Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia
Identifieur interne : 002004 ( Main/Exploration ); précédent : 002003; suivant : 002005Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia
Auteurs : Akilew Awoke Adane [Éthiopie] ; Tadesse Awoke Ayele [Éthiopie] ; Leta Gedefaw Ararsa [Éthiopie] ; Bikes Destaw Bitew [Éthiopie] ; Berihun Megabiaw Zeleke [Éthiopie]Source :
- BMC Pregnancy and Childbirth [ 1471-2393 ] ; 2014.
Abstract
Adverse birth outcomes are major public health problems in developing countries. Data, though scarce in developing countries including Ethiopia, on adverse birth outcomes and the risk factors are important for planning maternal and child health care services. Hence, this study aimed to determine the prevalence and associated factors of adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia.
Institution based cross-sectional study was conducted in February 2013 at Gondar University Hospital. Data were collected by face-to-face interview of 490 women after verbal informed consent using a pretested and structured questionnaire. Gestational age was determined based on the last normal menstrual period. Birth weight was measured following standards. Multiple logistic regressions were fitted and odds ratios with their 95% confidence interval were computed to identify associated factors.
The mean age of women was 26.2 (±5.2 SD) years. HIV infection among laboring women was 4.8%. About 23% of women had adverse birth outcomes (14.3% preterm, 11.2% low birth weight and 7.1% still births). Women having history of either preterm delivery or small baby (AOR: 3.1, 95% CI 1.1- 8.4) were more likely to have preterm births. Similarly, history of delivering preterm or small baby (AOR: 8.4, 95% CI 2.4- 29.4), preterm birth (AOR: 5.5, 95% CI 2.6- 11.6) and hypertension (AOR: 5.8, 95% CI 1.8- 19.6) were associated factors with low birth weight. Ante partum haemorrhage (AOR: 8.43, 95% CI 1.28- 55.34), hypertension (AOR: 9.5, 95% CI 2.1-44.3), history of perinatal death (AOR: 13.9, 95% CI 3.3- 58.5) and lack of antenatal care follow up (AOR: 9.7, 95% CI 2.7 - 35.8) were significantly associated with still birth.
Prevalence of adverse birth outcomes (still birth, preterm birth and low birth weight) were high and still a major public health problem in the area. Histories of perinatal death, delivering preterm or small baby, ante partum hemorrhage, lack of ante natal care follow up and hypertension were associated factors with adverse birth outcomes. Thus, further enhancements of ante natal and maternal care and early screening for hypertension are recommended.
Url:
DOI: 10.1186/1471-2393-14-90
PubMed: 24576205
PubMed Central: 3996071
Affiliations:
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id="I1">Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar</wicri:regionArea><wicri:noRegion>Gondar</wicri:noRegion></affiliation></author><author><name sortKey="Ararsa, Leta Gedefaw" sort="Ararsa, Leta Gedefaw" uniqKey="Ararsa L" first="Leta Gedefaw" last="Ararsa">Leta Gedefaw Ararsa</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Gynecology & Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Gynecology & Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, 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Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar</wicri:regionArea><wicri:noRegion>Gondar</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24576205</idno><idno type="pmc">3996071</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996071</idno><idno type="RBID">PMC:3996071</idno><idno type="doi">10.1186/1471-2393-14-90</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001296</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001296</idno><idno type="wicri:Area/Pmc/Curation">001295</idno><idno type="wicri:explorRef" wicri:stream="Pmc" 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Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar</wicri:regionArea><wicri:noRegion>Gondar</wicri:noRegion></affiliation></author><author><name sortKey="Ayele, Tadesse Awoke" sort="Ayele, Tadesse Awoke" uniqKey="Ayele T" first="Tadesse Awoke" last="Ayele">Tadesse Awoke Ayele</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar</wicri:regionArea><wicri:noRegion>Gondar</wicri:noRegion></affiliation></author><author><name sortKey="Ararsa, Leta Gedefaw" sort="Ararsa, Leta Gedefaw" uniqKey="Ararsa L" first="Leta Gedefaw" last="Ararsa">Leta Gedefaw Ararsa</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Gynecology & Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Gynecology & Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar</wicri:regionArea><wicri:noRegion>Gondar</wicri:noRegion></affiliation></author><author><name sortKey="Bitew, Bikes