Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Women's and Family Health, School of Midwifery, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Front Public Health. 2022 Aug 10;10:966055. doi: 10.3389/fpubh.2022.966055. eCollection 2022.
In developing countries, adverse pregnancy outcomes are major public health issues. It is one of the leading causes of neonatal morbidity and mortality worldwide. Despite the fact that ending prenatal mortality and morbidity is one of the third Sustainable Development Goals (SDG), the burden of the problem continues to be a huge concern in developing countries, including Ethiopia. Hence, this study aimed to determine the prevalence and associated factors of lifetime adverse pregnancy outcomes among antenatal care (ANC) booked women in Northwest Ethiopia.
An institutional-based cross-sectional study design was conducted in Northwest Ethiopia, between March 2021 and June 2021. A multi-stage stratified random sampling technique was employed to recruit participants. An interviewer-administered and checklist questionnaire were used to collect the data. The data were entered into Epi-data version 4.6 software and exported to Stata version 16 for analysis. The binary logistic regression model was fitted to identify an association between associated factors and the outcome variable. Variables with a -value of < 0.05 in the multivariable logistic regression model were declared as statistically significant.
In this study, the lifetime prevalence of adverse pregnancy outcome among study participants was 14.53% (95%CI: 11.61, 18.04). Road access to the health facilities (AOR = 2.62; 95% CI: 1.14, 6.02) and husband-supported pregnancy (AOR = 2.63; 95 CI: 1.46, 4.72) were significantly associated with adverse pregnancy outcomes.
More than one in 10 reproductive age women had adverse pregnancy outcome throughout their life. Road access to health facilities and husband-supported pregnancy were statistically significant factors for adverse events in pregnancy. Therefore, it is better to give more attention to expanding infrastructure like road accessibility and increasing husband-supported pregnancy to reduce adverse pregnancy outcomes.
在发展中国家，不良妊娠结局是主要的公共卫生问题。它是全球新生儿发病率和死亡率的主要原因之一。尽管实现产前死亡率和发病率零增长是可持续发展目标 3 的目标之一，但包括埃塞俄比亚在内的发展中国家的问题仍然令人担忧。因此，本研究旨在确定在埃塞俄比亚西北部接受产前保健 (ANC) 的妇女中，终身不良妊娠结局的发生率及其相关因素。
本研究采用基于机构的横断面研究设计，于 2021 年 3 月至 2021 年 6 月在埃塞俄比亚西北部进行。采用多阶段分层随机抽样技术招募参与者。采用访谈者管理和检查表问卷收集数据。将数据输入 EpiData 版本 4.6 软件并导出到 Stata 版本 16 进行分析。使用二项逻辑回归模型来确定相关因素与结局变量之间的关联。在多变量逻辑回归模型中，p 值 < 0.05 的变量被认为具有统计学意义。
在这项研究中，研究参与者终身不良妊娠结局的发生率为 14.53%（95%CI：11.61，18.04）。到卫生设施的道路条件（AOR=2.62；95%CI：1.14，6.02）和丈夫支持的妊娠（AOR=2.63；95%CI：1.46，4.72）与不良妊娠结局显著相关。
超过十分之一的育龄妇女在其一生中经历过不良妊娠结局。到达卫生设施的道路条件和丈夫支持的妊娠是妊娠不良事件的统计学显著因素。因此，更好地关注扩大基础设施，如道路可达性，并增加丈夫支持的妊娠，以降低不良妊娠结局。
