Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia

Adane, Akilew Awoke; Ayele, Tadesse Awoke; Ararsa, Leta Gedefaw; Bitew, Bikes Destaw; Zeleke, Berihun Megabiaw

doi:10.1186/1471-2393-14-90

Cited by 147 publications

(236 citation statements)

References 17 publications

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“…This is similar with study done in Tanzania which indicates that low hemoglobin level is associated with the occurrence of low birth weight [8]. This might be low Hb levels during pregnancy leads to intra-uterine oxygen inadequacy and reduced iron stores, causing infantile anemia before the age of six months.…”

Section: Controls N=258(%)supporting

confidence: 78%

Determinants of Adverse Pregnancy Outcomes among mothers who gave birth from Jan 1-Dec 31/2015 in Jimma University Specialized Hospital, Case control study, 2016

Yeshialem¹,

Alemnew²,

Abera³

et al. 2017

Med Clin Rev

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Background: Adverse pregnancy outcomes lead to serious health consequences to the mother and/or the baby. These Adverse birth outcomes; prematurity, low birth weight and still birth represent significant problems in both developing and developed countries. Adverse pregnancy outcomes are still major public health problems in developing countries including Ethiopia where most pregnancies are unplanned, complications are many and outcomes are generally Unfavorable for both mother and infant.Objective: To identify determinants of adverse pregnancy outcomes among deliveries takes place in Jimma University specialized hospital from January1 -December 31 / 2015. Methods:The study was a facility based unmatched casecontrol study design conducted by reviewing mothers and newborn cards and registration log book who delivered in Jimma university specialized hospital from January 1 / 2015 to December 31/2015, southwest Ethiopia. The study was done on randomly selected 86 cases and 258 controls using structured data collection checklist. Data analysis was done by SPSS version 20 and multiple logistic regression statistical methods were used to identify the predictors. Result:In this study 344 mothers and newborns cards were included yielding 100% response rate. From this 86 mothers and newborn cards were selected for case group and 258 mothers and newborn cards were selected for control group. Most of the cases 80.2% and controls 82.9% were between the age group of 20-34 years. Mothers who are referred for delivery service from other area are more than five times to have adverse pregnancy outcomes than mothers who are not referred, AOR=5.49 95% CI [2.80-10.76]. And mothers who had illness during

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Section: Controls N=258(%)supporting

confidence: 78%

Determinants of Adverse Pregnancy Outcomes among mothers who gave birth from Jan 1-Dec 31/2015 in Jimma University Specialized Hospital, Case control study, 2016

Yeshialem¹,

Alemnew²,

Abera³

et al. 2017

Med Clin Rev

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“…The overall prevalence of LBW in this study was 10 %. This is slightly lower than LBW estimates from Ethiopia (11.2 %) [47]. Similarly, this finding is far lower than reports from other Ethiopian studies [53, 54].…”

Section: Discussioncontrasting

confidence: 68%

Linear trends and seasonality of births and perinatal outcomes in Upper East Region, Ghana from 2010 to 2014

