Abstract:
Background: Perinatal refers to the period of time from the baby's viability age (28 weeks) until
the first week of life. Contrarily, unfavorable perinatal outcomes are pregnancy outcomes other
than a live birth, most notably preterm birth, stillbirth, and low birth weight. Whereas multiparity
is a woman with 2–4 deliveries after 28 weeks of gestation.
Objective: This study aimed to determine the determinants of APO among multiparous women
delivered at Gedo general hospital, west Shewa zone, Oromia, Ethiopia from September 1 to
November 30, 2022.
Methods: A hospital-based unmatched case-control study was conducted among 273multiparous
mothers (91 cases and 182 controls) at Gedo General Hospital. All multiparous mothers who had
one or more APO were included as cases, and multiparous mothers who did not have APO were
controls. The data were administered through face-to-face interviews and medical card reviews
using a structured questionnaire. The eligible case was selected consecutively, and two controls
were selected by systematic random sampling method until the required sample size was
achieved. The data were entered into Epi-data V.4.6 and analyzed by SPSS V.20. Descriptive
statistics, bivariate analysis, and multivariate logistic regression analysis were performed.
Finally, P-value<0.05 was used to declare statistical significance in predicting the outcome
variable.
Result: In this study, the odds of APO were higher among women who had a history of neonatal
complications on the previous delivery [AOR= 2.06 ,95% CI : 1.002 -4.26 ], no formal education
of the husband [AOR =6.91,95% CI 2.102-22.702], being unemployed [AOR = 3.93, 95% CI:
1.69-9.11] and labor not followed by parthograph [AOR = 0.327, 95% CI:0.12 – 0.89]
Conclusions and recommendation: This study has concluded that factors such as husband’s
lack of formal education, labor not followed by partograph, being unemployed, history of
adverse perinatal outcome at the previous pregnancy, were significant determinants of APO.
Therefore, attention should be given to pregnant mothers who had history of adverse neonatal
outcomes in the previous delivery; and every laboring mother should be followed by partograph.
