Predictors of Preterm Birth among Mothers Who Gave Birth in Silte Zone Public Hospitals, Southern Ethiopia

Background. A preterm birth is the leading cause of death in both neonatal and children under five years of age every year throughout the world, particularly in Sub-Saharan Africa. The causes of a preterm birth are complex and multifactorial; many risk factors that contribute it are not fully understood. The aim of this study was to identify predictors of a preterm birth among mothers who gave birth in Silte Zone Public Hospitals, Southern Ethiopia (2019/20). Methods and Materials. A hospital-based unmatched case-control study design was carried out from July 15th to October 30th, 2019, by assigning mothers who gave preterm births as cases and those with term births as controls. A total of 365 respondents (91 cases and 274 controls) were selected by a consecutive simple random sampling until the required sample size was achieved. For each case, three consecutive controls were included. Data were collected using a structured interview questionnaire complement with record reviewing. The data were entered into Epi Info 7 and exported into SPSS 25 for analysis. Descriptive analysis was computed to obtain summary values for cases and controls separately. All candidate variables in bivariate analysis were entered into the multivariable logistic regression model by using the backward likelihood ratio selection methods. Finally, variables with p value ≤ 0.05 were considered as potential determinants of a preterm birth and reported in the form of adjusted odds ratio with 95% confidence interval. Results. Among a total of 365 mothers who gave live birth, 91 (24.9%) were cases compared to 274 (75.1%) which were controls. The final multivariable logistic regression analysis results showed that having history of a previous preterm birth ( AOR = 3.51 ; 95 % CI = 1.40 − 8.81 ), having shorter interpregnancy interval ( AOR = 4.46 ; 95 % CI = 1.95 − 10.21 ), experiencing obstetric complication ( AOR = 3.82 ; 95 % CI = 1.62 − 9.00 ), and having infant born with low birth weight ( AOR = 5.58 ; 95 % CI = 2.39 − 13.03 ) were found to be independent predictors of a preterm birth. Conclusions. According to this finding, mothers having previous history of a preterm birth, experiencing obstetric complication, having shorter interpregnancy interval, and having infant born with low birth weight were reported as the independent predictors of a preterm birth. Improving the quality of antepartum and intrapartum, counseling on birth space, creating awareness on family planning, and early screening of preterm determinants are mandatory.

Download Full-text

Maternal factors associated with low birth weight in public hospitals of Mekelle city, Ethiopia: a case-control study

Italian Journal of Pediatrics ◽

10.1186/s13052-020-00890-9 ◽

2020 ◽

Vol 46 (1) ◽

Cited By ~ 1

Author(s):

Sielu Alemayehu Desta ◽

Ashenafi Damte ◽

Tsehay Hailu

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Case Control Study ◽

Public Hospitals ◽

Medical Illness ◽

History Of ◽

Mekelle City ◽

Pregnancy Weight ◽

Control Study

Abstract Background Mothers in low socio-economic conditions frequently have low birth weight infants. Inaddition Physically demanding work during pregnancy also contributes to poor fetal growth. During gestation a woman needs balanced nutrition for a healthy outcome. Women with inadequate nutritional status at conception are at greater risk of aquiring disease; their health usually depends on the availability and consumption of balanced diet, and therefore they are unlikely to be able to resist with their high nutrient needs during pregnancy. Therefore, the main purpose of this study was to assess the maternal risk factors associated low birth weight in public hospitals of Mekelle city, Tigray North Ethiopia, 2017/2018. Methods Un-matched case-control study design was conducted among women who delivered in public hospitals of Mekelle city. Data was collected using a structured questionnaire through interview, direct physical assessment and medical record review of mothers. Sample size was calculated by Epi-info version 7.0 to get a final sample size of 381(cases = 127 and controls = 254). SPSS version 20 was used for analysis. Bivariate and multivariate logistic regression analysis was used to determine the effect of the independent variables on birth weight. Presence of significant association was determined using OR with its 95%CI. A P value of less than 0.05 was considered to declare statistical significance. Table, graphs and texts were used to present the data. Result Most of the mothers (70.1% cases and 43.7% controls) were housewives. This study showed that maternal age ≤ 20 years (AOR = 6.42(95% CI = (1.93–21.42)), ANC follow up (AOR = 3.73(95%CI (1.5–9.24)), History of medical illness (AOR = 14.56(95% CI (3.69–57.45), Iron folate intake (AOR = 21.56(95%CI (6.54–71.14)), Maternal height less than 150 cm (AOR = 9.27(95%CI 3.45–24.89)) and Pregnancy weight gain (AOR = 4.93(95%CI = 1.8–13.48) were significant predictors of low birth weight. Conclusion The study suggests that inadequate ANC follow-up, preterm birth and history of chronic medical illness, maternal height, pregnancy weight gain, and Iron intake were. Were significant predictors of low birth weight. Health professionals should screen and consulate pregnant mothers who are at risk of having infants with LBW and ensure that women have access to essential health information on the causes of low birth weight.

