Magnitude and Determinants of Adverse Perinatal Outcomes in Tefera Hailu Memorial Hospital, Sekota Town, Northern Ethiopia

Abstract

Background Of 133 million births globally, 3.7 million died in the neonatal period and 3 million are stillborn. The perinatal mortality rate in Ethiopia is 46 per 1000 pregnancies. However, area-specific information is limited in this regard. Therefore, this study aimed to determine the magnitude and determinants of adverse perinatal outcomes in Northern Ethiopia. Method An institution-based cross-sectional study was conducted by reviewing the medical records of mothers who gave birth between September 2015 and August 2016. The completeness and consistency of data were checked. Descriptive statistics were computed. A multinomial logistic regression model was fitted to identify determinants of adverse perinatal outcomes. Odds ratio with 95%CI was used and variables that had a P-value of < 0.05 in the final model were considered statistically significant. Result The magnitude of adverse perinatal outcomes was 214/799(27.47 %). Out of that, 10.8% had a perinatal mortality outcome, and 16.7% had a perinatal morbidity. Not using modern contraceptives(AOR = 1.7, 95% CI: 1.1-2.7), labor induction or augmentation(AOR = 3.0, 95% CI: 1.2-7.8), obstetric complications(AOR = 2.2, 95% CI: 1.1-4.5), attending antenatal care(AOR = 0.4, 95% CI: 0.2-0.8), primigravida (AOR = 0.5, 95% CI: 0.3-0.9), had no history of medical illness(AOR = 0.5, 95% CI: 0.3-0.8), and urban residency(AOR = 1.9, 95% CI, 1.1-2.9) were the significant determinants of perinatal outcome. Conclusion The magnitude of adverse perinatal outcomes was considerable and 1 in 5 neonates either had morbidity conditions or died. Improving family planning utilization, ANC, referral linkage, and management of obstetric complications could help to reduce the undesirable consequences of perinatal outcomes.

Individual and community-level factors of perinatal mortality in the high mortality regions of Ethiopia: a multilevel mixed-effect analysis

“…The odd of perinatal mortality is higher among mother who has six parity compared to mothers who have one to three parity. The finding is in agreement with the study conducted in Sekota [ 15 ] and contrary to the study has done in Jimma [ 14 ]. This may be due to the reason that the repeated pregnancy in grand multipara mothers may lead to fetal nutritional deprivation which can cause either stillbirth or early neonatal death.…”

“…Whereas prior studies have linked maternal education status to perinatal mortality [ 17 , 18 ], our findings are similar to previous studies in Ethiopia [ 14 , 15 , 19 , 22 , 23 , 26 , 27 ] found no association between perinatal death and maternal education status. The possible justification might be due to the home-to-home service of health extension workers in Ethiopia to all mothers regardless of the educational status, such as the provision of health education, screening mothers with obstetrics complications, and early referring including newborns with complications.…”

“…Perinatal mortality is known to be associated with factors such as paritry [ 13 – 15 ], age of mother [ 13 , 16 ], maternal education [ 17 , 18 ], Attending antenatal care visits(ANC) [ 14 – 16 , 19 ], skilled birth attendant [ 14 ], previous history of perinatal mortality [ 14 , 16 , 20 ], low family income, birth interval [ 12 , 19 , 20 ], the total number of under 5 children [ 20 ], access to participation in decision making [ 20 ], conceived during teenage [ 21 ], and place of delivery [ 22 , 23 ] and residency [ 15 ], and access to clean water supply [ 1 ].…”

“…Even though Ethiopia has been working to decline perinatal mortality, by ensuring equity in health, maximizing the coverage of health facilities, and improving the quality care of maternal and child health, perinatal mortality is still very high in some regions of Ethiopia (Somali, Amhara, Harari, and Tigray) [ 24 ]. Previous studies [ 14 , 15 , 22 , 25 – 27 ] conducted in Ethiopia on perinatal mortality have tried to identify individual-level determinants of perinatal mortality in specific areas. However, they didn’t assess community-level factors that may influence perinatal mortality in high prevalence regions.…”

Perinatal Asphyxia and Its Associated Factors among Live Births in the Public Health Facilities of Bahir Dar City, Northwest Ethiopia, 2021

“…The protocol of oxytocin infusion is also different from facility to facility. Furthermore, most of the time uterotonics were administered after the labor was prolonged for a different reason and both factors increase the happening of birth asphyxia [ 49 ].…”