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

Abstract

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

Neonatal Near Miss and Its Associated Factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

“…24,25 This finding is also supported by studies from the Jimma University Specialized Hospital and the Dessie Referral Hospital, which showed that obstetric complications during current pregnancy and complications during labor and delivery were strongly associated with adverse birth outcomes (low birth weight, preterm birth, low APGAR score, and still birth). [26][27][28] Referral linkage was found to be significantly associated with NNM in this study, increasing the odds of NNM by three-times compared to mothers who were not referred. This result is in line with a study by the Jimma University Specialized Hospital, which revealed that referral of mothers with complications from other facilities for delivery service was high risk for adverse pregnancy outcomes when compared to mothers who were not referred.…”

“…This result is in line with a study by the Jimma University Specialized Hospital, which revealed that referral of mothers with complications from other facilities for delivery service was high risk for adverse pregnancy outcomes when compared to mothers who were not referred. 26 This finding might be due to the fact that referral cases were from mothers who faced obstetric complications and needed more timely and better interventions to avoid maternal and neonatal morbidity and mortality.…”

Neonatal Near Miss and its associated factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

“…Referral linkage was significantly associated with neonatal near miss. This result is in line with study in Jimma university specialised hospital , revealed that referral of mothers with complications from other facility for delivery service was high risk for adverse pregnancy outcomes than mothers who were not referred [22].This is might be due to the fact that referral cases were from mothers who faced obstetric complications and needs timely and better intervention to avoid maternal and neonatal morbidity and mortality.…”

“…This finding is supported, studies in Jimma university specialised hospital and Dessie referral hospital, shows that obstetric complication during current pregnancy and complication during labor and delivery were strongly associated with adverse birth outcomes(low birth weight ,preterm birth, low APGAR score and still birth) [22][23][24].…”

Factors associated with adverse pregnancy outcome in Debre Tabor town, Northwest Ethiopia: a case control study

“…Older maternal age was associated with a higher risk of adverse pregnancy outcome [ 15 ]. Women who had primary education or above were less likely to have had adverse pregnancy outcomes compared to those with no education [ 13 , 16 ].…”