Abraha Tomas Amare, Gebremariam Gebremedhin Kinfe, Asfaha Berhane Teklay, Weldegebreal Tensay Kahsay, Aregawi Desta Hailu
College of Health Science, department of midwifery, Mekelle University, Mekelle, Ethiopia.
College of Health Science, department of midwifery, Adigrat University, Adigrat, Ethiopia.
BMC Pregnancy Childbirth. 2025 Jan 27;25(1):78. doi: 10.1186/s12884-025-07216-9.
Adverse birth outcome is a major public health problem in the world and in Ethiopia. Antepartum hemorrhage complicates 3-5% of pregnancies and is a primary cause of perinatal and maternal mortality worldwide. One in five of all preterm babies are born in association with antepartum hemorrhage. Preterm birth, low birth weight and asphyxiated babies are at high risk for mortality, morbidity and developmental problems Thus, the aim of this study was to assess adverse birth outcomes and associated factors among mothers with antepartum hemorrhage in Tigray public hospitals, northern Ethiopia.
Institution based cross sectional study design was conducted from February to April 2020 among randomly selected 309 charts of mothers with chart completeness of 95.4%. A simple random sampling technique was used to select hospitals and charts of study participants. A Pretested check list was used to collect data. Data were analyzed using SPSS version 20. Logistic regression was computed and variables which have a P-value less than 0.2 on bivariable analysis were taken to multivariable analysis. A P-value of less than 0.05 and 95% confidence level was used as a cut-off point for statistical significance in multivariable analysis.
The magnitude of adverse birth outcome was 46.3% at 95% CI and 15.2% of the neonates were admitted to neonatal intensive care unit due to preterm birth and low birth weight. Rural residence [AOR = 2.16, 95%CI (1.069, 4.38)], three and below antenatal care follow-up visits [AOR = 6.6, 95%CI (3.345,13.10)], bad obstetric history [AOR = 2.8, 95%CI (1.044,7.691)], and having less than or equal 11 g/dl hemoglobin level at admission were [AOR = 3.7,95%Cl (1.93,6.914)] found as predictors of adverse birth outcome in this study.
adverse birth outcomes were higher in magnitude and the higher public health problem in the Tigray region. Predictors could be minimized by strengthening antenatal care follow up, ensuring early arrival to health institution, and focusing on rural area.
不良分娩结局是全球及埃塞俄比亚的一个主要公共卫生问题。产前出血使3%-5%的妊娠复杂化，是全球围产期和孕产妇死亡的主要原因。所有早产婴儿中有五分之一与产前出血有关。早产、低出生体重和窒息婴儿面临着较高的死亡、发病和发育问题风险。因此，本研究的目的是评估埃塞俄比亚北部提格雷地区公立医院产前出血母亲的不良分娩结局及其相关因素。
2020年2月至4月进行了基于机构的横断面研究设计，随机选取309份母亲病历，病历完整性为95.4%。采用简单随机抽样技术选择医院和研究参与者的病历。使用预先测试的检查表收集数据。数据使用SPSS 20版进行分析。计算逻辑回归，并将双变量分析中P值小于0.2的变量纳入多变量分析。在多变量分析中，P值小于0.05和95%置信水平被用作统计显著性的截断点。
不良分娩结局的发生率在95%置信区间为46.3%，15.2%的新生儿因早产和低出生体重入住新生儿重症监护病房。农村居住[AOR = 2.16，95%CI(1.069, 4.38)]、产前检查随访3次及以下[AOR = 6.6，95%CI(3.345,13.10)]、不良产科史[AOR = 2.8，95%CI(1.044,7.691)]以及入院时血红蛋白水平低于或等于11g/dl[AOR = 3.7，95%CI(1.93,6.914)]被发现是本研究中不良分娩结局的预测因素。
提格雷地区不良分娩结局的发生率较高，是一个较为严重的公共卫生问题。通过加强产前检查随访、确保尽早到达医疗机构以及关注农村地区，可以将预测因素降至最低。
