Adverse Pregnancy Outcomes : Prevalence in the North of Jordan

Abstract

Objective: The aim of the study was to estimate the prevalence of the adverse pregnancy outcomes among Jordanian women. Methods: A cross sectional study was carried out in five major hospitals in the north of Jordan. Women who gave birth in the five Hospitals during the period from April to June 2007 were included in the study. Data were collected within 24 hours of delivery; the mother answered a pilot tested structured questionnaire administered by trained personnel on the maternity ward through face to face interview, which lasted for 10 to 15 minutes. Result: This study included a total of 3,269 women. More than half of them (57%) were living in urban areas, and 41.3% had an education of higher than high school. Only 1% gave birth to a very low birth weight baby and 10.9% gave birth to a moderately low birth weight baby. The prevalence of low birth weight baby was the highest for women aged above 40 years. Only 1.4% gave stillbirth with the rate being the lowest for those aged between 20 and 34 years. Prevalence of giving birth with any congenital anomaly was more evident for the oldest age group where about 40% of cases occurred among women aged above 40 years. Conclusions: Adverse pregnancy outcomes including preterm delivery, low birth weight delivery, congenital anomalies, and stillbirth are common among Jordanian women compared with those in developed countries. Older women (age > 40) are at high risk of such adverse pregnancy outcomes.

The incidence, risk factors, and mortality of preterm neonates: A prospective study from Jordan (2012-2013)

“…The incidence rate of preterm birth noted in this study was also lower than that reported in earlier studies in Jordan ( 7 , 9 , 10 ) . The proportion of preterm births, as reported by single-setting studies conducted in Jordan, ranged between 10.7% ( 7 ) and 12.8% ( 10 ) out of the total births in each setting, and the highest mortality in the neonatal intensive care unit was among preterm and low-birth-weight admissions ( 12 ) .…”

“…The relatively lower incidence rate in this study may be due to the larger number of participants aged 20-35 years and educated participants. Evidence from previous studies indicated that young (<20 years) and advanced (≥40 years) maternal ages are strong risk factors of preterm births ( 9 , 21 , 22 ) . Similarly, increased risks of mothers having a preterm birth were associated with low or no education levels ( 21 ) .…”

“…Addressing the major risks associated with the incidence and the mortality of preterm neonates is a priority to reduce the global burden of preterm birth, along with identifying areas that are crucial to improve the health care systems across countries. Regarding risk factors, the limited research carried out in Jordan shows that the rate of preterm and low-birth-weight infants was highest for males and first-born neonates ( 10 ) among teenage women ( 8 , 13 ) and women aged 35 years or above ( 9 , 10 ), as well as for women in consanguineous marriages ( 11 ) . By adding relevant information from Jordan, this study has contributed evidence to international comparison tables, and to the national as well as the international picture about prematurity.…”

“…Despite a progressive decline in neonatal mortality rates between 1990 and 2013, the national neonatal mortality rate remains high, at 11 neonatal deaths per 1000 live births in 2013 ( 2 ) . However, evidence regarding the incidence, geographic distribution, associated factors, and mortality risks of preterm births in Jordan is limited; these are mostly deduced from single settings or confined to data from limited geographic areas ( 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 ) . This study is part of a larger nation-wide study, conducted in 2012 and 2013, to examine perinatal mortality in Jordan ( 15 ) .…”

Risk Factors associated with Fetal and Pregnancy Complications in Palestine

“…Dubai also reported PIH and GDM as the most identi ed complications [29]. Apart from that, PTL was the most commonly observed complication in a Jordan [30]. Results from the current study indicate that participants in our group depicted sort of similar complications that are prevalent in the region.…”