Adverse birth outcomes and associated factors among mothers who delivered in Bale zone hospitals, Oromia Region, Southeast Ethiopia

Author:

Degno Sisay1ORCID,Lencha Bikila1ORCID,Aman Ramato1,Atlaw Daniel2ORCID,Mekonnen Ashenafi3ORCID,Woldeyohannes Demelash4,Tekalegn Yohannes4ORCID,Hailu Sintayehu4,Woldemichael Bedasa5ORCID,Nigussie Ashebir6

Affiliation:

1. Department of Public Health, School of Health Science, Shashemene Campus, Madda Walabu University, Shashemene, Ethiopia

2. Department of Anatomy, School of Medicine, Goba Referral Hospital, Madda Walabu University, Bale Goba, Ethiopia

3. Department of Midwifery, School of Health Science, Goba Referral Hospital, Madda Walabu University, Bale Goba, Ethiopia

4. Department of Public Health, School of Health Science, Goba Referral Hospital, Madda Walabu University, Bale Goba, Ethiopia

5. Department of Nursing, School of Health Science, Goba Referral Hospital, Madda Walabu University, Bale Goba, Ethiopia

6. Department of Anesthesia, School of Medicine, Negele Arsi General Hospital and Medical College, Shashemene, Ethiopia

Abstract

Objective Adverse birth outcomes, which include stillbirth, preterm birth, low birthweight, congenital abnormalities, and stillbirth, are the leading cause of neonatal and infant mortality worldwide. We assessed adverse birth outcomes and associated factors among mothers who gave birth in Bale zone hospitals, Oromia, Southeast Ethiopia. Methods We used systematic random sampling in this cross-sectional study. We identified factors associated with adverse birth outcomes using bivariate analysis and multivariable logistic regression analysis. Results The proportion of adverse birth outcomes among participants was 21%. Of 576 births, 70 (12.2%) were low birthweight, 49 (8.5%) were preterm birth, 45 (7.8%) were stillbirth, and 18 (3.1%) infants had congenital anomalies. Inadequate antenatal care (adjusted odds ratio [AOR] = 6.58, 95% confidence interval [CI] 3.25–13.32), multiple pregnancy (AOR  =  4.74, 95% CI 1.55–14.45), premature rupture of membranes in the current pregnancy (AOR = 2.31, 95% CI 1.26–4.21), hemoglobin level  < 11 g/dL (AOR = 3.22, 95% CI 1.85–5.58), and mid-upper arm circumference less than 23 cm (AOR = 5.93, 95% CI 3.49–10.08) were all significantly associated with adverse birth outcomes. Conclusions Approximately one in five study participants had adverse birth outcomes. Increasing antenatal care uptake, ferrous supplementation during pregnancy, and improving the quality of maternal health services are recommended.

Publisher

SAGE Publications

Subject

Biochemistry, medical,Cell Biology,Biochemistry,General Medicine

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