Adverse birth outcome among women who gave birth at the University of Gondar comprehensive specialized hospital, Northwest Ethiopia.

ABSTRACT

BACKGROUND: In Ethiopia, various maternal and child health interventions, including comprehensive and basic obstetric cares were conducted to curb high neonatal and infant morbidity and mortality. As such, adverse birth outcome has been a public health concern in the country. Thus, this study aimed to assess the burden and associated factors with adverse birth outcomes among women who gave birth at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. METHODS: A health facility-based cross-sectional study was employed from 30 March to 01 May 2021 at the University of Gondar Comprehensive Specialized Hospital. A total of 455 women were interviewed using a structured questionnaire. A binary logistic regression model was fitted Adjusted Odds Ratio (AOR) with 95%CI and p-value < 0.05 were used to declare factors significantly associated with adverse birth outcomes. RESULTS: In this study, 28% of women had adverse birth outcomes (8.4% stillbirths, 22.9% preterm births, and 10.11% low birth weights). Women aged 20-34) (AOR 0.32, 95%CI 0.14, 0.76), rural dwellers (AOR 2.7, 95%CI 1.06, 6.32), lack of ANC visits (AOR 4.10, 95%CI 1.55, 10.85), APH (AOR 3.0, 95%CI 1.27, 7.10) and fever (AOR 7.80, 95%CI 3.57, 17.02) were associated to stillbirths. Multiple pregnancy (AOR7.30, 95%CI1.75, 20.47), rural dwellers (AOR4.60, 95%CI1.36, 15.52), preterm births (AOR 8.60, 95% CI 3.88, 19.23), previous perinatal death (AOR2.90, 95%CI1.35, 6.24), fever (AOR2.7,95%CI1.17 ,6.23) and premature rupture of membrane (AOR2.60, 95% CI1.02, 6.57) were affecting low birth weights. In addition, previous antepartum hemorrhage (AOR 2.40, 95%CI 1.37, 4.10) and fever (AOR 3.8, 95%CI 2.13, 6.89) were also factors contributing to preterm births. CONCLUSION: Adverse birth outcomes continue to pose a significant public health concern. Such high rates of adverse birth outcomes, such as preterm birth, low birth weight, and birth defects, can have serious and long-lasting effects on the health and well-being of both infants and their families, and the community at large. As such, public health efforts are crucial in addressing and mitigating the risk factors associated with adverse birth outcomes. This may involve implementing interventions and policies to improve maternal health, access to prenatal care and nutritional support, and reducing exposure to environmental risks.