Birth outcomes among laboring mothers in selected health facilities of North Wollo Zone, Northeast Ethiopia: A facility based cross-sectional study

Abstract

<p style="text-align:justify;"> <span style="font-size:10pt;font-family:Verdana;">Background: </span><span style="font-size:10pt;font-family:Verdana;">Poor birth outcomes are common health problems everywhere in the world. Hence institutional delivery in Ethiopia is very low, improving birth outcomes through rece</span><span style="font-size:10.0pt;font-family:Arial;"><span style="font-family:Verdana;">nt evidence remained critical. The objective of the study was to det</span><span style="font-family:Verdana;">ermine the prevalence of poor birth outcomes and associated factors among women who delivered in selected health facil</span><span style="font-family:Verdana;">ities of North Wollo Zone. Methods: A facility based cross-sectional survey was conducted on 295 laboring mothers from May to June 2009. Interviewer administered questionnaire was used to collect the data. Patient’s chart was reviewed to retrieve medical information. Anthropometry of the neonate was taken by standard measurement tools. Data were analyzed using statistical package for social sciences (SPSS), version 15. Binary logistic regression analyses were used to identify predictors of poor birth outcomes. P-value ≤ 0.05 was considered statistically significant. Results: All the data resulted from 295 laboring mothers were made part of the analyses. A total of 266 (90.2%) laboring mothers gave live birth. A quarter, 68 (23.1%) of the laboring mothers had a poor birth outcome. The common adverse outcomes were intrauterine fetal death (IUFD, preterm, and birth defects with the proportion of 29 (42.6%), 22 (32.4%), and 3 (4.4%), respectively). Mother whose husband’s occupation was merchant (AOR = 4.4, 95% CI: 1.0-19.0), driver (AOR = 4.2, 95% CI: 1.12-15.76), & women who were illiterate (AOR = 4.0, </span></span><span style="font-size:10pt;font-family:Verdana;">95% CI: 1.2-13.5), primary school completed (AOR = 4.3, 95% CI: 1.3-13.8), non-antenatal care visited (AOR = 3.4, 95% CI: 1.12-10.2), rural residence, (AOR = 2.6, 95% CI: 1.11-5.80), & mother’s HIV status, (AOR = 34.2, 95% CL 5.6, 207.0) were independent predictors of poor birth outcomes. Conclusions: Poor birth outcomes were very common in the study area where low birth weight accounted for much of all adverse pregnancy outcomes. Occupation, residence, antenatal care visit, income, maternal education and HIV status were determinants of poor birth outcomes. Accessing antenatal care in early trimester, mild physical work, maternal education to secondary level and above should be encouraged.</span> </p

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

“…Regular ANC follow up will also help a pregnant woman seek early treatment for her potential pregnancy related problems but if failed to showed up for ANC, she will be disadvantaged. This finding is in agreement with study done in Wollo [6] and Gondar university hospital [7] where mothers who didn't attend ANC are more than 3 and 9 times at risk to develop adverse pregnancy outcomes respectively.…”

“…This is also similar with study done in Gondar university hospital which showed that Obstetric emergencies such as postpartum hemorrhage (PPH), antepartum hemorrhage, cord prolapse and cord presentation, uterine rupture are significantly associated with poor pregnancy outcomes [7].…”

“…This finding is supported by study done in Gondar university hospital which showed that, which showed that, mothers with multiple pregnancy are 2.26 times more at risk to give low birth weight baby and Stillbirth is significantly associated with preterm and low birth weight with AOR= 4.47 CI (1.39-14.32) and AOR = 18.21 CI (6.06 -55.34) respectively [7]. This might be, multiple fetuses growing in the uterus will share the same supply form the mother and are at risk to be low birth weight.…”

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“…Furthermore, mothers who had previous history of poor obstetric history were 2.3 times more likely to have adverse birth out comes than mothers who hadn't bad obstetric history. This Figure was similar with previous study findings in Tanzania [23], Iran [30], China [25], Gondar [32], and north wello zone [31]. This might be due to most poor obstetrics histories are recurrent.…”

“…This variation may be due to methodological difference that the previous studies were used prospective study but in this study the methodology used was card review, hence it may limit the type and number of adverse birth outcomes. The Figure were also lower than the study findings done in north wello zone [31], this variation is attributable to the previous study was community based study. It were also a little beat lower than the study done in Gondar which showed that the prevalence of adverse birth outcome was 23% with the proportion of 14.3%, 11.2% and 7.1% preterm birth, low birth weight and still birth respectively [32].…”