Assessment of Magnitude and Associated Factors of Adverse Birth Outcomes among Deliveries at Suhul Hospital Shire, Tigray, Ethiopia From September, 2015 to February, 2016

Tesfay Adhena¹, Abera Haftu²* and Brhane Gebreegziabher²

Received: December 15, 2017;   Published: December 21, 2017

DOI: 10.26717/BJSTR.2017.01.000619

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Abstract

Introduction: Adverse birth outcomes such as prematurity, low birth weight and still birth represent significant problems in both developing and developed countries. Each year, about 15 million babies in the world, more than one in 10 births, are born too prematurely. More than one million of those babies die shortly after birth; countless others suffer from lifelong physical, neurological, or educational disabilities, often at great cost to families and societies.

Objectives: Assessment of magnitude and associated factors of neonatal adverse birth out comes among deliveries at Suhul Hospital, Shire, Tigray, Ethiopia from September, 2015 to February, 2016

Methodology: An institution based cross sectional study with retrieving of information from cards retrospectively was conducted at maternity ward of Suhul hospital from September, 2015 to February, 2016. Simple random sampling method was used. Data was analyzed using SPSS version 20. Logistic regression analyses were used to identify significant predictors of adverse birth outcomes. P-value ≤0.05 was considered as statistically significant. Odds ratio was also used to determine the strength of association between independent variables and the birth outcomes.

Results: The magnitude of adverse birth outcome among the study participants were 96(22.6%). Out of 425 births 37(8.7%) were preterm birth, 49(11.5) were low birth weight and 41(9.6%) were still birth. Induced onset of labor (AOR=3.09, (95%) CI: 1.501-6.346), hypertensive disorders of pregnancy (AOR=6.368, (95%) CI: 2.880-14.080), ante partum hemorrhage (AOR=3.087, (95%) CI: 1.172-8.132), previous bad obstetric history (AOR=2.290, (95%) CI 1.165-4.503) and multiple pregnancies (AOR=7.230, CI: 2.973-17.580) were significantly associated with adverse birth outcomes.

Conclusion: the magnitude of adverse birth outcome among the study participants was higher than the WHO estimation. Induced onset of labor, hypertensive disorders of pregnancy, ante partum hemorrhage, previous bad obstetric history and multiple pregnancies were the major predictors of adverse birth outcomes and improving of maternal health care service requires strict attention.

Keywords: Adverse birth outcome; Preterm birth; Still birth; Low birth weight

Abstract| Introduction| Conceptual Frame Work| Subjects and Methods| Result| Discussion| Conclusion| Acknowledgment| References|