Assessment
of Magnitude and Associated Factors of #Adverse Birth Outcomes among
#Deliveries at Suhul Hospital Shire, Tigray, Ethiopia From September,
2015 to February, 2016 by Abera Haftu in BJSTR
Abstract
Introduction: Adverse birth outcomes such as prematurity, low
birth weight and still birth represent significant problems in both
developing and developed countries. Each year, about 15 million babies
in the world, more than one in 10 births, are born too prematurely. More
than one million of those babies die shortly after birth; countless
others suffer from lifelong physical, neurological, or educational
disabilities,
often at great cost to families and societies.
Objectives: Assessment of magnitude and associated factors of neonatal adverse birth out comes among deliveries at Suhul Hospital, Shire,
Tigray, Ethiopia from September, 2015 to February, 2016
Methodology: An institution based cross sectional study with
retrieving of information from cards retrospectively was conducted at
maternity ward of Suhul hospital from September, 2015 to February, 2016.
Simple random sampling method was used. Data was analyzed
using SPSS version 20. Logistic regression analyses were used to
identify significant predictors of adverse birth outcomes. P-value ≤0.05
was
considered as statistically significant. Odds ratio was also used to
determine the strength of association between independent variables and
the birth outcomes.
Results: The magnitude of adverse birth outcome among the
study participants were 96(22.6%). Out of 425 births 37(8.7%) were
preterm
birth, 49(11.5) were low birth weight and 41(9.6%) were still birth.
Induced onset of labor (AOR=3.09, (95%) CI: 1.501-6.346), hypertensive
disorders of pregnancy (AOR=6.368, (95%) CI: 2.880-14.080), ante partum
hemorrhage (AOR=3.087, (95%) CI: 1.172-8.132), previous bad
obstetric history (AOR=2.290, (95%) CI 1.165-4.503) and multiple
pregnancies (AOR=7.230, CI: 2.973-17.580) were significantly associated
with adverse birth outcomes.
Conclusion: the magnitude of adverse birth outcome among the
study participants was higher than the WHO estimation. Induced onset of
labor, hypertensive disorders of pregnancy, ante partum hemorrhage,
previous bad obstetric history and multiple pregnancies were the major
predictors of adverse birth outcomes and improving of maternal health
care service requires strict attention.
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