Журнал женского здоровья
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Prevalence and associated Factors of Adverse Birth Outcomes among Women Attended Maternity Ward at Negest Elene Mohammed Memorial General Hospital in Hosanna Town, SNNPR, Ethiopia

Abdo RA, Endalemaw TB and Tesso FY

Background: Throughout the world, approximately 210 million women become pregnant and over 135 million of them deliverr live born infants, while 75 million pregnancies end in stillbirth, preterm or spontaneous or induced abortion. Though there are studies on the various forms of adverse birth outcomes particularly in developing countries and few parts of Ethiopia there is limited data on the adverse birth outcomes at Negest Elene Mohammed memorial general hospital in Hosanna town Sothern Ethiopia.
Objective: The aim of the study was to assess the prevalence and associated factors of adverse birth outcomes among deliveries at Negest Elene Mohammed memorial general hospital in Hosanna Town, south west of Ethiopia. Methods: Facility based Cross sectional quantitative study was carried out from March 1 to May 2, 2015 at Negest Elene Mohammed memorial general hospital. A convenient sampling technique was used to select 327 study participants. Data was collected using a pre-tested structured interviewer administered questionnaire and measurements of weight of the new born were taken and client’s chart was reviewed to retrieve medical information. The data was entered into SPSS version 20.0 statistical software for windows for analysis, then, logistic regression analysis was carried out to identify independent predictors of adverse birth outcomes at CI of 95% and significance level of P-value<0.05.
Result: The study finding showed that 80 (24.5%) of women had adverse birth outcomes. The common adverse birth outcomes were still birth, preterm, and low birth weight with the proportion of 28 (8.6%), 28(8.6%), and 32 (9.8%), respectively). Being government employee [AOR=4.5,95%CI(1.25,15.9)], lack of antenatal care [AOR=3.2,95%CI(1.27,8.06)], rural residence [AOR=3.5,95%CI(1.57,7.93)], hemoglobin<11 mg/dl [AOR=2.5,95%CI(1.1,5.45)], malarial infection [AOR=8.6,95%CI(2.6,22.62)], age<20 years [AOR=4.9,95%CI(11.29,18.6)], pregnancy complications [AOR=6.3%CI(2.8,13.9)], were associated with adverse birth outcomes.
Conclusion: Occupation, residence, age, malarial infection, lack of antenatal care, hemoglobin level, and pregnancy complications were associated with adverse birth outcomes. Increasing antenatal care uptake, prevention and treatment of malarial infection, and anemia and improvements in quality of maternal health services require strict attention.