Inadequate Prenatal Visit and Home Delivery as Determinants of Perinatal Outcomes: Does Parity Matter?

Abstract

Background. Adverse perinatal outcomes are still high in developing countries. Contradicting evidences were reported about the effect of parity on adverse perinatal outcomes. The aim of this study was to compare perinatal outcomes in grand multiparous and low multiparity women in Hawassa University Comprehensive Specialized Hospital and Adare General Hospital of Ethiopia. Methods. Comparative cross-sectional study design was employed to include 461 mothers from February to June 2018. Data were collected by structured questionnaire using interview and from patient charts. Data were entered using EPI-DATA version 4.4.2.0. Descriptive statistics and logistic regression analyses were computed using STATA version 14 computer software. Results. Of all study participants, 24.9% (95% Confidence interval: 21.1%-29.1%) had at least one adverse perinatal outcome. Stillbirth (38.9), low Apgar score (51.9%), and congenital malformation (3.70%) were frequently occurred complications in grand multiparas compared to low multiparous women. Nevertheless, meconium aspiration, need for resuscitation, and macrosomia were higher in low multiparous women (9.84%, 14.75%, and 57.38%, respectively). Less than four prenatal visits (AOR: 1.74; 95% CI: 1.04, 2.92) and previous home delivery (AOR: 1.87; 95% CI: 1.04, 3.33) were independent predictors of adverse perinatal outcomes. However, parity did not show statistically significant difference in perinatal outcomes. Conclusion. This finding underscores the fact that frequency of antenatal care and place of delivery are significant predictors of perinatal outcomes. However, parity did not show statistically significant difference in perinatal outcomes. Women empowerment, promoting health facility delivery, and early, comprehensive antenatal care are needed.

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

“…Prematurity, low birth weight, stillbirth, and congenital malformations constitute some of the common adverse birth outcomes. 1 Globally, an estimated 2.6 million stillbirths occurred each year, one in every 16 seconds. Ninety-eight percent of these deaths occurred in low-and middle-income countries and 75% in Sub-Saharan Africa and Southern Asia.…”

“…This study also found a higher prevalence of stillbirth (38.9%), low APGAR score (51.9%), and low birth weight (40.7%) among grand multiparous women, while a higher risk of meconium aspiration (9.8%), need for resuscitation (14.7%), and macrosomia (57.4%) among low multiparous women. 1 Contradicting evidence across studies was reported about the impact of grand multiparity on adverse perinatal outcomes. In Tanzania, meconium-stained amniotic fluid and low APGAR (Appearance, Pulse, Grimace, Activity, and Respiration) scores were significant among neonates born to grand multiparous women.…”

“…16 Further in South Ethiopia, parity showed an insignificant difference in perinatal outcomes. 1 Hence, in the absence of clear and consistent evidence, classifying grand multiparous women as a highrisk group would raise the socioeconomic burdens to families and health systems as well as physical and psychological stress to the mother and her families.…”

The Experience of Healthy Pregnancy in High Parity Women: A Phenomenological Study in North Jordan

“…Unplanned pregnancy has been linked to a poor QOL, less antenatal care, and risky behaviors [ 29 ]. Less or inadequate antenatal care has been associated with adverse perinatal outcomes, such as stillbirth and congenital malformation [ 30 ]. Generally, antenatal care is a primary intervention that contributes in decreasing maternal morbidity and mortality [ 31 ].…”

Corrigendum to “Inadequate Prenatal Visit and Home Delivery as Determinants of Perinatal Outcomes: Does Parity Matter?”

“…In the article titled “Inadequate Prenatal Visit and Home Delivery as Determinants of Perinatal Outcomes: Does Parity Matter?” [1], Dr. Abel Gedefaw was missing from the authors' list. Dr. Abel Gedefaw contributed to the proposal development and the article's draft.…”