Disparities in adverse pregnancy outcomes between Advanced and younger age women delivering at Health facilities of shashemene town, Ethiopia.

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.