LEAKE GEBRESILASIE2025-06-262025-05-28https://repository.mu.edu.et/handle/123456789/724Background Each stillbirth is a devastating experience causing untold heartbreak for millions of families around the world. Stillbirth is also a global health crisis that affects millions of families each year. Globally, 1.9 million children are stillborn at 28 weeks or more of gestation every year. Stillbirth has wide-reaching consequences for parents, care providers, communities, society and the country as whole but still it is among the least studied in Ethiopia, only few studies have tried to examine the determinant of still birth. Specifically researches on risk factors for stillbirth in tigray region remain scant. Objective: To assess the determinants of stillbirth among mothers who gave birth in public hospitals of Tigray, northern Ethiopia, 2024/25. Methods: Institutional based an unmatched case control study using secondary data as a source of information was conducted. A total 350 samples (72 cases and 278controls) were recruited. A simple random and systematic random sampling technique was used to recruit cases and controls respectively from respective selected hospitals. Cases were all mothers who gave still birth and Controls were all mothers who gave live birth at public hospitals of tigray. The data was collected using structured questionnaire checklist. P-value < 0.2 in bivariable logistic regression was selected for multivariable logistic regressions analysis. The strength of association between exposure and outcome variable was declared with AOR, 95% CI with p value <0.05. Results: Mothers who had ante partum hemorrhage (AOR=4.66, 95%CI:1.84, 11.79), who did not attending antenatal care (AOR=2.68, 95%CI: 1.27, 5.65), induced labour (AOR=6.42, 95% CI:2.77, 14.91), instrumental delivery (AOR=2.6, 95%CI:1.05, 6.46), congenital anomaly (AOR=12.24, 95%CI:4.17, 35.94), baby born before 37 week of gestation (AOR=6.47, 95%CI:2.31, 18.14), baby born beyond 42 week of gestation (AOR=5.94, 95%CI:2.06, 17.00) and baby born with < 2500 gram(AOR=3.6, 95%CI:2.32, 9.89) were significantly associated with stillbirth. Conclusion and recommendation: Having ante partum hemorrhage, did not attending antenatal care , induced labour , instrumental delivery , congenital anomaly , baby born before 37 week of gestation , baby born beyond 42 week of gestation and baby born with weight of < 2500 gram were positively associated with stillbirth. Pregnant women should be identified early and provide comprehensive prenatal and preconception care.enThesis