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Determinants of Adverse Birth Outcomes in Public Hospitals of the Somali Region, Eastern Ethiopia: A Multicenter Unmatched Case-Control Study

BACKGROUND: Pregnancy outcomes that differ from normal live births are known as adverse pregnancy outcomes. Adverse pregnancy outcomes also have significant effects on the infant’s family and society. There is limited data on adverse outcomes in eastern Ethiopia, particularly in the Somali region. O...

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Autores principales: Roble, Abdurahman Kedir, Gundappa, Raghu, Sheik Abdirahman, Fahima, Abdi, Abdurehman Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460620/
https://www.ncbi.nlm.nih.gov/pubmed/37641685
http://dx.doi.org/10.1177/11795565231195253
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author Roble, Abdurahman Kedir
Gundappa, Raghu
Sheik Abdirahman, Fahima
Abdi, Abdurehman Mohamed
author_facet Roble, Abdurahman Kedir
Gundappa, Raghu
Sheik Abdirahman, Fahima
Abdi, Abdurehman Mohamed
author_sort Roble, Abdurahman Kedir
collection PubMed
description BACKGROUND: Pregnancy outcomes that differ from normal live births are known as adverse pregnancy outcomes. Adverse pregnancy outcomes also have significant effects on the infant’s family and society. There is limited data on adverse outcomes in eastern Ethiopia, particularly in the Somali region. OBJECTIVES: This study aimed to assess the determinants of adverse birth outcomes in the Somali Region Hospitals. DESIGN: A hospital-based unmatched case-control study was conducted to conduct this study. METHODS: A hospital-based unmatched case-control study was conducted between June and July 2021 in pregnant women who attended public hospitals in the Somali region. A total of 327 (109 cases and 218 controls) participants were included in this study. Women who gave birth with at least 1 adverse birth outcome were considered cases, and those who gave birth with normal birth outcomes were considered controls. Cases were recruited consecutively, and controls were selected using systematic sampling methods. Data was gathered using interviews, record reviews, using the pretested standard tools. The data were entered into EpiData version 3.1 and analyzed with SPSS version 22. Multivariable regression analysis with an adjusted odds ratio and a 95% confidence interval was used to identify the factors associated with adverse birth outcomes. Finally, P-values less than .05 were used to identify significantly associated predictors. RESULTS: In the current study, rural residency [AOR = 2.80; 95%CI:(1.61-4.87)] lack of ANC follow-up [AOR = 3.27; 95%CI: (1.77-6.02)], pregnancy-induced hypertension [AOR = 3.28; 95%CI: (1.74-6.17)] being anemic mothers [AOR = 3.51; 95%CI: (2.02-6.07)] and khat chewing [AOR = 4.54; 95%CI: (2.12-9.70)] were identified as determinants of adverse birth outcome. CONCLUSIONS: In the current study, rural residency, lack of ANC, being anemic in indexed pregnancies, pregnancy-induced hypertension, and khat chewing were determinants of adverse birth outcomes. Therefore, efforts should be made to enhance ANC follow-up, iron and folic acid supplementation, early treatments of pregnancy-induced hypertension, and information on the risk of chewing khat.
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spelling pubmed-104606202023-08-28 Determinants of Adverse Birth Outcomes in Public Hospitals of the Somali Region, Eastern Ethiopia: A Multicenter Unmatched Case-Control Study Roble, Abdurahman Kedir Gundappa, Raghu Sheik Abdirahman, Fahima Abdi, Abdurehman Mohamed Clin Med Insights Pediatr Original Research BACKGROUND: Pregnancy outcomes that differ from normal live births are known as adverse pregnancy outcomes. Adverse pregnancy outcomes also have significant effects on the infant’s family and society. There is limited data on adverse outcomes in eastern Ethiopia, particularly in the Somali region. OBJECTIVES: This study aimed to assess the determinants of adverse birth outcomes in the Somali Region Hospitals. DESIGN: A hospital-based unmatched case-control study was conducted to conduct this study. METHODS: A hospital-based unmatched case-control study was conducted between June and July 2021 in pregnant women who attended public hospitals in the Somali region. A total of 327 (109 cases and 218 controls) participants were included in this study. Women who gave birth with at least 1 adverse birth outcome were considered cases, and those who gave birth with normal birth outcomes were considered controls. Cases were recruited consecutively, and controls were selected using systematic sampling methods. Data was gathered using interviews, record reviews, using the pretested standard tools. The data were entered into EpiData version 3.1 and analyzed with SPSS version 22. Multivariable regression analysis with an adjusted odds ratio and a 95% confidence interval was used to identify the factors associated with adverse birth outcomes. Finally, P-values less than .05 were used to identify significantly associated predictors. RESULTS: In the current study, rural residency [AOR = 2.80; 95%CI:(1.61-4.87)] lack of ANC follow-up [AOR = 3.27; 95%CI: (1.77-6.02)], pregnancy-induced hypertension [AOR = 3.28; 95%CI: (1.74-6.17)] being anemic mothers [AOR = 3.51; 95%CI: (2.02-6.07)] and khat chewing [AOR = 4.54; 95%CI: (2.12-9.70)] were identified as determinants of adverse birth outcome. CONCLUSIONS: In the current study, rural residency, lack of ANC, being anemic in indexed pregnancies, pregnancy-induced hypertension, and khat chewing were determinants of adverse birth outcomes. Therefore, efforts should be made to enhance ANC follow-up, iron and folic acid supplementation, early treatments of pregnancy-induced hypertension, and information on the risk of chewing khat. SAGE Publications 2023-08-26 /pmc/articles/PMC10460620/ /pubmed/37641685 http://dx.doi.org/10.1177/11795565231195253 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Roble, Abdurahman Kedir
Gundappa, Raghu
Sheik Abdirahman, Fahima
Abdi, Abdurehman Mohamed
Determinants of Adverse Birth Outcomes in Public Hospitals of the Somali Region, Eastern Ethiopia: A Multicenter Unmatched Case-Control Study
title Determinants of Adverse Birth Outcomes in Public Hospitals of the Somali Region, Eastern Ethiopia: A Multicenter Unmatched Case-Control Study
title_full Determinants of Adverse Birth Outcomes in Public Hospitals of the Somali Region, Eastern Ethiopia: A Multicenter Unmatched Case-Control Study
title_fullStr Determinants of Adverse Birth Outcomes in Public Hospitals of the Somali Region, Eastern Ethiopia: A Multicenter Unmatched Case-Control Study
title_full_unstemmed Determinants of Adverse Birth Outcomes in Public Hospitals of the Somali Region, Eastern Ethiopia: A Multicenter Unmatched Case-Control Study
title_short Determinants of Adverse Birth Outcomes in Public Hospitals of the Somali Region, Eastern Ethiopia: A Multicenter Unmatched Case-Control Study
title_sort determinants of adverse birth outcomes in public hospitals of the somali region, eastern ethiopia: a multicenter unmatched case-control study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460620/
https://www.ncbi.nlm.nih.gov/pubmed/37641685
http://dx.doi.org/10.1177/11795565231195253
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