; Kone, Y.; Keita, S.; Coulibaly, M., et al. Risk Factors Associated with Intrauterine Fetal Death at the Kalaban-Coro Reference Health Center in Mali, 2023. World J. Public Health 2026, 11(1), 20-29. doi: 10.11648/j.wjph.20261101.13

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    AMA Style

    Sogodogo A, Telly N, Kone Y, Keita S, Coulibaly M, et al. Risk Factors Associated with Intrauterine Fetal Death at the Kalaban-Coro Reference Health Center in Mali, 2023. World J Public Health. 2026;11(1):20-29. doi: 10.11648/j.wjph.20261101.13

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  • @article{10.11648/j.wjph.20261101.13,
      author = {Abou Sogodogo and Nouhoum Telly and Yah Kone and Salia Keita and Mahamoudou Coulibaly and Oumar Sangho and Cheick Abou Coulibaly and Souleymane Sekou Diarra and Borodjan Diarra and Abdoul Salam Diarra and Hamadoun Sangho},
      title = {Risk Factors Associated with Intrauterine Fetal Death at the Kalaban-Coro Reference Health Center in Mali, 2023},
      journal = {World Journal of Public Health},
      volume = {11},
      number = {1},
      pages = {20-29},
      doi = {10.11648/j.wjph.20261101.13},
      url = {https://doi.org/10.11648/j.wjph.20261101.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20261101.13},
      abstract = {Background: In-utero fetal death is a public health problem associated with several factors. The main objective was to study the factors associated with in-utero fetal death at the Kalaban-Coro referral health center in 2023. Methods: This was a case-control study including 70 cases and 134 controls. The study was conducted from July 1, 2023, to November 13, 2024. The cases were patients with fetal death who were not in labor, with a gestational age ≥ 22 weeks of amenorrhea or a fetal weight ≥ 500g and with a usable obstetric record. The controls were mothers who had given birth to live babies at term. The data were analyzed using SPSS version 21 software. Logistic regression was performed to identify the factors. The association was considered significant when the confidence interval excluded 1. The significance threshold was 5%. We adhered to the ethical principles of the Declaration of Helsinki. Results: The risk of intrauterine fetal death is five times higher in women with multiple pregnancies (aOR = 5.25; 95% IC: 1.05-26.29). This risk was 16 times higher in women who had experienced antepartum hemorrhage (aOR= 16.4; 95% IC: 1.33-202.7). The absence of prenatal care increased the risk of intrauterine fetal death by 45.37 times (aOR= 45.4; 95% IC: 2.38-866.4). Conclusion: Advanced prenatal care strategies are needed to reduce the burden of intrauterine fetal death.},
     year = {2026}
    }
    

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  • TY  - JOUR
    T1  - Risk Factors Associated with Intrauterine Fetal Death at the Kalaban-Coro Reference Health Center in Mali, 2023
    AU  - Abou Sogodogo
    AU  - Nouhoum Telly
    AU  - Yah Kone
    AU  - Salia Keita
    AU  - Mahamoudou Coulibaly
    AU  - Oumar Sangho
    AU  - Cheick Abou Coulibaly
    AU  - Souleymane Sekou Diarra
    AU  - Borodjan Diarra
    AU  - Abdoul Salam Diarra
    AU  - Hamadoun Sangho
    Y1  - 2026/01/16
    PY  - 2026
    N1  - https://doi.org/10.11648/j.wjph.20261101.13
    DO  - 10.11648/j.wjph.20261101.13
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 20
    EP  - 29
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20261101.13
    AB  - Background: In-utero fetal death is a public health problem associated with several factors. The main objective was to study the factors associated with in-utero fetal death at the Kalaban-Coro referral health center in 2023. Methods: This was a case-control study including 70 cases and 134 controls. The study was conducted from July 1, 2023, to November 13, 2024. The cases were patients with fetal death who were not in labor, with a gestational age ≥ 22 weeks of amenorrhea or a fetal weight ≥ 500g and with a usable obstetric record. The controls were mothers who had given birth to live babies at term. The data were analyzed using SPSS version 21 software. Logistic regression was performed to identify the factors. The association was considered significant when the confidence interval excluded 1. The significance threshold was 5%. We adhered to the ethical principles of the Declaration of Helsinki. Results: The risk of intrauterine fetal death is five times higher in women with multiple pregnancies (aOR = 5.25; 95% IC: 1.05-26.29). This risk was 16 times higher in women who had experienced antepartum hemorrhage (aOR= 16.4; 95% IC: 1.33-202.7). The absence of prenatal care increased the risk of intrauterine fetal death by 45.37 times (aOR= 45.4; 95% IC: 2.38-866.4). Conclusion: Advanced prenatal care strategies are needed to reduce the burden of intrauterine fetal death.
    VL  - 11
    IS  - 1
    ER  - 

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Author Information
  • University Clinical Research Center (UCRC), University of Science Technologies and Technologies of Bamako (USTTB), Bamako, Mali

  • Department of Teaching and Research in Public Health and Specialties (DERSP), University of Science Technologies and Technologies of Bamako (USTTB), Bamako, Mali;Sectoral Unit for the Fight Against HIV/AIDS Tuberculosis and Viral Hepatitis (CSLS-TBH), Ministry of Health and Social Development, Bamako, Mali

  • Gynecology and Obstetrics Department, Kalaban-Coro Reference Health Center, Bamako, Mali

  • Department of Teaching and Research in Public Health and Specialties (DERSP), University of Science Technologies and Technologies of Bamako (USTTB), Bamako, Mali

  • Gynecology and Obstetrics Department, Kalaban-Coro Reference Health Center, Bamako, Mali

  • Department of Teaching and Research in Public Health and Specialties (DERSP), University of Science Technologies and Technologies of Bamako (USTTB), Bamako, Mali

  • Department of Teaching and Research in Public Health and Specialties (DERSP), University of Science Technologies and Technologies of Bamako (USTTB), Bamako, Mali

  • Department of Teaching and Research in Public Health and Specialties (DERSP), University of Science Technologies and Technologies of Bamako (USTTB), Bamako, Mali

  • Department of Teaching and Research in Public Health and Specialties (DERSP), University of Science Technologies and Technologies of Bamako (USTTB), Bamako, Mali

  • Department of Teaching and Research in Public Health and Specialties (DERSP), University of Science Technologies and Technologies of Bamako (USTTB), Bamako, Mali

  • Department of Teaching and Research in Public Health and Specialties (DERSP), University of Science Technologies and Technologies of Bamako (USTTB), Bamako, Mali

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