Download Full-text

Low birth weight, preterm birth and short interpregnancy interval in Sudan

The Journal of Maternal-Fetal & Neonatal Medicine ◽

10.3109/14767050903009222 ◽

2009 ◽

Vol 22 (11) ◽

pp. 1068-1071 ◽

Cited By ~ 18

Author(s):

Ishag Adam ◽

Moslim H. Ismail ◽

Abubakr M. Nasr ◽

Martin H. Prins ◽

Luc J. M. Smits

Keyword(s):

Birth Weight ◽

Preterm Birth ◽

Low Birth Weight ◽

Interpregnancy Interval ◽

Short Interpregnancy Interval

Download Full-text

Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users’ perspectives

PLoS ONE ◽

10.1371/journal.pone.0258092 ◽

2021 ◽

Vol 16 (10) ◽

pp. e0258092

Author(s):

Ritbano Ahmed Abdo ◽

Hassen Mosa Halil ◽

Biruk Assefa Kebede ◽

Abebe Alemu Anshebo ◽

Minychil Demelash Ayalew ◽

...

Keyword(s):

Logistic Regression ◽

Health System ◽

Maternity Care ◽

Public Hospitals ◽

Southern Ethiopia ◽

Factors Associated ◽

Multivariable Logistic Regression ◽

System Responsiveness ◽

Health System Responsiveness ◽

Hadiya Zone

Background Health system responsiveness refers to non-financial, non-clinical qualities of care that reflect respect for human dignity and interpersonal aspects of the care process. The non-clinical aspects of the health system are therefore essential to the provision of services to patients. Therefore, the main purpose of this study was to assess the responsiveness in maternity care, domain performance and factors associated with responsiveness in maternity care in the Hadiya Zone public Hospitals in Southern Ethiopia. Methods A hospital-based cross-sectional study was employed on 413 participants using a systematic sampling technique from 1 July to 1 August 2020. An exit interviewer–administered questionnaire was used to collect data. EpiData (version 3.1) and SPSS (version 24) software were used for data entry and analysis, respectively. Bivariate and multivariable logistic regression were computed to identify the associated factors of health system responsiveness in maternity care at 95% CI. Results The findings indicated that 53.0% of users gave high ratings for responsiveness in delivery care. In the multivariable logistic regression analysis, mothers aged ≥ 35 (AOR = 0.4; 95% CI = 0.1–0.9), urban resident (AOR = 2.5; 95% CI = 1.5–4.8), obstetrics complications during the current pregnancy (AOR = 2.1; 95% CI = 1.1–3.0), and caesarean delivery (AOR = 0.4; 95% CI = 0.2–0.7) were factors associated with poor ratings for responsiveness in maternity care. Conclusion In the hospitals under investigation, responsiveness in maternity care was found to be good. The findings of this study suggest that the ministry of health and regional health bureau needs to pay attention to health system responsiveness as an indicator of the quality of maternity care.

