Abstract:
Back ground: The magnitude of perinatal mortality in Ethiopia was among the
highest in Sub Saharan Africa. Hence, achievement of reducing perinatal and
neonatal death is strongly influenced by the number of adverse birth outcomes.
Therefore identifying those problems is a priority area to give policy insight and
recommendations. The aim of the study was to determine the factors associated with
adverse birth outcome.
Methods: Unmatched case control study was conducted on 127 cases and 381
controls with a total of 518 samples by proportional allocation; from June 1-
30/2022. Data was collected through face to face interview and using data extraction
sheet from delivery, Voluntary Counseling and Testing and Neonatal Intensive Care
Unit registration book. Both cases and controls were selected by convenience as it is
homogeneous population Binary and Multivariable logistic regression analysis was
performed at significance level of p value ≤ 0.25 0.05 respectively. Findings: In
this study, 381 controls and 127 cases were involved with a response rate of
98.06%. In multivariable analysis, Multigravida [AOR=3.769, 95% CI (2.295,
6.188)], Residence [AOR=1.921, 95% CI (1.156, 3.190)], Female Genital
Mutilation [AOR=2.88, 95% CI (1.569, 5.285)], Being male baby
[AOR=3.935, 95% CI (2.388,6.483)], Presence of preexisting medical
condition [AOR=1.737, 95% CI (1.005,3.003)], Drinking alcohol
[AOR=2.28, 95% CI (1.175,4.426)], Not Attending Focused Ante natal Care
[AOR=1.963, 95% CI (1.190,3.238)] and Being delivered by Caesarean
Delivery [AOR=0.124, 95% CI (0.059,0.259)] were significantly associated
with adverse birth outcome.
Conclusion Rural residence, multigravida, being a male baby, female genital
mutilation, presence of preexisting medical condition, drinking alcohol, not
attending full ante natal care, and delivery by caesarean delivery were factors which
had associations with adverse birth outcomes. Therefore, providing appropriate
information on the above mentioned factors is very important
