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      • Record: found
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      Factors associated with adverse pregnancy outcome in Debre Tabor town, Northwest Ethiopia: a case control study

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          Abstract

          Objective

          The aim of this study was to assess the socioeconomic and demographic factors on adverse pregnancy outcomes.

          Result

          The mean age of cases was 42.2 (± 13.26) years and the mean age of controls was 34.5 (± 12.23) years. Advanced maternal age, low educational status, and early sexual debut showed a significant association with an adverse pregnancy outcome. Mothers in the age group 35–44 years, AOR 2.54 (95% CI 1.27, 5.06), 35–44 years, AOR 2.79 (95% CI 1.27, 6.16) and Mothers with age 55 years and above AOR 4.18 (95% CI 1.73, 9.13) were more likely to have an adverse pregnancy outcome compared to mothers in the age group ≤ 24 years. The low educational status was also found to have an implication on adverse pregnancy outcome. Those mothers with no formal education were two times more likely to develop adverse pregnancy outcome AOR 2.15 (95% CI 1.41, 2.81) and those in primary education AOR 1.6 (95% CI 1.06, 4.6) times more likely compared to those in higher education.

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          Unsafe abortion: the preventable pandemic.

          David A Grimes, Janie Benson, Susheela Singh … (2006)
          Ending the silent pandemic of unsafe abortion is an urgent public-health and human-rights imperative. As with other more visible global-health issues, this scourge threatens women throughout the developing world. Every year, about 19-20 million abortions are done by individuals without the requisite skills, or in environments below minimum medical standards, or both. Nearly all unsafe abortions (97%) are in developing countries. An estimated 68 000 women die as a result, and millions more have complications, many permanent. Important causes of death include haemorrhage, infection, and poisoning. Legalisation of abortion on request is a necessary but insufficient step toward improving women's health; in some countries, such as India, where abortion has been legal for decades, access to competent care remains restricted because of other barriers. Access to safe abortion improves women's health, and vice versa, as documented in Romania during the regime of President Nicolae Ceausescu. The availability of modern contraception can reduce but never eliminate the need for abortion. Direct costs of treating abortion complications burden impoverished health care systems, and indirect costs also drain struggling economies. The development of manual vacuum aspiration to empty the uterus, and the use of misoprostol, an oxytocic agent, have improved the care of women. Access to safe, legal abortion is a fundamental right of women, irrespective of where they live. The underlying causes of morbidity and mortality from unsafe abortion today are not blood loss and infection but, rather, apathy and disdain toward women.
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            Risk of Adverse Pregnancy Outcomes at Advanced Maternal Age

            Line Frederiksen, Andreas Ernst, Nis Brix … (2018)
            To study the possible associations between advanced maternal age and risk of selected adverse pregnancy outcomes.
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              Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia

              Akilew Adane, Tadesse Awoke Ayele, Leta Gedefaw Ararsa … (2014)
              Background Adverse birth outcomes are major public health problems in developing countries. Data, though scarce in developing countries including Ethiopia, on adverse birth outcomes and the risk factors are important for planning maternal and child health care services. Hence, this study aimed to determine the prevalence and associated factors of adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia. Methods Institution based cross-sectional study was conducted in February 2013 at Gondar University Hospital. Data were collected by face-to-face interview of 490 women after verbal informed consent using a pretested and structured questionnaire. Gestational age was determined based on the last normal menstrual period. Birth weight was measured following standards. Multiple logistic regressions were fitted and odds ratios with their 95% confidence interval were computed to identify associated factors. Results The mean age of women was 26.2 (±5.2 SD) years. HIV infection among laboring women was 4.8%. About 23% of women had adverse birth outcomes (14.3% preterm, 11.2% low birth weight and 7.1% still births). Women having history of either preterm delivery or small baby (AOR: 3.1, 95% CI 1.1- 8.4) were more likely to have preterm births. Similarly, history of delivering preterm or small baby (AOR: 8.4, 95% CI 2.4- 29.4), preterm birth (AOR: 5.5, 95% CI 2.6- 11.6) and hypertension (AOR: 5.8, 95% CI 1.8- 19.6) were associated factors with low birth weight. Ante partum haemorrhage (AOR: 8.43, 95% CI 1.28- 55.34), hypertension (AOR: 9.5, 95% CI 2.1-44.3), history of perinatal death (AOR: 13.9, 95% CI 3.3- 58.5) and lack of antenatal care follow up (AOR: 9.7, 95% CI 2.7 - 35.8) were significantly associated with still birth. Conclusions Prevalence of adverse birth outcomes (still birth, preterm birth and low birth weight) were high and still a major public health problem in the area. Histories of perinatal death, delivering preterm or small baby, ante partum hemorrhage, lack of ante natal care follow up and hypertension were associated factors with adverse birth outcomes. Thus, further enhancements of ante natal and maternal care and early screening for hypertension are recommended.
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                Author and article information

                Contributors
                Abraham Sahilemichael Kebede: abrishya@yahoo.com
                Achenef Asmamaw Muche: ashua2014@gmail.com
                Amelework Getinet Alene: ameleget2@gmail.com
                Journal
                Journal ID (nlm-ta): BMC Res Notes
                Journal ID (iso-abbrev): BMC Res Notes
                Title: BMC Research Notes
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1756-0500
                Publication date (Electronic): 19 November 2018
                Publication date PMC-release: 19 November 2018
                Publication date Collection: 2018
                Volume: 11
                Electronic Location Identifier: 820
                Affiliations
                [1 ]ISNI 0000 0004 1794 5983, GRID grid.9582.6, Pan Africa University Life and Earth Sciences Institute (PAULESI), , University of Ibadan, ; Ibadan, Nigeria
                [2 ]ISNI 0000 0001 1250 5688, GRID grid.7123.7, 1000 Days Plus Project, Department of Reproductive and Health Service Management, , Addis Ababa University, ; Addis Ababa, Ethiopia
                [3 ]ISNI 0000 0000 8539 4635, GRID grid.59547.3a, Department of Epidemiology and Biostatistics, Institute of Public Health, , University of Gondar, ; Gondar, Ethiopia
                [4 ]Amhara Public Health Institute, Public Health Emergency Management Directorate, Bahirdar, Ethiopia
                Article
                Publisher ID: 3932
                DOI: 10.1186/s13104-018-3932-2
                PMC ID: 6245821
                PubMed ID: 30454020
                SO-VID: f2a5acad-8814-433f-8be4-4dd01a645ce5
                Copyright © © The Author(s) 2018
                License:

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                Date received : 16 October 2018
                Date accepted : 14 November 2018
                Categories
                Subject: Research Note
                Custom metadata
                issue-copyright-statement © The Author(s) 2018

                ScienceOpen disciplines: Medicine
                Keywords: adverse pregnancy outcome,stillbirth,miscarriage,debre tabor town,northwest ethiopia,case control
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: adverse pregnancy outcome, stillbirth, miscarriage, debre tabor town, northwest ethiopia, case control

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