Download Full-text

Determinants of Preterm Birth in Kembata Tembaro Zone Public Hospitals, Southern Ethiopia, 2019

10.21203/rs.3.rs-267697/v1 ◽

2021 ◽

Author(s):

Solomon Debay ◽

Hailu Hailemariam ◽

Dejene Hailu ◽

Derese Tamiru

Keyword(s):

Substance Abuse ◽

Preterm Birth ◽

Study Design ◽

Rural Areas ◽

Public Hospitals ◽

Southern Ethiopia ◽

Pregnancy Induced Hypertension ◽

Induced Hypertension ◽

History Of ◽

Prospective Study Design

Abstract Background: Preterm birth is a birth that occurs before 37 weeks of gestational age since the first day of a woman’s last menstrual period. In Ethiopia, 10% of babies born preterm each year. Preterm birth is the major cause of neonatal deaths next to pneumonia and it is a substantial cause of long-term problems in survivors. The objective of the study was to identify key determinants of preterm birth in Kembata Tembaro, Southern Ethiopia, 2019. Method: Institutional unmatched case-control study design was employed on 310 mothers who gave full-term births as control and 104 mothers with preterm births as cases from October 1, 2018, to February 1, 2019. The study participants were selected using a consecutive sampling method. SPSS version 20 was used to analyze the data. Result: A total of 104 (25.1%) cases and 310 (74.9%) controls were included in the analysis with a 100% response rate. Factors such as rural resident, AOR =2.7; 95% CI [1.3, 5.6], uneducated, AOR= 2.6; 95% CI [1.3, 5.2], ANC visits <4 times, AOR =5.5; 95% CI [2.1, 14.3], substance abuse, AOR =3.5; 95% CI [1.1, 10.5], MUAC <23cm, AOR= 7.2; 95%CI [3.3, 15.7], pregnancy-induced hypertension, AOR =8.9; 95%CI[1.2, 69], history of abortion, AOR =11.1; 95%CI[1.2, 105], FCS <=21.4, AOR =20.7; 95%CI[10, 42.2], and low birth weight, AOR= 20.2; 95%CI[10.5, 39] were identified as significant determinants of preterm birth. Conclusion: Education level, rural residence, Poor antenatal care visits, substance abuse, pregnancy-induced hypertension, and history of abortion are the key factors associated with pre-term birth. Community awareness and mobilization should be strengthened through extension programs. Emphasis should be given to strengthening efforts on the availability of basic health services and promoting education on nutrition during pregnancy, especially in rural areas. Further study is recommended regarding the effect of maternal nutrition on preterm birth using a prospective study design.

Download Full-text

Complicated Intubations are Associated with Bronchopulmonary Dysplasia in Very Low Birth Weight Infants

American Journal of Perinatology ◽

10.1055/s-0041-1736130 ◽

2021 ◽

Author(s):

Tara Glenn ◽

Linnea Fischer ◽

Ashley Markowski ◽

Cara Beth Carr ◽

Sindhoosha Malay ◽

...

Keyword(s):

