Roble Abdurahman Kedir, Gundappa Raghu, Sheik Abdirahman Fahima, Abdi Abdurehman Mohamed
School of Nursing and Midwifery, College of Medicine and Health Science, Jigjiga University, Jigjiga, Ethiopia.
School of Medicine, College of Medicine and Health Science, Jigjiga University, Jigjiga, Ethiopia.
Clin Med Insights Pediatr. 2023 Aug 26;17:11795565231195253. doi: 10.1177/11795565231195253. eCollection 2023.
Pregnancy outcomes that differ from normal live births are known as adverse pregnancy outcomes. Adverse pregnancy outcomes also have significant effects on the infant's family and society. There is limited data on adverse outcomes in eastern Ethiopia, particularly in the Somali region.
This study aimed to assess the determinants of adverse birth outcomes in the Somali Region Hospitals.
A hospital-based unmatched case-control study was conducted to conduct this study.
A hospital-based unmatched case-control study was conducted between June and July 2021 in pregnant women who attended public hospitals in the Somali region. A total of 327 (109 cases and 218 controls) participants were included in this study. Women who gave birth with at least 1 adverse birth outcome were considered cases, and those who gave birth with normal birth outcomes were considered controls. Cases were recruited consecutively, and controls were selected using systematic sampling methods. Data was gathered using interviews, record reviews, using the pretested standard tools. The data were entered into EpiData version 3.1 and analyzed with SPSS version 22. Multivariable regression analysis with an adjusted odds ratio and a 95% confidence interval was used to identify the factors associated with adverse birth outcomes. Finally, -values less than .05 were used to identify significantly associated predictors.
In the current study, rural residency [AOR = 2.80; 95%CI:(1.61-4.87)] lack of ANC follow-up [AOR = 3.27; 95%CI: (1.77-6.02)], pregnancy-induced hypertension [AOR = 3.28; 95%CI: (1.74-6.17)] being anemic mothers [AOR = 3.51; 95%CI: (2.02-6.07)] and chewing [AOR = 4.54; 95%CI: (2.12-9.70)] were identified as determinants of adverse birth outcome.
In the current study, rural residency, lack of ANC, being anemic in indexed pregnancies, pregnancy-induced hypertension, and chewing were determinants of adverse birth outcomes. Therefore, efforts should be made to enhance ANC follow-up, iron and folic acid supplementation, early treatments of pregnancy-induced hypertension, and information on the risk of chewing
与正常活产不同的妊娠结局被称为不良妊娠结局。不良妊娠结局也对婴儿家庭和社会有重大影响。在埃塞俄比亚东部，尤其是索马里地区，关于不良结局的数据有限。
本研究旨在评估索马里地区医院不良分娩结局的决定因素。
开展了一项基于医院的非匹配病例对照研究来进行此项研究。
2021年6月至7月间，在索马里地区公立医院就诊的孕妇中开展了一项基于医院的非匹配病例对照研究。本研究共纳入327名参与者（109例病例和218名对照）。分娩时至少有1项不良分娩结局的女性被视为病例，分娩结局正常的女性被视为对照。病例连续招募，对照采用系统抽样方法选取。通过访谈、记录审查，使用预先测试的标准工具收集数据。数据录入EpiData 3.1版本，并使用SPSS 22版本进行分析。采用多变量回归分析，调整后的优势比和95%置信区间用于确定与不良分娩结局相关的因素。最后，P值小于0.05用于确定显著相关的预测因素。
在本研究中，农村居住[AOR = 2.80；95%CI：(1.61 - 4.87)]、缺乏产前检查随访[AOR = 3.27；95%CI：(1.77 - 6.02)]、妊娠高血压[AOR = 3.28；95%CI：(1.74 - 6.17)]、母亲贫血[AOR = 3.51；95%CI：(2.02 - 6.07)]以及嚼[槟榔][AOR = 4.54；95%CI：(2.12 - 9.70)]被确定为不良分娩结局的决定因素。
在本研究中，农村居住、缺乏产前检查、妊娠合并贫血、妊娠高血压以及嚼[槟榔]是不良分娩结局的决定因素。因此，应努力加强产前检查随访、补充铁和叶酸、早期治疗妊娠高血压以及提供嚼[槟榔]风险的信息
