Abstract:
Introduction: Women older than 35 years are known to beat “advanced maternal
age" and considered to be at risk of adverse pregnancy outcome.Data, on adverse birth
outcomes and the risk factors are still scarce in developing countries including
Ethiopia, although they are critical for planning maternal and child health care
services.
Objectives:To compare the proportion of adverse pregnancy outcome at an advanced
and younger maternal age and identify its predictors amongwomen deliveringat public
health facilities of Shashemene Town,Ethiopia fromMarch to April 2016.
Method and Materials: Institution based comparative cross sectional study were
conducted from March to April, 2016.A consecutive sampling technique was employed
to select 306study participants. Datawere collected using pretested structured
questionnaires through face to face interview and checklist. Fourdata collectors BSc,
Midwife who work in maternity ward andtwo supervisors, BSc Midwife, were recruited.
The data were entered in to Epi-data version 3.1 and analyzed using SPSS version 20.0.
Logistic regression analyses were used to identify association of advanced maternal
age with adverse pregnancy outcomes.
Results:A total of 306 mothers were involved in this study with response rate of 100%.
Advanced maternal age(AOR=1.883,95%CI,(1.078, 3.288)),ANC
followup(AOR=3.902,95%CI(1.529,9.96)andmodeofcurrentdelivery(AOR=3.381,95%C
I(1.581, 7.234)Were factors associated to adverse pregnancy outcome.
Conclusion:Advanced maternal age, Antenatal follow upand mode of current delivery
were risk factor for adverse pregnancy outcome.
