Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, PO. Box: 079, Bahir Dar, Ethiopia.
Pan Afr Med J. 2022 May 27;42:76. doi: 10.11604/pamj.2022.42.76.34686. eCollection 2022.
fetal adverse birth outcomes are abnormal outcomes such as prematurity, low birth weight, stillbirth, and birth defects. It is the main cause of neonatal and child deaths in the world and is the major public health problem in developing countries including Ethiopia. This study aims to assess the proportion and factors associated with fetal adverse birth outcomes among mothers who gave birth at Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar city, North-west, Ethiopia 2019.
institution-based cross-sectional study was conducted from March 1- to April 30 in 2019 among 371 delivered mothers. The data were collected by systematic random sampling technique, entered into a computer using Epi data 3.5, and analyzed using Statistical Package of Social Sciences version 23.0. Bivariate and multivariable logistic regression analyses were done to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a P-value of less than 0.05 considered statistically significant.
in this study, the proportion of fetal adverse birth outcome was 33.2%. Mothers who lived in rural area [AOR=4.37, 95% CI=2.44-7.83], < 4 antenatal care visit [AOR=1.91, 95% CI=1.08-3.40], bad obstetrical history [AOR=2.01, 95% CI=1.03-3.93], complication in the antepartum period [AOR=4.32, 95% CI=2.44-7.65], medical illness [AOR=2.44, 95% CI=1.25-4.79], and maternal hemoglobin level < 11 mg/dl [AOR=4.63, 95% CI=2.40-8.93] were significantly associated with fetal adverse birth outcomes.
the proportion of fetal adverse birth outcomes in this research was high. Living in a rural area, the number of antenatal care visits, bad obstetrical history, current pregnancy complications, medical illness, and hemoglobin levels less than or equal to 11 mg/dl were significantly associated with fetal adverse birth outcomes. Getting full service of antenatal care visits and advance in the quality of maternal health services could minimize fetal adverse birth outcomes.
胎儿不良出生结局是指早产、低出生体重、死产和出生缺陷等异常结局。它是世界范围内新生儿和儿童死亡的主要原因，也是包括埃塞俄比亚在内的发展中国家主要的公共卫生问题。本研究旨在评估 2019 年在埃塞俄比亚西北巴赫达尔市费莱吉·希沃特综合专科医院分娩的母亲中胎儿不良出生结局的比例及其相关因素。
这是一项 2019 年 3 月 1 日至 4 月 30 日在费莱吉·希沃特综合专科医院进行的基于机构的横断面研究，共纳入 371 名分娩母亲。采用系统随机抽样技术收集数据，使用 EpiData 3.5 录入计算机，使用统计软件包 23.0 进行分析。采用单变量和多变量逻辑回归分析来估计粗比值比和调整比值比，并采用 95%置信区间和 P 值<0.05 来评估统计学意义。
在这项研究中，胎儿不良出生结局的比例为 33.2%。居住在农村地区的母亲[比值比（AOR）=4.37，95%置信区间（CI）=2.44-7.83]、产前检查次数<4 次（AOR=1.91，95%CI=1.08-3.40）、不良产科史（AOR=2.01，95%CI=1.03-3.93）、产前期间的并发症（AOR=4.32，95%CI=2.44-7.65）、疾病（AOR=2.44，95%CI=1.25-4.79）和母亲血红蛋白水平<11mg/dl（AOR=4.63，95%CI=2.40-8.93）与胎儿不良出生结局显著相关。
本研究中胎儿不良出生结局的比例较高。居住在农村地区、产前检查次数少、不良产科史、当前妊娠并发症、疾病和血红蛋白水平≤11mg/dl 与胎儿不良出生结局显著相关。充分利用产前保健服务和提高孕产妇保健服务质量，可以最大限度地减少胎儿不良出生结局。
