Determinants of adverse birth outcome in Sub-Saharan Africa: analysis of recent demographic and health surveys

Tamirat, Koku Sisay; Sisay, Malede Mequanent; Tesema, Getayeneh Antehunegn; Tessema, Zemenu Tadesse

doi:10.1186/s12889-021-11113-z

Cited by 38 publications

(39 citation statements)

References 46 publications

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“…In the current study, nine hundred and forty-one (28.3%) mothers developed at least one pregnancy complication. This was comparable with findings in Nepal [7], Bangladesh (25%) PLOS ONE [23], and Sub-Saharan Africa [8], in which 27.8%, 25%, and 29.7% of women developed adverse pregnancy outcomes, respectively. A large survey in North Gondar also reported that 28.5% of women developed at least one obstetric complication [15].…”

Section: Discussionsupporting

confidence: 87%

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

et al. 2022

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Background Adverse pregnancy outcomes are the main causes of maternal and neonatal morbidity and mortality and long-term physical and psychological sequels in low- and middle-income countries, particularly in Africa and Asia. In Ethiopia, maternal mortality remained high despite the country’s maximum effort. This study aimed to assess adverse pregnancy outcomes and associated factors among deliveries at Debre Berhan Comprehensive Specialized Hospital, Northeast Ethiopia. Methods A retrospective cross-sectional study was done among deliveries at Debre Berhan Comprehensive Specialized Hospital from January 1, 2017, to December 31, 2018. The data was collected using a structured and pre-tested questionnaire by reviewing labor and delivery service log books and admission or discharge registration books. The data were entered into a Microsoft Excel spreadsheet and analyzed using SPSS version 25. Logistic regression analysis was computed to identify independent predictors of pregnancy complications. Result In this study, the magnitude of adverse pregnancy outcomes was 28.3%, 95% CI (25.7–30.9). The most frequently recorded obstetric complications were obstructed labor (7.4%), retained placenta (5.3%), and hypertensive disorders of pregnancy (2.4%). Whereas stillbirths (10%), malpresentation (3%), and prematurity (2.3%) frequently occurred fetal/neonatal complications. There were 29 maternal deaths and the possible causes of death were obstructed labor (51.7%), hemorrhage (44.7%), eclampsia (24.1%), and sepsis (6.9%). Home delivery (AOR (CI = 4.12 (2.30–7.15) and low birth weight (AOR (CI = 1.63 (1.36–1.96) were significant associates of adverse pregnancy outcomes. Conclusion The magnitude of adverse pregnancy outcomes was high. Obstructed labor, retained placenta, hypertension in pregnancy, malpresentation, prematurity, and stillbirth are the commonest adverse pregnancy outcomes. Place of delivery and birth weight were independent predictors of adverse pregnancy outcomes. Institutional delivery, early detection and management of complications, and adequate nutrition and weight gain during pregnancy should be encouraged to minimize the risk of adverse pregnancy outcomes.

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Section: Discussionsupporting

confidence: 87%

“…In Nepal, 27.8% of women had adverse obstetric symptoms during the intrapartum period [7]. The prevalence of adverse birth outcomes in Sub-Saharan Africa is 29.7% [8]. Onethird of reproductive-age women in Uganda reported at least one adverse pregnancy outcome [9].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2022

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“…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.…”

Section: Introductionmentioning

confidence: 94%

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

Tadese¹,

Tessema²,

Taye³

2021

IJGM

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Background: Adverse perinatal outcomes are the major cause of neonatal morbidity, mortality, and long-term physical and psychological consequences. Contradicting evidence across studies was reported about the impact of grand multiparity on adverse perinatal outcomes. Older literature reported increased incidence of perinatal complications in grand multiparas, but, recent reports failed to support this finding. In addition, there is a paucity of comparative studies on perinatal outcomes. Thus, the study aimed to compare the perinatal outcomes in grand multiparous (GM) and low multiparous (LM) women who give birth in North Shewa Zone Public Hospitals, Ethiopia, 2021. Methods: A comparative cross-sectional study was done among 540 (180 GM and 360 LM) women from January 1 to March 30, 2021. The data were collected using a structured and pre-tested questionnaire through interviews and reviewing patient charts. SPSS version 25 was used for data analysis. The data were entered using Epi-Data version 4.6. The Hosmer-Lemeshow goodness-of-fit was applied to test for model fitness. The statistical significance level was declared at a p-value of ≤0.05. Results: In this study, the prevalence of adverse perinatal outcomes was 14.1% (95% CI: 10.9-17.2). Stillbirth/IUFD (33.3%) and low APGAR score (60%) were frequently occurred complications in grand multiparas. Nevertheless, meconium aspiration (26%), admission to NICU (65.2%), macrosomia (61%), and prematurity (52.2%) were higher in low multiparous women. Age above 35 years (AOR (CI) = 2.61 (1.23-5.53)), rural residence (AOR (CI) = 8.31 (3.05-22.6)), being a government employee (AOR (CI) = 0.19 (0.05-0.69)), lack of antenatal care (AOR (CI) = 9.76 (3.03-31.5)), and previous pregnancy complications (AOR (CI) = 3.10 (1.63-5.90)) were significant predictors of adverse perinatal outcomes. However, parity did not show a statistically significant association with perinatal outcomes. Conclusion: Maternal age, residence, occupation, lack of antenatal care, and previous pregnancy complications were significant associates of perinatal outcome. There was no statistically significant difference in perinatal outcome between GM and LM women. Socioeconomic development, good antenatal care, and early identification and treatment of complications are needed regardless of parity.

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“…Adverse birth outcomes, including low birth weight, preterm birth and small for gestational age, are the leading causes of infant morbidity and mortality [1]. Worldwide, 75% of neonatal mortality and morbidity is due to adverse birth outcomes [2]. Prenatal depression and anxiety increase the risk of adverse birth outcomes, such as preterm birth, low birth weight and small for gestational age [3].…”

Section: Introductionmentioning

confidence: 99%

The Impacts of Prenatal Mental Health Issues on Birth Outcomes during the COVID-19 Pandemic: A Scoping Review

Zhao

Zuo

Campbell

et al. 2022

IJERPH

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Background: The severity of the COVID-19 pandemic is likely to exacerbate mental health problems during the prenatal period and increase the risk of adverse birth outcomes. This review assessed the published literature related to the impacts of prenatal mental health issues on birth outcomes during the COVID-19 pandemic. Methods: This scoping review was conducted using PROSPERO, Cochrane Library, OVID Medline, Ovid EMBASE, OVID PsycInfo, EBSCO CINAHL, and SCOPUS. The search was conducted using controlled vocabulary and keywords representing the concepts “COVID19”, “mental health” and “birth outcomes”. The main inclusion criteria were peer-reviewed published articles from late 2019 to the end of July 2021. Results and Discussion: After removing duplicates, 642 articles were identified, of which two full texts were included for analysis. Both articles highlighted that pregnant women have experienced increasing prenatal mental health issues during the COVID-19 pandemic and, further, increased the risk of developing adverse births. This scoping review highlighted that there is a lack of research on the impact of prenatal mental health issues on birth outcomes during the pandemic. Conclusion: Given the severity of the COVID-19 pandemic and the burdens of prenatal mental health issues and adverse birth outcomes, there is an urgent need to conduct further research.

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Determinants of adverse birth outcome in Sub-Saharan Africa: analysis of recent demographic and health surveys

Cited by 38 publications

References 46 publications

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

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

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

The Impacts of Prenatal Mental Health Issues on Birth Outcomes during the COVID-19 Pandemic: A Scoping Review

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