Background: Birth weight is an important indicator of health status of an infant and is a principal factor that determines the infant‘s, physical, survival and mental growth. Though efforts made in reducing incidences of low birth weight worldwide, the problem of low birth weight remains global health problem, especially in sub-Saharan Africa, including Ethiopia. Objective: To determine prevalence of Low Birth Weight and associated factor, among the neonates born in Ataye primary hospital from June 1, 2017 GC- May 30, 2018 G.C. Methods: A facility based cross sectional study was carried out on birth weight distribution. Data was collected from delivery registration book of obstetrics department and Medical records of the mother by using structured data collection format. Bivariate and multivariate logistic regression analyses were employed. Adjusted odd ratio with 95% CI was calculated to see strength of association and P<0.05 was taken as level of statistical significance. Results: Total of 181 mothers Medical records and delivery registration book were reviewed. The magnitude of low birth weight among new born babies in Ataye primary Hospital was 6.1%. Lack of Ante natal care follow up (AOR = 1.6 (95% CI =1.776, 9.48)), Preterm birth (AOR = 0.79(95% +CI = 0.034-0.78)), female sex (AOR=1.1(0.004-0.297)) and Multiple gestation (AOR=1.65(95% CI 0.001-0.426)) were identified factors of low birth weight. Conclusion: Prevalence of low birth weight was lower than that of countrywide figure. Lack of Antenatal care follow up, preterm birth, sex of the neonate and multiple gestations were significantly associated with low birth weight.
Background: Non-reassuring fetal heart rate status (NRFHRS) is an abnormal fetal heart rate monitoring which necessitates immediate intervention. It is one of the common reducible causes of perinatal morbidity and mortality in developing countries. Despite there is limited data on the magnitude, associated factors and its outcomes in Ethiopia. Objective : To assess the magnitude, associated factors and immediate outcomes of non-reassuring fetal heart rate status among laboring mothers at South Gondar zone public hospitals, northwest Ethiopia 2022. Methods: An institutional-based cross-sectional study was conducted from June 1-30, 2022. A total of 586 laboring mothers were included. The participants were selected through systematic sampling method. Bivariable and multivariable logistic regression analysis were carried out. OR with 95% CI was used and statistical significant variables were declare if p < 0.05 in multivariable analysis. Result: The magnitude of NRFHRS was 21.16% (95%, CI: 17.9-24.7) with a response rate of 97.34%. Primigravida [AOR= 1.86, 95% CI: 1.03-3.37], anemia [AOR= 4.59, 95% CI: 1.87-11.30], referred [AOR= 1.95, 95% CI: 1.07-3.55], induction of labor [AOR= 3.78, 95% CI: 1.20-11.9], meconium stained amniotic fluid [AOR= 14.13, 95% CI: 7.53-26.50], prolonged rupture of membrane [AOR= 11.70), 95% CI: 5.40-25.34] and low birth weight [AOR=5.08, 95% CI: 2.20-11.74] were significantly associated with NRFHRS. 4.8% of fetus was still birth. Conclusion : In this study the magnitude of NRFHRS was high compared to studies in Africa. Being primigravida, anemic, referred, induction of labor, meconium-stained amniotic fluid, prolonged rupture of membrane and low birth weight were significantly associated with NRFHRS. Assigning adequate number of midwifes for good labor follow-up, properly counsel on nutrition and iron and folic acid and give due attention on labor follow-up would minimize NRFHRS.
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