Determinants of adverse birth outcome in Tigrai region, North Ethiopia: Hospital-based case-control study
| Autor: | Meresa Gebremedhin Weldu, Gurmesa Tura Debelew, Haileselasie Berhane Alema, Kebede Haile Misgina, Helen Tsehaye Hailemichael |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Multivariate analysis 030231 tropical medicine Logistic regression 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy Medicine Humans Adverse birth outcome 030212 general & internal medicine business.industry Obstetrics Medical record Case-control study lcsh:RJ1-570 Infant Newborn lcsh:Pediatrics Preterm birth Prenatal Care Infant Low Birth Weight medicine.disease Low birth weight Cross-Sectional Studies Family planning Case-Control Studies Pediatrics Perinatology and Child Health Still birth Premature Birth Female Ethiopia medicine.symptom business Live birth Research Article |
| Zdroj: | BMC Pediatrics BMC Pediatrics, Vol 20, Iss 1, Pp 1-9 (2020) |
| ISSN: | 1471-2431 |
| Popis: | Background Adverse birth outcome which attributes to most perinatal deaths is an important indicator of child health and survival. Hence, this study aims to identify determinants of adverse birth outcome among mothers who gave birth in public hospitals of Tigrai region, North Ethiopia. Methods Hospital based case-control study was conducted in Tigrai region, Ethiopia between December 2015 and January 2016 among 405 (135 cases and 270 controls) consecutively selected mothers who gave birth in four randomly selected public Hospitals. Mothers with adverse birth outcome (preterm birth; P value Result The mean age of cases and controls was 27.3 (SD = 6.6) and 26.14 (SD = 4.9) years, respectively. In a multivariate analysis; less than four antenatal care visits [AOR = 4.35, 95% CI: 1.15–13.50], not receiving dietary counseling [AOR = 11.24, 95% CI: 3.92–36.60], not using family planning methods [AOR = 4.06, 95% CI:1.35–17.34], less than 24 months inter pregnancy interval [AOR = 5.21, 95% CI: 1.89–13.86], and less than 11 g/dl hemoglobin level [AOR = 4.86, 95% CI: 1.83–14.01] were significantly associated with adverse birth outcomes. Conclusion and recommendation The number of antenatal care visits, ever use of family planning methods, not receiving dietary counseling during antenatal care follow up visits, short inter-pregnancy interval, and low hemoglobin level were identified as independent determinants of adverse birth outcome. A concerted effort should be taken improve family planning use, and antenatal care follow-up with special emphasis to maternal nutrition to prevent adverse birth outcomes. |
| Databáze: | OpenAIRE |
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