Prevalence of adverse birth outcome and associated factors among women who delivered in Hawassa town governmental health institutions, south Ethiopia, in 2017

Abstract

BackgroundMost pregnancies are unplanned in Ethiopia. This is due to ignorance of the types and efficacy of each method of contraception they are associated with vast and unpredictable complications. Most of the time, these complications result in adverse birth outcomes. Information about prevalence of adverse birth outcome and it’s factors are relevant for designing, and initiating and intervening programs to decrease these undesirable out comes.ObjectiveTo assess prevalence of adverse birth outcome and associated factors among women who delivered in Hawassa town governmental health institutions, south Ethiopia, in 2017.MethodWe conducted institutional based cross sectional study among 580 pregnant women from december1–30/2017, by multistage systematic random sampling method in governmental health institution in Hawassa town. Data were collected through structured pre-tested, close ended and interview administered questionnaire in their post-partum period. Collected data was entered in Epi-info version 7 and analyzed using SPSS. Odds ratio with 95% confidence interval on multivariable logistic regression was computed and P-value< 0.05 considered as significance.ResultFrom a total of 580 respondents 106(18.3%) respondent’s had child related adverse birth outcome. Previous History of child related adverse pregnancy outcome 4.2 (95%,CI = 2.5–6.9), Attend at list one antenatal care visit 2.3 (95%CI = 1.1–4.3), Own cat in the house 2.2 (95%,CI = 1.3–3.7), Had any chronic disease/s 2.1(95%,CI = 1.1–4.8), Age of the mother (from 35 to 45 Years) 2.3(95%,CI = 1.1–4.8), Poor participants’ Knowledge on preconception care 3 (95%CI = 1.4–1.6) were significant predictor of adverse birth outcome in this study .Conclusion and recommendationPrevalence of adverse birth outcome was found to be significant in the current study. Presence of Previous History of adverse pregnancy outcome, on ante-natal attendance, presence of cat in the house, presence of chronic disease/s, younger mother and Poor Knowledge of preconception care were significant predictor of adverse pregnancy outcome. Therefore it is better to give more attention on expanding preconception and antenatal care. Creating awareness about family planning methods type and efficacy for women of reproductive health is mandatory. Services, increasing health education on personal hygiene vaccination of cats. Moreover, early detecting and treatment of chronic disease.

Low Birth Weight and Adverse Perinatal Outcomes

“…In addition, findings also showed that those women who have at least one previous abortion were at greatest risk of giving LBW neonates as evidenced by a study done in Ethiopia [28], Denmark, and the USA [49,50] and a meta-analysis in Canada [17]. The report also in-line with the study by Bossley [51] showed that women who had an abortion in the first or second trimester had a 35% increased risk of a LBW baby and a 36% raised risk of a preterm baby in later pregnancies and Ethiopia [52] found that previous adverse pregnancy outcomes were associated with recent outcome. This can be explained by physical damage to the cervix caused by types of abortion, reduced tensile strength of the cervical plug, preterm birth subsequently causing LBW, and stress/depression for the previous occurrence of the event.…”

Adverse birth outcomes among women who gave births at Eastern Ethiopian Hospitals: a cross sectional study

“…In our nding women with a previous history of adverse birth outcomes were signi cantly associated with adverse birth outcomes. This is in line with the report from other studies from china, Tanzania and Ethiopia (16,17,21,22). This might be due to most bad obstetrics histories are recurrent and more likely to result in adverse birth outcome in subsequent pregnancies.…”

“…In this study the prevalence of preterm birth was 5%. This nding is consistent with that of Hawassa (3.6%) (16) and Butajira (6.4%)(18) but lower than that of Wollo (13.2%) (19) and Gondar (14.3%) (17). The difference may be due to variation in populations and study setting and quality of maternal healthcare service.…”

“…The ndings from the multiple logistic regression analysis revealed that hypertension, history of adverse birth outcomes, multiple pregnancy, and spontaneous vaginal delivery were signi cantly associated with adverse birth outcomes. This nding was almost found to be a universal fact and has been revealed in many studies (16,17,20).…”

Surviving mothers and lost babies – burden of stillbirths and neonatal deaths among women with maternal near miss in eastern Ethiopia: a prospective cohort study

“…The stillbirth rate of 284 per 1000 births is unacceptably high. This is almost twice as high as findings from a general population in public health facilities in southern Ethiopia (n=183) and more than ten times higher than the average stillbirth rate (25 to 31 per 1000 births) in the general population in low-income settings of southern Africa and Asia [29,30].…”