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Determinants of adverse birth outcome in Tigrai region, North Ethiopia: Hospital-based case-control study

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: Hos...

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Autores principales: Hailemichael, Helen Tsehaye, Debelew, Gurmesa Tura, Alema, Haileselasie Berhane, Weldu, Meresa Gebremedhin, Misgina, Kebede Haile
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947822/
https://www.ncbi.nlm.nih.gov/pubmed/31914947
http://dx.doi.org/10.1186/s12887-019-1835-6
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author Hailemichael, Helen Tsehaye
Debelew, Gurmesa Tura
Alema, Haileselasie Berhane
Weldu, Meresa Gebremedhin
Misgina, Kebede Haile
author_facet Hailemichael, Helen Tsehaye
Debelew, Gurmesa Tura
Alema, Haileselasie Berhane
Weldu, Meresa Gebremedhin
Misgina, Kebede Haile
author_sort Hailemichael, Helen Tsehaye
collection PubMed
description 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; < 37 gestational weeks at birth, low birth weight; < 2.5 kg at birth, or still birth) were the cases while mothers without adverse birth outcome (live birth, birth weight ≥ 2.5 kg and of ≥37 gestational weeks at birth) were the controls. Data were collected by interview and reviewing medical records using structured questionnaire. The collected data were entered into database using EPI info version 3.5.1 then exported to SPSS version 21 for analysis. Finally, multivariate logistic regression was used to identify determinants of adverse birth outcomes at P value < 0.05. 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.
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spelling pubmed-69478222020-01-09 Determinants of adverse birth outcome in Tigrai region, North Ethiopia: Hospital-based case-control study Hailemichael, Helen Tsehaye Debelew, Gurmesa Tura Alema, Haileselasie Berhane Weldu, Meresa Gebremedhin Misgina, Kebede Haile BMC Pediatr Research Article 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; < 37 gestational weeks at birth, low birth weight; < 2.5 kg at birth, or still birth) were the cases while mothers without adverse birth outcome (live birth, birth weight ≥ 2.5 kg and of ≥37 gestational weeks at birth) were the controls. Data were collected by interview and reviewing medical records using structured questionnaire. The collected data were entered into database using EPI info version 3.5.1 then exported to SPSS version 21 for analysis. Finally, multivariate logistic regression was used to identify determinants of adverse birth outcomes at P value < 0.05. 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. BioMed Central 2020-01-08 /pmc/articles/PMC6947822/ /pubmed/31914947 http://dx.doi.org/10.1186/s12887-019-1835-6 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Hailemichael, Helen Tsehaye
Debelew, Gurmesa Tura
Alema, Haileselasie Berhane
Weldu, Meresa Gebremedhin
Misgina, Kebede Haile
Determinants of adverse birth outcome in Tigrai region, North Ethiopia: Hospital-based case-control study
title Determinants of adverse birth outcome in Tigrai region, North Ethiopia: Hospital-based case-control study
title_full Determinants of adverse birth outcome in Tigrai region, North Ethiopia: Hospital-based case-control study
title_fullStr Determinants of adverse birth outcome in Tigrai region, North Ethiopia: Hospital-based case-control study
title_full_unstemmed Determinants of adverse birth outcome in Tigrai region, North Ethiopia: Hospital-based case-control study
title_short Determinants of adverse birth outcome in Tigrai region, North Ethiopia: Hospital-based case-control study
title_sort determinants of adverse birth outcome in tigrai region, north ethiopia: hospital-based case-control study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947822/
https://www.ncbi.nlm.nih.gov/pubmed/31914947
http://dx.doi.org/10.1186/s12887-019-1835-6
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