Osei

Agbemefle

Kye-Duodu

et al. 2016

BMC Pregnancy Childbirth

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BackgroundSeasonal variations greatly influence birth patterns differently from country to country. In Ghana, there is paucity of information on birth seasonal patterns. This retrospective study described the trends and seasonality of births and perinatal outcomes in Upper East Region of Ghana.MethodsBirths occurring in each month of the calendar years (2010–2014; inclusive) were extracted from the District Health Information Management System (DHIMS2) database of the Bolgatanga Municipal Health Directorate and exported into Microsoft Excel spread sheet and Epi Ifo for analysis. Analysis was carried out by calculating average number of births per month correcting for unequal month length using 30 days. A Chi-square test for trend was performed to check for statistical significance (p < 0.05) in trends and seasonality of birth and perinatal outcomes.ResultsThere were 24,171 health facility deliveries, of which 97.7 % were singleton deliveries and 2.3 % were multiple (two or three) deliveries. There was a consistent rise in the annual health facility deliveries controlled for the number of fertile women, from 4169 in 2010 to 5474 in 2014 (p < 0.0001). Monthly birth distribution displayed a periodic pattern with peaks in May, September and October and troughs during the months of January, February and July (p < 0.0001). Women were likely to give birth during the raining season than the dry season. Caesarean Section (CS) rate showed a steady rise over the years (124 per 1000 births in 2010 to 185 per 1000 births in 2014 (p < 0.0001) with overall rate of 14.6 %. Stillbirth (SB) rate, however decreased slightly over the years from 29 per 1000 births to 23 per 1000 births (p = 0.197) with overall SB rate of 2.6 %. Similarly, Low Birth Weight (LBW) declined from 77 per 1000 live births to 71 per 1000 live births from 2010 to 2014 (p < 0.0001). Seasonal (rainy and dry) distributions did not show a clear difference in birth frequencies.ConclusionHealth facility delivery was persistently high in the Bolgatanga Municipality with birth peaking in May, September and October. Despite the rising rate of caesarean section, stillbirth rate did not significantly improved over the years. A prospective study may reveal the reasons for the increasing caesarean section rate. Additionally, understanding the factors that affect the decreasing trends of low birth weight in the municipality is crucial to public health policy makers in Ghana.

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“…Other studies have also observed a decrease and even absence of adequate prenatal care as it adds laboratory and clinical tests (2,(19)(20)(21) , indicating that the recent public programs, national or state, Stork Network (22) and Paranaense Mother (23) , advocating increased vigilance during pregnancy, have not yet reached their goals, drawing attention to the need for implementation of the preestablished protocols and strict observation of needs and characteristics specific of the assisted population.…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies highlight proper prenatal care as a determining factor in preventing maternal and child morbimortality (1)(2)(3) , as it contributes to more favorable outcomes from the accomplishment of the basic procedures such as conducting clinical and laboratory tests and monitoring the pregnancy through regular visits that enable detection and timely treatment of risk factors that bring complications for the mother and child health.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with the quality of prenatal care: an approach to premature birth

Melo

Oliveira

Mathias

2015

Rev. esc. enferm. USP

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Objective:To assess the quality of prenatal care in mothers with premature and term births and identify maternal and gestational factors associated with inadequate prenatal care. Method: Cross-sectional study collecting data with the pregnant card, hospital records and interviews with mothers living in Maringa-PR. Data were collected from 576 mothers and their born alive infants who were attended in the public service from October 2013 to February 2014, using three different evaluation criteria. The association of prenatal care quality with prematurity was performed by univariate analysis and occurred only at Kessner criteria (CI=1.79;8.02). Results: The indicators that contributed most to the inadequacy of prenatal care were tests of hemoglobin, urine, and fetal presentation. After logistic regression analysis, maternal and gestational variables associated to inadequate prenatal care were combined prenatal (CI=2.93;11.09), nonwhite skin color (CI=1.11;2.51); unplanned pregnancy (CI=1.34;3.17) and multiparity (CI=1.17;4.03). Conclusion: Prenatal care must follow the minimum recommended protocols, more attention is required to black and brown women, multiparous and with unplanned pregnancies to prevent preterm birth and maternal and child morbimortality. Factors associated with the quality of prenatal care: an approach to premature birth Fatores associados à qualidade do pré-natal: uma abordagem ao nascimento prematuro Factores asociados con la calidad del prenatal: un abordaje al nacimiento prematuro DESCRIPTORS

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Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia

Cited by 147 publications

References 17 publications

Determinants of Adverse Pregnancy Outcomes among mothers who gave birth from Jan 1-Dec 31/2015 in Jimma University Specialized Hospital, Case control study, 2016

Determinants of Adverse Pregnancy Outcomes among mothers who gave birth from Jan 1-Dec 31/2015 in Jimma University Specialized Hospital, Case control study, 2016

Linear trends and seasonality of births and perinatal outcomes in Upper East Region, Ghana from 2010 to 2014

Factors associated with the quality of prenatal care: an approach to premature birth

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