The Prevalence and Associated Factors of Adverse Birth Outcomes among Deliveries at Negest Eleni Mohammed Memorial General Hospital in Hosanna Town, Hadiya Zone, SNNPR

Abstract

Background: Adverse birth outcomes are important risk factors for neonatal morbidity and infant mortality and are a major public health issue in developing countries. Adverse birth outcomes are also significant in determining growth and cognitive development and chronic diseases later in life. Objective: The aim of this study was to assess the prevalence and associated factors of adverse birth outcomes among deliveries at Negest Eleni Mohammed memorial general Hospital in Hosanna Town, Hadiya Zone, Southern Nations Nationalities and Peoples' Region. Method and materials: A Hospital based Cross sectional study was conducted from March 1 to May 2, 2015 at Negest Eleni Mohammed memorial general hospital. Systematic sampling technique was used to select 327 study participants. Data were collected from mothers using a pretested structured interviewer administered questionnaire. Measurements of maternal (mid upper arm circumference, height and weight) and weight of the new born and client’s chart were reviewed to retrieve medical information. 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 factors associated with adverse birth outcomes. Result: A total of 327 mothers were involved in this study with response rate of 97%. About 80(24.5%) of mothers had experienced adverse birth outcomes. Lack of antenatal care follow up (AOR=2.8, 95%CI (1.3, 6.1), hemoglobin level less than 10g/dl (AOR=2.5, 95%CI (1.3, 5.0), malaria during pregnancy (AOR=5.0, 95%CI (1.8, 13.8), pregnancy complication (AOR=5.8, 95%CI (2.9, 11.5) were factors associated with adverse birth outcome. Conclusions and recommendation: Prevalence of adverse birth outcomes was high in the study area. This study indicates that malaria during pregnancy, and lack of antenatal care follow up, hemoglobin level less than 10gm/dl, pregnancy complication were found to be associated with adverse birth outcomes. Prevalence of adverse birth outcome can be reduced by timely and effective treatment of malaria, comprehensive antenatal care and early detection and management of labor and pregnancy complication.