Logistic Regression ◽

Birth Weight ◽

Low Birth Weight ◽

Bronchopulmonary Dysplasia ◽

Very Low Birth Weight ◽

Cumulative Number ◽

Vlbw Infants ◽

Post Hoc Analysis ◽

Multivariable Logistic Regression ◽

Post Hoc

Objective This study aimed to evaluate the association between desaturation <60% (severe desaturation) during intubation and a total number of intubation attempts in the first week of life in very low birth weight (VLBW) infants with adverse long-term outcomes including bronchopulmonary dysplasia (BPD) and severe periventricular/intraventricular hemorrhage grade 3 or 4 (PIVH). Study Design A retrospective chart review was performed on VLBW infants intubated in the neonatal intensive care unit during the first week of life between January 2017 and July 2020. Descriptive tables were generated for two outcomes including BPD and PIVH. Multivariable logistic regression was performed for each outcome including significant predictors that differed between groups with a p-value of <0.2. Results A total of 146 patients were included. Patients with BPD or PIVH had a lower gestational age, and patients with BPD had a lower BW. Patients with BPD had a greater number of intubation attempts in the first week of life (4 vs. 3, p < 0.001). In multivariable logistic regression controlling for confounding variables, the odds developing BPD were higher for patients with increased cumulative number of intubation attempts in the first week of life (odds ratio [OR]: 1.29, 95% confidence interval [CI]: 1.03–1.62, p = 0.029). Post hoc analyses revealed increased odds of developing BPD with increased number of intubation encounters in the first week of life (OR: 2.20, 95% CI: 1.04–4.82, p = 0.043). In this post hoc analysis including intubation encounters in the model; desaturation <60% during intubation in the first week of life was associated with increased odds of developing BPD (OR: 2.35, 95% CI: 1.02–5.63, p = 0.048). Conclusion The odds of developing BPD for VLBW infants were higher with increased intubation attempts and intubation encounters. In a post hoc analysis, the odds of developing BPD were also higher with desaturation during intubation. Further research is needed to determine mechanisms of the relationship between complicated intubations and the development of BPD. Key Points

Download Full-text

Maternal Factors for Low Birth Weight and Preterm Birth At Tertiary Care Hospital

Journal of Nepal Medical Association ◽

10.31729/jnma.2740 ◽

2015 ◽

Vol 53 (200) ◽

pp. 250-255 ◽

Cited By ~ 1

Author(s):

Neebha Ojha

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Preterm Birth ◽

Low Birth Weight ◽

Significant Risk ◽

Maternal Risk Factors ◽

Maternal Risk ◽

Medical Disorders ◽

History Of ◽

The Mean

Introduction: Low birth weight and preterm birth are the major community health problems in developing countries. They are the major determinants of perinatal survival and infant morbidity and mortality. The aim of this study was to determine the proportion and the maternal risk factors for low birth weight and preterm birth among hospital deliveries in Tribhuvan University Teaching Hospital. Methods: A cross sectional retrospective study was carried out in the Department of Obstetrics and Gynecology of TUTH. Maternal risk factors like age, parity, ethnicity, history of previous abortion, history of previous cesarean section, antepartum hemorrhage and medical disorders were studied. Information on all births that occurred was extracted from maternity case notes and delivery registers. Results: During the study period, there were 685 singleton live births. Among these 78(11.4%) were low birth weight and 47(6.9%) were preterm birth. The mean birth weight was 2950 ± 488 gm. The mean weight of female was statistically less compared to male babies (p=0.032). The significant risk factors for LBW were primiparity (OR 2.12; 95%CI 1.25-3.58), Indo-Aryan ethnicity (OR 1.97; 95%CI 1.12-3.45) and history of medical disorder (OR 3.08; 95%CI 1.17-8.12). As for PTB antepartum hemorrhage (OR 8.63; 95%CI 1.99-37.30) and history of medical disorder (OR 3.20; 95%CI 1.04-9.89) were significant risk factors. Conclusions: Parity, ethnicity, and medical disorders were the main risk factors for low birth weight. Antepartum hemorrhage and medical disorders were significant risk factors for preterm birth. Keywords: low birth weight; preterm birth; risk factors.

Download Full-text

Determinants of Low Birth Weight among Deliveries at a Referral Hospital in Northern Ethiopia

BioMed Research International ◽

10.1155/2018/8169615 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8 ◽

Cited By ~ 10

Author(s):

Lema Desalegn Hailu ◽

Deresse Legesse Kebede

Keyword(s):

