Department of Public Health, School of Health Science, Shashemene Campus, Madda Walabu University, Shashemene, Ethiopia.
Department of Anatomy, School of Medicine, Goba Referral Hospital, Madda Walabu University, Bale Goba, Ethiopia.
J Int Med Res. 2021 May;49(5):3000605211013209. doi: 10.1177/03000605211013209.
Adverse birth outcomes, which include stillbirth, preterm birth, low birthweight, congenital abnormalities, and stillbirth, are the leading cause of neonatal and infant mortality worldwide. We assessed adverse birth outcomes and associated factors among mothers who gave birth in Bale zone hospitals, Oromia, Southeast Ethiopia.
We used systematic random sampling in this cross-sectional study. We identified factors associated with adverse birth outcomes using bivariate analysis and multivariable logistic regression analysis.
The proportion of adverse birth outcomes among participants was 21%. Of 576 births, 70 (12.2%) were low birthweight, 49 (8.5%) were preterm birth, 45 (7.8%) were stillbirth, and 18 (3.1%) infants had congenital anomalies. Inadequate antenatal care (adjusted odds ratio [AOR] = 6.58, 95% confidence interval [CI] 3.25-13.32), multiple pregnancy (AOR = 4.74, 95% CI 1.55-14.45), premature rupture of membranes in the current pregnancy (AOR = 2.31, 95% CI 1.26-4.21), hemoglobin level < 11 g/dL (AOR = 3.22, 95% CI 1.85-5.58), and mid-upper arm circumference less than 23 cm (AOR = 5.93, 95% CI 3.49-10.08) were all significantly associated with adverse birth outcomes.
Approximately one in five study participants had adverse birth outcomes. Increasing antenatal care uptake, ferrous supplementation during pregnancy, and improving the quality of maternal health services are recommended.
不良出生结局包括死产、早产、低出生体重、先天畸形和死产，是全球新生儿和婴儿死亡的主要原因。我们评估了在埃塞俄比亚东南奥罗米亚地区的 Bale 区医院分娩的母亲的不良出生结局及其相关因素。
本横断面研究采用系统随机抽样方法。我们使用二变量分析和多变量逻辑回归分析来确定与不良出生结局相关的因素。
参与者中不良出生结局的比例为 21%。在 576 例分娩中，70 例（12.2%）为低出生体重，49 例（8.5%）为早产，45 例（7.8%）为死产，18 例（3.1%）婴儿有先天畸形。产前保健不足（调整后的优势比 [AOR] = 6.58，95%置信区间 [CI] 3.25-13.32）、多胎妊娠（AOR = 4.74，95%CI 1.55-14.45）、当前妊娠胎膜早破（AOR = 2.31，95%CI 1.26-4.21）、血红蛋白水平 <11 g/dL（AOR = 3.22，95%CI 1.85-5.58）和中上臂围小于 23 厘米（AOR = 5.93，95%CI 3.49-10.08）均与不良出生结局显著相关。
大约五分之一的研究参与者有不良的出生结局。建议增加产前保健的利用率、在妊娠期间补充铁剂，并改善孕产妇保健服务的质量。
