Gynecology & Obstetrics
Open Access
ISSN: 2161-0932
ISSN: 2161-0932
Habib Beshir, Shimelis Fantu, Yusuf Haji and Elias Mulat*
Prematurity is one of the major contributors of neonatal mortality worldwide. Nevertheless, most developing countries including our country Ethiopia lack sufficient data on the burden of preterm birth and its associated outcomes, and hence this study is crucial in filling such gaps. Objectives: This study was aimed to determine the magnitude of preterm birth, birth outcomes and associated factors at a governmental hospital in southern Ethiopia. Methods: Institution-based cross-sectional study was conducted from 1st of September to 30th of October, 2019 among women who gave births at Hawassa University Comprehensive Specialized Hospital, Ethiopia. Data were collected using a pretested structured questionnaire administered via face to face interview. The collected data included maternal socio-demographic and obstetric characteristics as well as birth outcomes of mothers who delivered at the study hospital. Collected data were entered and analyzed using SPSS version 20. Descriptive statistics (frequencies and percentages) were computed. Binary logistic regression analysis was carried out to identify factors independently associated with preterm birth while controlling for potential confounders. The strength of association was evaluated using adjusted odds ratios and 95% confidence interval. Results: Three hundred sixty-three eligible mothers and their newborns were participated in the study. From these, 73 women gave preterm birth (as defined as a birth before 37th week of gestation), making the overall prevalence of preterm delivery 20.1%. Having previous history of preterm birth (AOR; 4.72; 95% CI 1.68-13.24), inadequate ANC follow up (AOR: 2.24; 95% CI 1.00-5.04) and obstetric complication during pregnancy (AOR; 20.91; 95% CI 8.92-49.01) were factors significantly associated with preterm birth. Conclusion: The prevalence rate of preterm birth in the study population was high, about 20 percent. Mothers with previous history of preterm birth, inadequate ANC follow up and obstetric complications during pregnancy had significant association with preterm birth. Therefore Health education on adequate ANC utilization should be emphasized to women of reproductive age and further community based interventional studies should be conducted in large scale to broaden the understanding obtained by this study.Prematurity is one of the major contributors of neonatal mortality worldwide. Nevertheless, most developing countries including our country Ethiopia lack sufficient data on the burden of preterm birth and its associated outcomes, and hence this study is crucial in filling such gaps. Objectives: This study was aimed to determine the magnitude of preterm birth, birth outcomes and associated factors at a governmental hospital in southern Ethiopia. Methods: Institution-based cross-sectional study was conducted from 1st of September to 30th of October, 2019 among women who gave births at Hawassa University Comprehensive Specialized Hospital, Ethiopia. Data were collected using a pretested structured questionnaire administered via face to face interview. The collected data included maternal socio-demographic and obstetric characteristics as well as birth outcomes of mothers who delivered at the study hospital. Collected data were entered and analyzed using SPSS version 20. Descriptive statistics (frequencies and percentages) were computed. Binary logistic regression analysis was carried out to identify factors independently associated with preterm birth while controlling for potential confounders. The strength of association was evaluated using adjusted odds ratios and 95% confidence interval. Results: Three hundred sixty-three eligible mothers and their newborns were participated in the study. From these, 73 women gave preterm birth (as defined as a birth before 37th week of gestation), making the overall prevalence of preterm delivery 20.1%. Having previous history of preterm birth (AOR; 4.72; 95% CI 1.68-13.24), inadequate ANC follow up (AOR: 2.24; 95% CI 1.00-5.04) and obstetric complication during pregnancy (AOR; 20.91; 95% CI 8.92-49.01) were factors significantly associated with preterm birth. Conclusion: The prevalence rate of preterm birth in the study population was high, about 20 percent. Mothers with previous history of preterm birth, inadequate ANC follow up and obstetric complications during pregnancy had significant association with preterm birth. Therefore Health education on adequate ANC utilization should be emphasized to women of reproductive age and further community based interventional studies should be conducted in large scale to broaden the understanding obtained by this study.
Published Date: 2021-12-30; Received Date: 2021-12-15