Department of Midwifery, College of Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.
Department of Psychiatry, College of Health Sciences, Debre Berhan University, Ethiopia.
PLoS One. 2022 Jul 8;17(7):e0271287. doi: 10.1371/journal.pone.0271287. eCollection 2022.
Adverse pregnancy outcomes are the main causes of maternal and neonatal morbidity and mortality and long-term physical and psychological sequels in low- and middle-income countries, particularly in Africa and Asia. In Ethiopia, maternal mortality remained high despite the country's maximum effort. This study aimed to assess adverse pregnancy outcomes and associated factors among deliveries at Debre Berhan Comprehensive Specialized Hospital, Northeast Ethiopia.
A retrospective cross-sectional study was done among deliveries at Debre Berhan Comprehensive Specialized Hospital from January 1, 2017, to December 31, 2018. The data was collected using a structured and pre-tested questionnaire by reviewing labor and delivery service log books and admission or discharge registration books. The data were entered into a Microsoft Excel spreadsheet and analyzed using SPSS version 25. Logistic regression analysis was computed to identify independent predictors of pregnancy complications.
In this study, the magnitude of adverse pregnancy outcomes was 28.3%, 95% CI (25.7-30.9). The most frequently recorded obstetric complications were obstructed labor (7.4%), retained placenta (5.3%), and hypertensive disorders of pregnancy (2.4%). Whereas stillbirths (10%), malpresentation (3%), and prematurity (2.3%) frequently occurred fetal/neonatal complications. There were 29 maternal deaths and the possible causes of death were obstructed labor (51.7%), hemorrhage (44.7%), eclampsia (24.1%), and sepsis (6.9%). Home delivery (AOR (CI = 4.12 (2.30-7.15) and low birth weight (AOR (CI = 1.63 (1.36-1.96) were significant associates of adverse pregnancy outcomes.
The magnitude of adverse pregnancy outcomes was high. Obstructed labor, retained placenta, hypertension in pregnancy, malpresentation, prematurity, and stillbirth are the commonest adverse pregnancy outcomes. Place of delivery and birth weight were independent predictors of adverse pregnancy outcomes. Institutional delivery, early detection and management of complications, and adequate nutrition and weight gain during pregnancy should be encouraged to minimize the risk of adverse pregnancy outcomes.
在中低收入国家，不良妊娠结局是孕产妇和新生儿发病率和死亡率以及长期身体和心理后遗症的主要原因，尤其是在非洲和亚洲。尽管埃塞俄比亚已经做出了最大的努力，但其孕产妇死亡率仍然居高不下。本研究旨在评估埃塞俄比亚东北部德布雷伯翰综合专科医院分娩的不良妊娠结局及其相关因素。
这是一项回顾性的横断面研究，于 2017 年 1 月 1 日至 2018 年 12 月 31 日在德布雷伯翰综合专科医院进行。通过查阅产程和分娩服务日志以及入院或出院登记本，使用结构化和预测试问卷收集数据。将数据录入 Microsoft Excel 电子表格，并使用 SPSS 版本 25 进行分析。使用逻辑回归分析来确定妊娠并发症的独立预测因素。
在这项研究中，不良妊娠结局的发生率为 28.3%，95%CI（25.7-30.9）。最常记录的产科并发症是产程梗阻（7.4%）、胎盘滞留（5.3%）和妊娠高血压疾病（2.4%）。而死产（10%）、胎位不正（3%）和早产（2.3%）则是胎儿/新生儿并发症的常见原因。有 29 例产妇死亡，死因可能是产程梗阻（51.7%）、出血（44.7%）、子痫（24.1%）和败血症（6.9%）。家庭分娩（AOR（CI=4.12（2.30-7.15））和低出生体重（AOR（CI=1.63（1.36-1.96））是不良妊娠结局的显著相关因素。
不良妊娠结局的发生率较高。产程梗阻、胎盘滞留、妊娠高血压、胎位不正、早产和死产是最常见的不良妊娠结局。分娩地点和出生体重是不良妊娠结局的独立预测因素。应鼓励产妇在医疗机构分娩、早期发现和处理并发症以及在妊娠期间获得充足的营养和体重增加，以最大限度地降低不良妊娠结局的风险。
