Outcomes among Mothers Who Gave Birth in the Health Facility: Does Birth Preparedness and Complication Readiness Have a Role?

Abstract

Background. Giving childbirth is a natural reward for human beings to replace themselves to exist in the world. Despite all the efforts made to improve maternal health, maternal morbidity and mortality continue during childbirth. Hence, this study aimed to determine the proportion of maternal birth outcomes and identify their predictors among mothers who gave birth in hospitals. Method. A hospital-based cross-sectional study was conducted from April 9 to June 7, 2016, among 384 postnatal mothers in Debre Tabor Hospital. Randomly selected mothers were interviewed by trained data collectors. Data were checked for completeness, entered using Epi Info version 7, and analyzed using STATA 14 software. A multivariate logistic regression model was used to control confounders and identify predictors of maternal birth outcomes. Statistical significance was declared by adjusted odds ratio with a 95% confidence interval and a p value ≤0.05. Result. About 77% (95% CI: 72.9, 81.3) of the mothers had good maternal birth outcomes. Antenatal care utilization (AOR: 2.60; 95% CI: 1.16, 5.83); BPCR practice (AOR: 2.10; 95% CI: 1.12, 3.96); self-preference of health institution (AOR: 2.34; 95% CI: 1.11, 4.50); and mode of delivery: caesarean (AOR: 0.46; 95% CI: 0.23, 0.87), assisted breech (AOR: 0.17; 95% CI: 0.04, 0.69), and instrumental (AOR: 0.27; 95% CI: 0.09, 0.79) were associated with good maternal birth outcome. Conclusion. In this study, the maternal birth outcome among postnatal mothers was good in more than three-fourth of the cases. Hence, encouraging mothers to utilize health-care services and counseling and supporting them on BPCR practice are recommended.

Poor feto maternal outcomes and associated factors among labouring mothers referred to Nekemte city public hospitals, East Wallaga Zone, Oromia, Ethiopia.

“…The sample size for the factors associated with poor fetal and maternal outcome was determined by EPI INFO 7 using double population proportion formula by considering independent factors signi cantly associated with the poor fetal outcome; Age group 35 and above, Rural residence, and independent Variables signi cantly associated with the maternal poor outcome; Partograph follow up and birth preparedness and complication readiness (57)(58)(59). Assuming the following assumptions: the power of the study (1 -β) to be 80, 95% con dence interval (95% CI), and the incidence among exposed to the incidence among unexposed is 1:1 and a 10% non-response rate(Table 1).…”

Magnitude of postpartum hemorrhage and its associated factors in Ethiopia: a systematic review and meta-analysis

“…The current systematic review and meta-analysis included 21 primary studies with a total of 93,898 study participants. Of the total of 21 studies; 7 studies were conducted in Amhara region [11,[36][37][38][39][40][41], 6 studies in South nation nationality and people (SNNP) region [30,[42][43][44][45][46], 2 studies in Oromia region [10,47], 2 studies in Addis Ababa City administration [29,48], 1 study in Tigray region [49], 1 study in Dire Dawa City administration [50], 1 study in Harar region [51] and 1 study was conducted national-wide [52] (Table 1). Only 4 studies were conducted in rural area, the rest 17 were conducted in urban area.…”

Magnitude of Postpartum Hemorrhage and Its Associated Factors in Ethiopia: Systematic Review and Meta-analysis.

“…The current systematic review and meta-analysis included 20 primary studies with a total of 93,600 study participants. Of the total of 20 studies; 7 studies were conducted in Amhara region [10,[31][32][33][34][35][36], 5 studies in SNNP region [26,[37][38][39][40], 2 studies in Oromia region [9,41], 2 studies in Addis Ababa city administration [25,42], 1 study in Tigray region [43], 1 study in Dire Dawa city administration [44], 1 study in Harar region [45] and 1 study was conducted national-wide [46] (Table 1).…”