Birth Weight ◽

Preterm Birth ◽

Low Birth Weight ◽

Pregnancy Complication ◽

Referral Hospital ◽

Binary Logistic Regression Analysis ◽

Northern Ethiopia ◽

Physical Trauma ◽

History Of ◽

Birth Records

Background. Low birth weight is the leading cause of infant and child mortality and contributes to several poor health outcomes. Proper knowledge of risk factors of low birth weight is important for identifying those mothers at risk and thereby for planning and taking appropriate actions. This study investigates factors predicting occurrence of low birth weight among deliveries at Debreberhan Referral Hospital. Methods. Facility-based unmatched case-control study was conducted among deliveries that took place at Debreberhan Referral Hospital. Birth records and mothers’ ANC files were reviewed from April to June 2016. The study participants were selected by consecutive sampling technique. Data analysis was performed by SPSS version 20. Binary logistic regression analysis was performed to identify predictors of low birth weight. Result. A total of 147 birth records of babies with low birth weight (cases) and 294 birth records of babies with normal birth weight (controls) were reviewed. The birth weight of low birth weight babies (cases) ranged from 1000 grams to 2400 grams with median (±IQR) of 2200 grams (±300 grams), whereas it ranged from 2500 grams to 4500 grams with median (±IQR) of 3100 grams (±525 grams) among controls. Preterm birth (AOR = 5.32; CI = 2.959–9.567), history of any physical trauma experienced during pregnancy (AOR = 13.714; CI = 2.382–78.941), and history of any pregnancy complication (AOR = 2.708; CI = 1.634–4.487) were predictors of low birth weight. On the other hand, cesarean delivery (AOR = 0.415; CI = 0.183–0.941) and instrumental (AOR = 0.574; CI = 0.333–0.987) modes of delivery as well as maternal history of chronic diabetes (AOR = 0.275; CI = 0.090–0.836) had preventive effect of low birth weight. Conclusion. Preterm birth, history of experiencing any physical trauma during pregnancy, and history of any pregnancy complication were predictors of low birth weight, whereas cesarean and instrumental delivery had positive effect to preventing low birth weight.

Download Full-text

Perinatal Depression and Associated Factors among Mothers in Southern Ethiopia: Evidence from Arba Minch Zuria Health and Demographic Surveillance Site

Psychiatry Journal ◽

10.1155/2018/7930684 ◽

2018 ◽

Vol 2018 ◽

pp. 1-12 ◽

Cited By ~ 5

Author(s):

Gebrekiros Gebremichael ◽

Manaye Yihune ◽

Dessalegn Ajema ◽

Desta Haftu ◽

Genet Gedamu

Keyword(s):

Logistic Regression ◽

Low Income ◽

Associated Factors ◽

Perinatal Depression ◽

Smoking Status ◽

Low Income Countries ◽

Southern Ethiopia ◽

Cross Sectional ◽

Multivariable Logistic Regression ◽

History Of

Background. Perinatal depression is a serious mental health problem that can negatively affect the lives of women and children. The adverse consequences of perinatal depression in high-income countries also occur in low-income countries. Objective. To assess the perinatal depression and associated factors among mothers in Southern Ethiopia. Methods. A community based cross-sectional study was conducted among selected 728 study participants in Arba Minch Zuria HDSS. A pretested questionnaire was used to collect the data. Data were analyzed using STATA version 12 software. Descriptive statistical methods were used to summarize the characteristics of the mothers. Bivariate and multivariable logistic regression was used for analysis. Results. The prevalence of perinatal depression among the study period was 26.7%. In the final multivariable logistic regression, monthly income AOR (95% C.I): 4.2 (1.9, 9.3), parity [AOR (95% C.I): 0.14 (0.03, 0.65)], pregnancy complications AOR (95% C.I): 5 (2.5, 10.4), husband smoking status [AOR (95% C.I): 4.12 (1.6, 10.6)], history of previous depression AOR (95% C.I): 2.7 (1.54, 4.8), and family history of psychiatric disorders were the independent factors associated with perinatal depression. Conclusion. The study showed a high prevalence of perinatal depression among pregnant mothers and mothers who have less than a one-year-old child.

