Prevalence of preterm birth and associated factors among mothers who gave birth in public hospitals of east Gojjam zone, Ethiopia

Ayele, Tafere Birlie; Moyehodie, Yikeber Abebaw

doi:10.1186/s12884-023-05517-5

Cited by 9 publications

(5 citation statements)

References 49 publications

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“…The lowest neonatal disorders occur in Harari region secondary to small number of people in the region. In similar way, sub nationally, in Amhara region and in Gojjam Zone of Ethiopia, 11.41% and 13.2% of preterm prevalence was reported respectively [29,31].…”

Section: Discussionsupporting

confidence: 60%

Burden and Health Loss Due to Neonatal Disorders in Ethiopia, 2019

Abate,

NA,

et al. 2023

Preprint

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Background: Despite tremendous efforts to reduce neonatal mortality worldwide and in 24 Ethiopia, there is the country is one of the countries with highest neonatal morbidity and health 25 losses. Never the less, the past three decades’ national trend and subnational distribution of 26 neonatal morbidity and mortality and its health loss in Ethiopia, was not well documented. 27 Hence, this study had aimed to analyze the trend and distributions as well as health losses 28 resulting from neonatal morbidity in the past three decades in Ethiopia, 2019. 29 Objective: To assess the national trend and sub national distributions of neonatal morbidity and 30 neonatal mortality in the previous three decades by using Global Burden of Diseases, 2019 data. 31 Methods: The data sources were primary and secondary data related to risk factors, morbidity, 32 disability, deaths, Disability Adjusted Life Years, Years Lived with Disability and Years Life Lost 33 were collected form case studies and case series, household surveys, socio-demographic surveys 34 and surveillances, health facilities surveys, Health facility observations and interviews and 35 published and unpublished literatures. The prevalence, deaths and health losses were calculated 36 by using embedded model. The study period covered from 1990 to 2019. Results were presented 37 buy using texts, tables and graphs. 38 Results: Seventy percent of neonatal disorders had occurred among early neonates aged 0 to 6 39 days. Between 1990 and 2019, the national prevalence of neonatal disorders had increased by 40 47% in to 28,319 (95% UI, 25646-30,361). Bet Similarly, the highest number of neonatal deaths 41 caused by neonatal sepsis had shifted from Southern Nations Nationalities and Peoples region to 42 Oromia region while Harari remains to bear the lowest burden in the last three decades. The 43 highest and the lowest YLL as a result of neonatal disorders had occurred in Oromia 44 [(2,753,038,95% UI, 2,184,142-3,497-926) and Amhara 1,360,847 [(95% UI, 95% UI, 45 1,062,660-1,762,028)] regions respectively. Unlike other regions, Addis Ababa had the highest 46 (52%) prevalence of preterm birth in 2019 47 Conclusion and Recommendation: About seven in ten of neonatal death had occurred among 48 early neonates indicating narrowed occurrence of the event. The highest and the lowest number 49 of neonatal death and health loss had occurred in Oromia and Harari regions respectively. The 50 main causes of death were neonatal sepsis and other infections, neonatal preterm, hemolytic 51 disease and other jaundice and neonatal encephalopathy and trauma. Hence, Contextualized, 52 locally accepted innovative early neonatal care is crucial to avert the event.

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Section: Discussionsupporting

confidence: 60%

Burden and Health Loss Due to Neonatal Disorders in Ethiopia, 2019

Abate,

NA,

et al. 2023

Preprint

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“…However, this prevalence can vary widely, with some regions experiencing higher rates than the global average. Understanding these variations is essential for targeting interventions and resources to areas with the greatest need and reducing the overall burden of preterm birth on maternal and child health [ 17 ].…”

Section: Reviewmentioning

confidence: 99%

Unraveling the Role of Maternal Serum Ferritin Levels in Preterm Delivery: A Comprehensive Review

