Factors Associated with Born Before Arrival and Birth Outcome among Postnatal Women Attending Irchagadera Hospital, Garissa County, Kenya

Wanyoike, Peter Kamau; Mutua, Felix Mwendwa

doi:10.23937/2643-4512/1710051

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…Several factors, including transport issues and precipitous labour, could have led to women giving birth before arrival at a health facility, but preference for home deliveries reportedly also increased, particularly among refugee women. 20,21 Nationally, the teenage in-facility deliveries rate increased during the pandemic, although overall teenage pregnancy rates are difficult to calculate because of inaccurate reporting of pregnancies ending in miscarriages or terminations. Pandemic-related school closures and disruption of access to family-planning services, together with previously identified predictors of teenage pregnancies such as lack of parental support and economic challenges, possibly put teenagers in Tshwane District at compounded risk of unplanned pregnancies.…”

Section: Discussionmentioning

confidence: 99%

Effect of the COVID-19 pandemic on women’s, maternal and child health services in Tshwane District, South Africa

Kruger,

Letebele-Hartell,

Tshukudu

et al. 2023

South African Health Review

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Background The COVID-19 pandemic severely impacted healthcare service delivery globally. The aim of this study was to assess effects of the COVID-19 pandemic on the uptake of routine healthcare services related to maternal, newborn, child, and women’s health (MNCWH) in Tshwane District, an urban locality in Gauteng Province, South Africa. Methods As part of the observational Tshwane Maternal-Child COVID-19 study, routine data sources, including the District Health Information System and other district-based datasets, were studied from April 2019 to March 2022, to describe the impact of the first four COVID-19 waves in Tshwane District. The year pre-pandemic was used as a baseline. Data included MNCWH data elements/indicators, child health data elements/indicators, and COVID-19 surveillance data. Data analysis included descriptive statistics, together with visual analysis of trends over time. Statistical investigation included testing of differences between data from the pre-pandemic year (as baseline) and data from the following two pandemic years (2020/2021 and 2021/2022), as per the National Department of Health’s financial years (from April to March of the following year). Results Multiple MNCWH health elements/indicators showed major decreases during the COVID-19 pandemic period, with preventive services rendered at primary healthcare and community level more severely affected than facility-based clinical services. The most significant decreases were recorded during the first pandemic year, most notably during the first strict lockdown period, with partial or complete recovery in the second pandemic year, while selected indicators saw large impacts during the actual COVID-19 waves. Conclusions The COVID-19 pandemic severely impacted the ability of women and children to access healthcare services in this large urban district in South Africa. Health system strengthening measures and adequate planning for future emergency situations are crucial to mitigate the negative impact on maternal and child health, as South Africa strives to move towards reaching its Sustainable Development Goals.

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Section: Discussionmentioning

confidence: 99%

Effect of the COVID-19 pandemic on women’s, maternal and child health services in Tshwane District, South Africa

Kruger,

Letebele-Hartell,

Tshukudu

et al. 2023

South African Health Review

View full text Add to dashboard Cite

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Prevalence of birth before arrival and associated factors among postpartum women in southern Ethiopia: a community-based cross-sectional study

Amanuel,

Desalegn,

Lukas

et al. 2024

Front. Med.

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BackgroundBirth before arrival (BBA) constitutes a high-risk newborn population with high perinatal morbidity and mortality. In Ethiopia, most studies and health surveys consider only home and hospital deliveries but do not consider deliveries that take place between the house and health facility. The aim of this study was to assess the prevalence of BBA and its associated factors among postpartum women in Lemo woreda, Hadiya Zone, SNNPR, Ethiopia, 2023.MethodsA community-based cross-sectional study was conducted among postpartum women in Lemo woreda, Hadiya Zone, SNNPR, Ethiopia, from April 5 to May 20, 2023. Three hundred eighty-two postpartum women who gave birth 6 months prior to this study were included. Twelve out of 36 kebeles were selected randomly, and simple random sampling was employed for the selection of participant women. An interviewer-administered questionnaire was used for data collection. A binary logistic regression analysis was computed, and variables with a p value of <0.25 were included in the final multivariable logistic regression analysis. Model fitness was checked via the Hosmer–Lemeshow goodness-of-fit test (x2 = 16.04, p value = 0.250). Statistical significance was declared via odds ratios and 95% confidence intervals at a p value <0.05.ResultsThe prevalence of BBA among women who gave birth in the last 6 months preceding this study in the study area was 15.2% (95% CI: 11.8, 19.1%). In the multivariable analysis, the variables associated with birth before arrival in the final model were having no antenatal care (AOR = 2.63; 95% CI: 1.23, 5.63), having a female autonomy status (AOR = 3.32; 95% CI: 1.12, 9.89), not being knowledgeable about labor symptoms (AOR = 2.15; 95% CI: 1.11, 4.18), and having birth preparedness toward the index birth (AOR = 0.13; 95% CI: 0.05, 0.35).ConclusionThe prevalence of BBA in the study area was unacceptably high. A statistically significant association was observed between birth before arrival and having no antenatal care, dependent women’s autonomy status, being not knowledgeable about labor symptoms, and having birth preparedness toward the index birth.

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Factors Associated with Born Before Arrival and Birth Outcome among Postnatal Women Attending Irchagadera Hospital, Garissa County, Kenya

Cited by 2 publications

References 12 publications

Effect of the COVID-19 pandemic on women’s, maternal and child health services in Tshwane District, South Africa

Effect of the COVID-19 pandemic on women’s, maternal and child health services in Tshwane District, South Africa

Prevalence of birth before arrival and associated factors among postpartum women in southern Ethiopia: a community-based cross-sectional study

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