Maternal and perinatal outcome of mothers among admitted in maternal waiting homes in attat hospital southern, Ethiopia 2018g.c

Abstract

Introduction; Maternity waiting homes (MWHs) are temporary shelters for pregnant women located near to health institutions and endorsed as one component of a comprehensive package to reduce maternal morbidity. Maternal health is one of the major worldwide health challenges. In Ethiopia, access to comprehensive emergency obstetric care is limited. Objectives: The objective of the study was therefore to determine maternal and perinatal unfavorable outcomes among mothers admitted in to maternal waiting home in Attat hospital Method: A hospital-based cross-sectional prospective study was conduct from january1 2018 up to June 30/2018 mothers will admit and delivered in the study time in Attat hospital. Data was collected by using pre-tested structured interviewer administered questionnaire and reviewing medical records of mothers and their newborns. The data was entered and analyzed using SPSS version 20.Binary logistic regression analysis was used to test associations between the independent and dependent variable Variables with P-value<25% during bivariate analysis were included to multivariable logistic regression model. Finally, variables with P-value < 5% were expressed as factors associated with maternal and perinatal out came delivered from MWH at 95% confidence interval (CI) was considered as statistically significant. Results: During the study period a total of 2080 women gave birth in Attat primary hospital out of this156 from MWH which mean 7.5% of total delivery. Majorities 143 (91.7%) of the mothers were multipara and 139(89.1%) of new born were singleton birth. Majority of mother delivered by caesarean section 99 (63.5%). The unfavorable maternal and prenatal outcome counts 11(7.1%) and 20(12.8%) respectively. Grand multipara and above( AOR=7.83,95%CI:7.18,34.57),transvers lie (AOR=2.53, 95%CI:1.16,5.50), cesarean delivery ( AOR=0.056, 95%CI:0.003,0.979)and previse Cs (AOR=0.198, 95%CI:0.047,0.843) was found factor associated with maternal outcome. On the other hand, multiple gestation (AOR=0.001, 95%CI: 0.00, 0.16) and birth weight >2500(AOR=0.006, 95%CI: 0.00, 0.080) were found factors associated with perinatal outcome. Conclusion: MWHs statistically decreased maternal death, stillbirths and increased cesarean Delivery rates. Maternal mortality and stillbirth rates were substantially lower in women admitted in MWA. It is likely that at least part of this difference is accounted for by the timely and appropriate obstetric management of women using this facility.