Tedla, Tesfaye Yaekob (2003) Assessment of Pregnancy Outcome with Emphasis on Perinatal and Neonatal Mortality in Dire Dawa Town, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
The commonly used pregnancy outcome indicators in developing countries are maternal mortality, abortion, perinatal, neonatal mortality, low birth weight and preterm births. About eight million perinatal deaths are reported annually in the world of which 40-60% is neonatal mortality and almost all are in developing countries. Many hospital based studies were conducted on those problems, while community based are very few. Therefore this community based cross sectional comparative study was conducted to assess the pregnancy outcome with emphasis on peri and neonatal mortality by delivery place and its associated factors in Dire Dawa town. The study was conducted between November 2002 and April 2003. A total of 1462 mothers who had children or had been pregnant for the last five years were participated in the study. Pre tested standardized questionnaires were used to obtain information on socio demographic, obstetric history and the condition of the new born and mothers during labor and neonatal period. Analyses were made using EP INFO 4.6 statistical package and SPSS version 10. In the study the following findings were found: High perinatal mortality rate of 73/1000 live births with 38/1000 and 35/1000 live births being at home and in health institutions respectively. High neonatal mortality rate of 47/1000 live births with 28/1000 and 19/1000 live births at home and in health institutions respectively. Mothers who had 2-4 parity had more risk to perinatal mortality than primi Para mothers. (AOR 5.15, 95%CI 1.54, 17.23) and mothers who had 5+ parity had more risk to perinatal mortality than primi Para mothers. (AOR 4.38, 95%CI 0.65, 29.40)In this study it is found that very small and small (mother’s perceptions birth weight) neonates have more risk to neonatal mortality than neonates who had normal birth weight when they were born(AOR 3.61, 95%CI 1.75, 7.43) and also term babies had less risk to perinatal and neonatal mortality than babies born preterm it is statistically significant when it is entered into logistic regression model(AOR 0.28, 95%CI 0.11, 0.70) and (AOR 0.28, 95%CI 0.12, 0.63) respectively. Mothers whose income were <300 birr per month had more risk to neonatal mortality than mothers whose income were >601 birr per month. (AOR 4.64, 95%CI 1.53,14.01) and mothers whose income were 301-600 birr per month had more risk to neonatal mortality than mothers whose income were >601 birr per month. (AOR 4.29, 95%CI 1.27, 14.50). Based on the above findings of the study the following recommendations were made. Strengthening of the MCH/FP care unit at each level and encourage mothers to use FP services and improve quality of care , establishing and utilization of emergency obstetric care services with special emphasis of neonatal care and give special attention to empower of mothers and improve economic status and educational level of women.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 09 Aug 2018 12:05 |
| Last Modified: | 09 Aug 2018 12:05 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8208 |
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