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The bayesian approach of factors associated with preterm birth among mothers delivered at public hospitals in Southeast Ethiopia

BACKGROUND: Preterm birth remains the commonest cause of neonatal mortality, and morbidity represents one of the principal targets of neonatal healthcare. Ethiopia is one of the countries which accounts for the highest burden of preterm birth. Therefore, this study aimed to assess factors associated...

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Autores principales: Negesse, Yilkal, Abebe, Gossa Fetene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9868289/
https://www.ncbi.nlm.nih.gov/pubmed/36699875
http://dx.doi.org/10.3389/fpubh.2022.881963
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author Negesse, Yilkal
Abebe, Gossa Fetene
author_facet Negesse, Yilkal
Abebe, Gossa Fetene
author_sort Negesse, Yilkal
collection PubMed
description BACKGROUND: Preterm birth remains the commonest cause of neonatal mortality, and morbidity represents one of the principal targets of neonatal healthcare. Ethiopia is one of the countries which accounts for the highest burden of preterm birth. Therefore, this study aimed to assess factors associated with preterm birth at public hospitals in Sidama regional state. METHODS: A facility-based cross-sectional study was conducted at public hospitals in Southeast Ethiopia from 1 June to 1 September 2020. To recruit the study participants, systematic random sampling techniques were used. Data were collected using pretested structured interviewer-administered questionnaire and a checklist via chart review. Data were entered using EpiData version 3.1 and exported to R software version 4.0 for analysis. Then, factors associated with preterm birth among mothers were assessed based on the Bayesian statistical approach. RESULTS: The study showed that the prevalence of preterm birth was 20.6%. Being a rural resident (AOR = 2; 95% CrI: 1.2–3.5), having no antenatal care service utilization (AOR = 2.3; 95% CrI: 1.1–4.8), hypertensive disorder of pregnancy (AOR = 3.5; 95% CrI: 1.8–6.9), birth space less than 2 years (AOR = 3.4; 95% CrI: 1.5–7.9), having premature rupture of membrane (AOR = 2.4; 95% CrI: 1.3–5.4), and physical intimate violence (AOR = 2.876; 95%CI: 1.534, 5.393) were risk factors of preterm birth. Whereas, women who had primary, secondary, and higher education levels (AOR = 0.2; 95% CrI: 0.1–0.4, AOR = 0.1; 95% CrI: 0.06–0.3, and AOR = 0.2; 95% CrI: 0.1–0.4), respectively, were preventive factors. CONCLUSION: Most of the risk factors of preterm birth were found to be modifiable. Community mobilization on physical violence during pregnancy and antenatal care follow-up are the ground for the prevention of preterm birth because attentive and critical antenatal care screening practices could early identify risk factors. In addition, information communication education about preterm birth prevention was recommended.
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spelling pubmed-98682892023-01-24 The bayesian approach of factors associated with preterm birth among mothers delivered at public hospitals in Southeast Ethiopia Negesse, Yilkal Abebe, Gossa Fetene Front Public Health Public Health BACKGROUND: Preterm birth remains the commonest cause of neonatal mortality, and morbidity represents one of the principal targets of neonatal healthcare. Ethiopia is one of the countries which accounts for the highest burden of preterm birth. Therefore, this study aimed to assess factors associated with preterm birth at public hospitals in Sidama regional state. METHODS: A facility-based cross-sectional study was conducted at public hospitals in Southeast Ethiopia from 1 June to 1 September 2020. To recruit the study participants, systematic random sampling techniques were used. Data were collected using pretested structured interviewer-administered questionnaire and a checklist via chart review. Data were entered using EpiData version 3.1 and exported to R software version 4.0 for analysis. Then, factors associated with preterm birth among mothers were assessed based on the Bayesian statistical approach. RESULTS: The study showed that the prevalence of preterm birth was 20.6%. Being a rural resident (AOR = 2; 95% CrI: 1.2–3.5), having no antenatal care service utilization (AOR = 2.3; 95% CrI: 1.1–4.8), hypertensive disorder of pregnancy (AOR = 3.5; 95% CrI: 1.8–6.9), birth space less than 2 years (AOR = 3.4; 95% CrI: 1.5–7.9), having premature rupture of membrane (AOR = 2.4; 95% CrI: 1.3–5.4), and physical intimate violence (AOR = 2.876; 95%CI: 1.534, 5.393) were risk factors of preterm birth. Whereas, women who had primary, secondary, and higher education levels (AOR = 0.2; 95% CrI: 0.1–0.4, AOR = 0.1; 95% CrI: 0.06–0.3, and AOR = 0.2; 95% CrI: 0.1–0.4), respectively, were preventive factors. CONCLUSION: Most of the risk factors of preterm birth were found to be modifiable. Community mobilization on physical violence during pregnancy and antenatal care follow-up are the ground for the prevention of preterm birth because attentive and critical antenatal care screening practices could early identify risk factors. In addition, information communication education about preterm birth prevention was recommended. Frontiers Media S.A. 2023-01-09 /pmc/articles/PMC9868289/ /pubmed/36699875 http://dx.doi.org/10.3389/fpubh.2022.881963 Text en Copyright © 2023 Negesse and Abebe. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Negesse, Yilkal
Abebe, Gossa Fetene
The bayesian approach of factors associated with preterm birth among mothers delivered at public hospitals in Southeast Ethiopia
title The bayesian approach of factors associated with preterm birth among mothers delivered at public hospitals in Southeast Ethiopia
title_full The bayesian approach of factors associated with preterm birth among mothers delivered at public hospitals in Southeast Ethiopia
title_fullStr The bayesian approach of factors associated with preterm birth among mothers delivered at public hospitals in Southeast Ethiopia
title_full_unstemmed The bayesian approach of factors associated with preterm birth among mothers delivered at public hospitals in Southeast Ethiopia
title_short The bayesian approach of factors associated with preterm birth among mothers delivered at public hospitals in Southeast Ethiopia
title_sort bayesian approach of factors associated with preterm birth among mothers delivered at public hospitals in southeast ethiopia
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9868289/
https://www.ncbi.nlm.nih.gov/pubmed/36699875
http://dx.doi.org/10.3389/fpubh.2022.881963
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