Adverse birth outcomes and associated factors among mothers who delivered in Bale zone hospitals, Oromia Region, Southeast Ethiopia

Abstract

Objective Adverse birth outcomes, which include stillbirth, preterm birth, low birthweight, congenital abnormalities, and stillbirth, are the leading cause of neonatal and infant mortality worldwide. We assessed adverse birth outcomes and associated factors among mothers who gave birth in Bale zone hospitals, Oromia, Southeast Ethiopia. Methods We used systematic random sampling in this cross-sectional study. We identified factors associated with adverse birth outcomes using bivariate analysis and multivariable logistic regression analysis. Results The proportion of adverse birth outcomes among participants was 21%. Of 576 births, 70 (12.2%) were low birthweight, 49 (8.5%) were preterm birth, 45 (7.8%) were stillbirth, and 18 (3.1%) infants had congenital anomalies. Inadequate antenatal care (adjusted odds ratio [AOR] = 6.58, 95% confidence interval [CI] 3.25–13.32), multiple pregnancy (AOR = 4.74, 95% CI 1.55–14.45), premature rupture of membranes in the current pregnancy (AOR = 2.31, 95% CI 1.26–4.21), hemoglobin level < 11 g/dL (AOR = 3.22, 95% CI 1.85–5.58), and mid-upper arm circumference less than 23 cm (AOR = 5.93, 95% CI 3.49–10.08) were all significantly associated with adverse birth outcomes. Conclusions Approximately one in five study participants had adverse birth outcomes. Increasing antenatal care uptake, ferrous supplementation during pregnancy, and improving the quality of maternal health services are recommended.

Adverse Perinatal Outcomes Among Grand Multiparous and Low Multiparous Women and Its Associated Factors in North Shewa Zone Public Hospitals: The Role of Parity

“…5 A systematic review and metaanalysis study in Sub-Saharan Africa reported a pooled prevalence of 29.7%. 6 Besides, the magnitude of perinatal complication was 18.2% in Butajira, 7 21% in Bale Zone, 8 and 18.3% in Hawassa town. 9 Further, in Southern Ethiopia, one-fourth (24.9%) of multiparous women had at least one adverse birth outcome.…”

Assessment of the adverse pregnancy outcomes and its associated factors among deliveries at Debre Berhan Comprehensive Specialized Hospital, Northeast Ethiopia

“…But, the current study, included more adverse events, i.e., obstructed labor, retained placenta, hypertension in pregnancy, low birth weight, stillbirth, macrosomia, malpresentation, and prematurity. In addition, the finding was higher than 24.5% in Hosanna town [11], 21% in Bale Zone [12], and 18.3% in Hawassa town [13]. The variation might be due to the differences in sample size and study setting.…”

“…Similarly, in Southern Ethiopia, 8.6% of birth outcomes were preterm birth, 9.8% were low birth weight and 8.6% were stillbirths [11]. Further, in Bale Zone, low birth weight (12.2%), preterm birth (8.5%), stillbirth (7.8%), and congenital anomaly (3.1%) were common adverse birth outcomes [12].…”

“…Similarly, in Zimbabwe, 15.61% of women experienced an adverse pregnancy outcome [10]. The magnitude of adverse birth outcomes was 24.5% in Hosanna town [11], 21% in Bale Zone [12], 18.3% in Hawassa town [13], and 32.5% in Dessie Referral Hospital [14]. In North Gondar, 28.5% of women reported some kind of obstetric complications.…”

“…Similarly, in Southern Ethiopia, hypertensive disorders of pregnancy, APH, PROM, and obstructed labor were the commonest adverse obstetric outcomes [16]. The most frequently identified adverse birth outcomes among newborns were low birth weight, prematurity, and stillbirth [11,12,14].…”