Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia
Identifieur interne : 002769 ( Ncbi/Merge ); précédent : 002768; suivant : 002770Adverse 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
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia</title>
<author><name sortKey="Adane, Akilew Awoke" sort="Adane, Akilew Awoke" uniqKey="Adane A" first="Akilew Awoke" last="Adane">Akilew Awoke Adane</name>
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<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>
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<wicri:regionArea>Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar</wicri:regionArea>
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<author><name sortKey="Ararsa, Leta Gedefaw" sort="Ararsa, Leta Gedefaw" uniqKey="Ararsa L" first="Leta Gedefaw" last="Ararsa">Leta Gedefaw Ararsa</name>
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<author><name sortKey="Zeleke, Berihun Megabiaw" sort="Zeleke, Berihun Megabiaw" uniqKey="Zeleke B" first="Berihun Megabiaw" last="Zeleke">Berihun Megabiaw Zeleke</name>
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<series><title level="j">BMC Pregnancy and Childbirth</title>
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<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>
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<pmc article-type="research-article" xml:lang="en"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Pregnancy Childbirth</journal-id>
<journal-id journal-id-type="iso-abbrev">BMC Pregnancy Childbirth</journal-id>
<journal-title-group><journal-title>BMC Pregnancy and Childbirth</journal-title>
</journal-title-group>
<issn pub-type="epub">1471-2393</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24576205</article-id>
<article-id pub-id-type="pmc">3996071</article-id>
<article-id pub-id-type="publisher-id">1471-2393-14-90</article-id>
<article-id pub-id-type="doi">10.1186/1471-2393-14-90</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Adane</surname>
<given-names>Akilew Awoke</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>akilew24@gmail.com</email>
</contrib>
<contrib contrib-type="author" id="A2"><name><surname>Ayele</surname>
<given-names>Tadesse Awoke</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>t_awoke@yahoo.com</email>
</contrib>
<contrib contrib-type="author" id="A3"><name><surname>Ararsa</surname>
<given-names>Leta Gedefaw</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>gedefal@yahoo.com</email>
</contrib>
<contrib contrib-type="author" id="A4"><name><surname>Bitew</surname>
<given-names>Bikes Destaw</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>bikesdestaw2004@gmail.com</email>
</contrib>
<contrib contrib-type="author" id="A5"><name><surname>Zeleke</surname>
<given-names>Berihun Megabiaw</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>beredomega@gmail.com</email>
</contrib>
</contrib-group>
<aff id="I1"><label>1</label>
Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</aff>
<aff id="I2"><label>2</label>
Department of Gynecology & Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</aff>
<aff id="I3"><label>3</label>
Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</aff>
<pub-date pub-type="collection"><year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>27</day>
<month>2</month>
<year>2014</year>
</pub-date>
<volume>14</volume>
<fpage>90</fpage>
<lpage>90</lpage>
<history><date date-type="received"><day>10</day>
<month>7</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>17</day>
<month>2</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2014 Adane et al.; licensee BioMed Central Ltd.</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>Adane et al.; licensee BioMed Central Ltd.</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.</license-p>
</license>
</permissions>
<self-uri xlink:href="http://www.biomedcentral.com/1471-2393/14/90"></self-uri>
<abstract><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>
</abstract>
<kwd-group><kwd>Low birth weight</kwd>
<kwd>Preterm birth</kwd>
<kwd>Still birth</kwd>
<kwd>Northwest Ethiopia</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Éthiopie</li>
</country>
</list>
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</country>
</tree>
</affiliations>
</record>
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