Prevalence of adverse birth outcome and associated factors among women who delivered in Hawassa town governmental health institutions, south Ethiopia, in 2017

Abstract

Background: Most pregnancies are unplanned in Ethiopia. This is due to ignorance of the types and efficacy of each method of contraception they are associated with vast and unpredictable complications. Most of the time, these complications result in adverse birth outcomes. Information about prevalence of adverse birth outcome and it’s factors are relevant for designing, and initiating and intervening programs to decrease these undesirable out comes. Objective: To assess prevalence of adverse birth outcome and associated factors among women who delivered in Hawassa town governmental health institutions, south Ethiopia, in 2017. Method: We conducted institutional based cross sectional study among 580 pregnant women from december1-30/2017, by multistage systematic random sampling method in governmental health institution in Hawassa town. Data were collected through structured pre-tested, close ended and interview administered questionnaire in their post-partum period. Collected data was entered in Epi-info version 7 and analyzed using SPSS. Odds ratio with 95% confidence interval on multivariable logistic regression was computed and P-value< 0.05 considered as significance. Result: From a total of 580 respondents 106(18.3%) respondent’s had child related adverse birth outcome. Previous History of child related adverse pregnancy outcome 4.2 (95%,CI = 2.5-6.9), Attend at list one antenatal care visit 2.3 (95%CI = 1.1-4.3), Own cat in the house 2.2 (95%,CI = 1.3-3.7), Had any chronic disease/s 2.1(95%,CI = 1.1-4.8), Age of the mother (from 35 to 45 Years) 2.3(95%,CI = 1.1-4.8), Poor participants’ Knowledge on preconception care 3 (95%CI = 1.4-1.6) were significant predictor of adverse birth outcome in this study . Conclusion and recommendation: Prevalence of adverse birth outcome was found to be significant in the current study. Presence of Previous History of adverse pregnancy outcome, on ante-natal attendance, presence of cat in the house, presence of chronic disease/s, younger mother and Poor Knowledge of preconception care were significant predictor of adverse pregnancy outcome. Therefore it is better to give more attention on expanding preconception and antenatal care. Creating awareness about family planning methods type and efficacy for women of reproductive health is mandatory. Services, increasing health education on personal hygiene vaccination of cats. Moreover, early detecting and treatment of chronic disease.