Destaw" sort="Bitew, Bikes Destaw" uniqKey="Bitew B" first="Bikes Destaw" last="Bitew">Bikes Destaw Bitew</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar</wicri:regionArea><wicri:noRegion>Gondar</wicri:noRegion></affiliation></author><author><name sortKey="Zeleke, Berihun Megabiaw" sort="Zeleke, Berihun Megabiaw" uniqKey="Zeleke B" first="Berihun Megabiaw" last="Zeleke">Berihun Megabiaw Zeleke</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar</wicri:regionArea><wicri:noRegion>Gondar</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Pregnancy and Childbirth</title><idno type="eISSN">1471-2393</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Adverse birth outcomes are major public health problems in developing countries. Data, though scarce in developing countries including Ethiopia, on adverse birth outcomes and the risk factors are important for planning maternal and child health care services. Hence, this study aimed to determine the prevalence and associated factors of adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia.</p></sec><sec><title>Methods</title><p>Institution based cross-sectional study was conducted in February 2013 at Gondar University Hospital. Data were collected by face-to-face interview of 490 women after verbal informed consent using a pretested and structured questionnaire. Gestational age was determined based on the last normal menstrual period. Birth weight was measured following standards. Multiple logistic regressions were fitted and odds ratios with their 95% confidence interval were computed to identify associated factors.</p></sec><sec><title>Results</title><p>The mean age of women was 26.2 (±5.2 SD) years. HIV infection among laboring women was 4.8%. About 23% of women had adverse birth outcomes (14.3% preterm, 11.2% low birth weight and 7.1% still births). Women having history of either preterm delivery or small baby (AOR: 3.1, 95% CI 1.1- 8.4) were more likely to have preterm births. Similarly, history of delivering preterm or small baby (AOR: 8.4, 95% CI 2.4- 29.4), preterm birth (AOR: 5.5, 95% CI 2.6- 11.6) and hypertension (AOR: 5.8, 95% CI 1.8- 19.6) were associated factors with low birth weight. Ante partum haemorrhage (AOR: 8.43, 95% CI 1.28- 55.34), hypertension (AOR: 9.5, 95% CI 2.1-44.3), history of perinatal death (AOR: 13.9, 95% CI 3.3- 58.5) and lack of antenatal care follow up (AOR: 9.7, 95% CI 2.7 - 35.8) were significantly associated with still birth.</p></sec><sec><title>Conclusions</title><p>Prevalence of adverse birth outcomes (still birth, preterm birth and low birth weight) were high and still a major public health problem in the area. Histories of perinatal death, delivering preterm or small baby, ante partum hemorrhage, lack of ante natal care follow up and hypertension were associated factors with adverse birth outcomes. Thus, further enhancements of ante natal and maternal care and early screening for hypertension are recommended.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Althabe, F" uniqKey="Althabe F">F Althabe</name></author><author><name sortKey="Bhutta, Z" uniqKey="Bhutta Z">Z Bhutta</name></author><author><name sortKey="Blencowe, H" uniqKey="Blencowe H">H Blencowe</name></author><author><name sortKey="Chandra Mouli, V" uniqKey="Chandra Mouli V">V Chandra-Mouli</name></author><author><name sortKey="Chou, D" uniqKey="Chou D">D Chou</name></author><author><name sortKey="Costello, A" uniqKey="Costello A">A Costello</name></author><author><name sortKey="Cousens, S" uniqKey="Cousens S">S Cousens</name></author><author><name sortKey="Davidge, R" uniqKey="Davidge R">R Davidge</name></author><author><name sortKey="Johnson, Jg" uniqKey="Johnson J">JG 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Charlene</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Éthiopie</li></country></list><tree><country name="Éthiopie"><noRegion><name sortKey="Adane, Akilew Awoke" sort="Adane, Akilew Awoke" uniqKey="Adane A" first="Akilew Awoke" last="Adane">Akilew Awoke Adane</name></noRegion><name sortKey="Ararsa, Leta Gedefaw" sort="Ararsa, Leta Gedefaw" uniqKey="Ararsa L" first="Leta Gedefaw" last="Ararsa">Leta Gedefaw Ararsa</name><name sortKey="Ayele, Tadesse Awoke" sort="Ayele, Tadesse Awoke" uniqKey="Ayele T" first="Tadesse Awoke" last="Ayele">Tadesse Awoke Ayele</name><name sortKey="Bitew, Bikes Destaw" sort="Bitew, Bikes Destaw" uniqKey="Bitew B" first="Bikes Destaw" last="Bitew">Bikes Destaw Bitew</name><name sortKey="Zeleke, Berihun Megabiaw" sort="Zeleke, Berihun Megabiaw" uniqKey="Zeleke B" first="Berihun Megabiaw" last="Zeleke">Berihun Megabiaw Zeleke</name></country></tree></affiliations></record>Pour manipuler ce document sous 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