Determinants Of Adverse Perinatal Outcomes Among Multiparous Women Delivered At Gedo General Hospital, West Shoa Zone, Oromia, Ethiopia, 2022, Case Control Study.

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.