Dande,

Pajai,

Gupta

et al. 2024

Cureus

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Preterm delivery remains a critical global health concern, with numerous adverse consequences for both neonate and healthcare systems. Understanding the relationship between maternal ferritin levels, as a marker of iron status, and the risk of preterm birth is the focal point of this comprehensive review. We provide insights into the multifaceted nature of this connection, highlighting factors that influence maternal ferritin levels, including dietary intake, genetic and physiological variations, comorbidities, and iron supplementation. While evidence suggests an association between low maternal ferritin levels and preterm birth, causality remains elusive, necessitating further research with robust study designs. The potential mechanisms linking maternal iron status to preterm birth, such as inflammation, infection, and oxidative stress, are explored, underscoring the need for in-depth investigations. This comprehensive review emphasizes the clinical importance of assessing and monitoring maternal ferritin levels in prenatal care and advocates for public health initiatives to raise awareness and provide targeted interventions, particularly in high-risk populations. As we strive to address these unanswered questions and embark on innovative research directions, the aim is to ultimately enhance our understanding of the complex relationship between maternal iron status and preterm birth, leading to improved maternal and child health outcomes.

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“…Premature birth, defined as birth before 37 weeks of gestation, is a significant public health concern globally [1]. It poses significant health risks for both mothers and infants, including longterm health complications and increased healthcare costs [2]. Despite advancements in prenatal care, premature birth rates remain high, and socioeconomic disparities exacerbate these risks [3].…”

Section: Introductionmentioning

confidence: 99%

Internet-Based Interventions for Preventing Premature Birth in Preconceptional Women of Childbearing Age: A Systematic Review (Preprint)

Kim,

Jung,

Park

et al. 2024

Preprint

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BACKGROUND Preconception health is essential for preventing premature birth, yet engagement in preconception care remains low. Despite the development of several internet-based interventions post-COVID-19, a thorough evaluation of their effectiveness in enhancing preconception care and preventing premature births is necessary. OBJECTIVE This systematic review aims to assess the study designs and evaluate the effectiveness of internet-based interventions in preventing premature birth among preconceptional women of childbearing age. METHODS We conducted a comprehensive search of MEDLINE, Embase, CINAHL, and Cochrane Library databases to identify randomized trials and quasi-experimental studies on internet-based interventions for preventing premature birth. The search was global and included studies published up to December 2023, without language or geographic restrictions. Two authors independently assessed the risk of bias using the revised Cochrane RoB tool (RoB 2), adhering to PRISMA guidelines. A meta-analysis was not conducted due to heterogeneity in populations, measurements, and interventions. RESULTS Eleven articles were included, with varying study approaches. The overall risk of bias was high in most studies. Interventions improved knowledge of reproductive health but had no significant effect on self-efficacy related to preconception health promotion. While some behavioral changes to reduce preconception care risks were effectively promoted, impacts on folic acid use, contraception initiation, and dual method use were inconsistent. Furthermore, there were no significant reductions in sexually transmitted infections or unplanned pregnancies. CONCLUSIONS Internet-based interventions showed mixed effectiveness across different reproductive health outcomes, with general ineffectiveness in improving reproductive health status. The results, derived from a limited number of studies with a high risk of bias, suggest a need for caution in their application. Future research, including robust clinical trials, is vital to develop, evaluate, and disseminate effective and safe internet-based interventions for preconception care. CLINICALTRIAL PROSPERO CRD42021277024; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021277024

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Prevalence of preterm birth and associated factors among mothers who gave birth in public hospitals of east Gojjam zone, Ethiopia

Cited by 9 publications

References 49 publications

Burden and Health Loss Due to Neonatal Disorders in Ethiopia, 2019

Burden and Health Loss Due to Neonatal Disorders in Ethiopia, 2019

Unraveling the Role of Maternal Serum Ferritin Levels in Preterm Delivery: A Comprehensive Review

Internet-Based Interventions for Preventing Premature Birth in Preconceptional Women of Childbearing Age: A Systematic Review (Preprint)

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