Background: Postnatal care is a critical period for both mothers and newborns survival. But, post-natal care is yet neglected; little attention and an effort have been paid by health care providers and policy makers in developing countries. Post-natal care service utilization is still low and maternal mortality rate is high. However, studies on postnatal care service utilization and associated factors are lacking in the study setting. Therefore, the aim of this study is to assess postnatal care service utilization and associated factors among mothers who delivered in Shabe sombo woreda, Jimma zone, Oromiya region, South West Ethiopia, 2018. Methods: A community based cross-sectional study design was conducted in Shabe sombo woreda, Jimma zone. A total of 564 study participants were included in the study using simple random sampling technique. Data was collected from March 1-April 1, 2018. Data was entered into Epi data version 3.1 and exported into SPSS version 23.0 for analysis. Bivariate and multivariable logistic regression analysis was made in order to predict factors associated with postnatal care (PNC) service utilization. Result: The study revealed that the magnitude of PNC service utilizations is 58.5%. Multivariable logistic regression analysis showed that, mothers with younger age (adjusted odds ratio (AOR) = 2.243, (95% CI: 1.066, 4.721), having antenatal care visit (AOR = 9.36, 95% CI: 5.605, 15.618), experiencing obstetric complication during pregnancy (AOR = 2.3373, 95% CI: 1.095, 5.142), who had information about PNC (AOR = 9.946, 95% CI: 6.009, 16.460) and appointed for PNC follow-up (AOR = 2.114, 95% CI: 1.289, 3.466) were more likely to utilize postnatal care services. Conclusion: Though the finding showed that postnatal care service utilization was high when compared to other studies done in country, it was a lot behind from the national target of postnatal care service utilization in Ethiopia. The initiative of provision of information, education, counseling and communication both at the community and facility level should be strengthened.

Background: Around 303,000 women and adolescent girls pass on from pregnancy and childbirth-related complications in 2015 and 99% of these deaths occur in developing countries. That same year, 2.6 million babies were stillborn. Almost all of the maternal deaths (99%), child deaths (98%), Sixty percent of the stillbirths (1.46 million) occurred during the antepartum period and mainly due to untreated maternal infection, hypertension, and poor fetal growth and occurred in low-and middle-income countries. These maternal deaths could have been prevented if the pregnant women or adolescent girls had been able to access quality antenatal care. A high-risk pregnancy refers to anything that situates the mother, fetus, or neonate at increased risk for morbidity or mortality during pregnancy or childbirth, even during postpartum.Methods: Facility based cross-sectional study was conducted to determine the prevalence of high risk among pregnant women. Non-probability, Convenient sampling technique was used to collect the data by using structured, closed ended and pretested questionnaire and the data collection will be conducted by interviewing the study participants. Data was analyzed by using tally sheets and computer. The association between variables was analyzed using Chi-square test. The result was presented in tables and figures.Result: Out of 314 pregnant mothers with response rate of 100% 47 (15.0%) were < 19 years, 261 (83.12%) were 20-34 years and 6 (1.9%) were ≥ 35 years. While, 60 (19.1%) of the study participants were primigravida mothers and the rest were multigravida. In addition, 210 (66.9%) were at their first visit in first trimester, 77 (24.5%) were at second trimester, and 27 (8.6%) were at third trimester. Among all, the prevalence of high risk pregnancy was 83 (26.43%). The leading risk factor identified in the index pregnancies were HTN 40 (12.5%), anemia 15 (4.8%), 12 (3.8%) had DM, 9 (2.87%) had APH, 7 (2.2%) had malpresentation. Conclusion:From the total of study participant's hypertension, anemia, DM, APH and mal presentation founded as the major health problems. Expanding the utilization of antenatal care, early detection, problem identification and management for all pregnant women should be under taken.