Download Full-text

Outcomesof pregnancies complicated by early vaginal bleeding

Eastern Mediterranean Health Journal ◽

10.26719/2000.6.2-3.457 ◽

2000 ◽

Vol 6 (2-3) ◽

pp. 457-464 ◽

Cited By ~ 1

Author(s):

M. Arafa ◽

M. Abdel Fataah ◽

H. Abou Zeid ◽

A. El Khouly

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Perinatal Death ◽

Bleeding Risk ◽

First Trimester ◽

Postpartum Women ◽

Second Trimester ◽

Interpregnancy Interval ◽

Low Birth Weight Babies ◽

History Of

The association between early gestational bleeding and suboptimal pregnancy outcome was examined. Postpartum women were interviewed during January-October 1998 at the two main obstetric hospitals in Alexandria, Egypt. Of 1503 singleton deliveries, 10.6% reported bleeding; 63.5% and 36.5% during first and second trimesters respectively. Bleeding was more frequent among women of age >33 years, with history of low-birth-weight babies or previous miscarriage. Suboptimal outcomes occurred more often among women reporting bleeding than among those who never bled and the risk of such outcomes significantly increased with second trimester bleeding. Risk of a low-birth-weight baby, preterm delivery and perinatal death significantly decreased with increasing interpregnancy interval for women with first trimester or second trimester bleeding

Download Full-text

Determinants of neonatal sepsis among neonates delivered in Southwest Ethiopia 2018: A case-control study

SAGE Open Medicine ◽

10.1177/20503121211027044 ◽

2021 ◽

Vol 9 ◽

pp. 205031212110270

Author(s):

Dejene Edosa Dirirsa ◽

Bekem Dibaba Degefa ◽

Alemayehu Dessale Gonfa

Keyword(s):

Logistic Regression ◽

Birth Weight ◽

Low Birth Weight ◽

Confidence Interval ◽

Neonatal Sepsis ◽

Odds Ratio ◽

Adjusted Odds Ratio ◽

Southwest Ethiopia ◽

Sexually Transmitted ◽

History Of

Introduction: Neonatal sepsis is one of the principal causes of neonatal morbidity and mortality. In spite of interventions with different preventive methods, the burden of neonatal sepsis is being reported in different parts of Ethiopia. For further interventions, identifying its determinants is found to be essential. Objective: The study aimed to assess the determinants of neonatal sepsis among neonates delivered in Southwest Ethiopia in 2018. Methods: A hospital-based case-control study was conducted in Southwest Ethiopia from May 2018 to August 2018. Systematic random sampling technique was used to select study participants; Cases were neonates diagnosed with sepsis and controls were neonates without sepsis. Data were entered into Epi info version 7.2 and analyzed using Statistical Package for Social Sciences version 23. Bi-variable logistic regression was used to identify determinants of neonatal sepsis and those variables with a p-value < 0.05 in the multivariable logistic regression analysis were considered as significantly associated at a 95% confidence interval. Results: The findings from the multivariable logistic regression revealed that history of meconium-stained amniotic fluid (adjusted odds ratio [95% confidence interval] = 9.2 [1.1, 19.8]), history of foul-smelling liquor (adjusted odds ratio [95% confidence interval] = 5.2 [1.2, 22.3]), history of maternal sexually transmitted infection/urinary tract infection (adjusted odds ratio [95% confidence interval[ = 4.7 [1.1, 19.7]), history of vascular catheter (adjusted odds ratio [95% confidence interval] = 4.7 [1.11, 20]), and low birth weight (adjusted odds ratio [95% confidence interval] = 5.3 [1.3, 28.9]) were identified as determinants of neonatal sepsis. Conclusion: Generally, history of meconium-stained amniotic fluid, foul-smelling liquor, maternal history of the sexually transmitted disease, urinary tract infection, low birth weight, and the vascular catheter was identified as determinants of neonatal sepsis. Health education should be provided for pregnant mothers regarding health care-seeking behavior. Similarly, diagnoses and care should be accessible on time for foul-smelling liquor, premature rupture of membrane, and low birth weight.

Download Full-text