School of Nursing and Midwifery

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Browsing School of Nursing and Midwifery by Author ",Berhan, Yeshiwork"

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    Magnitude and associated factors of Intraventricular Hemorrhage among preterm neonates admitted to neonatal intensive care unit of Addis Ababa public hospitals in, Ethiopia, 2023 cross sectional study.
    (Addis Ababa University, 2023) Alemu, Mihret; Sebsibie, Girum(PhD); ,Berhan, Yeshiwork
    Background: Intraventricular hemorrhage is one of the most severe brain injuries in preterm neonates, especially in VLBW and ELBW, and is associated with some perinatal risk factors, such as antepartum hemorrhage, urogenital tract infections, chorioamnionitis, and some neonatal risks, such as mechanical ventilation, continuous positive airway pressure, intubation, asphyxia, respiratory distress, sepsis, and thrombosis. Objective: To assess the magnitude of Intraventricular hemorrhage and associated factors among preterm neonates admitted to the neonatal intensive care unit of public hospitals in Addis Ababa in 2023.Method: An institution- based cross-sectional study was carried out. The final sample size was 381 preterm neonates admitted to selected public hospitals in Addis Ababa from February 27 to March 27, 2023. The study was conducted in five randomly selected public hospitals in Addis Ababa. Data was collected using a pretested data extraction tool (Kobo) chart reviewed by the data collector. The collected data was exported to SPSS version 26 for analysis. Descriptive statistics to describe the variables were conducted for bi-variable logistic regression and multi-variable logistic regression analysis. Variables with a P-value < 0.05 in the multivariate analysis (final model) were considered significantly associated. The tables, figures, and graphs were used to present the findings. Result: The magnitude of Intraventricular hemorrhage was reported in 93 (25%), with 37.6% of patients having grade II, which was the most frequent, followed by severe grade III (24.7%), grade IV (20.4%), and grade I (17.2%), which was the least prevalent. Our study found that very low birth weight (AOR: 7.45; 95% CI: 2.12, 26.21), hypothermia (AOR: 2.53, 95% CI: 1.36, 4.47), Thrombocytopenia (4.03, 95% CI: 1.73, 9.40), and blood transfusion (AOR: 2.85; 95% CI: 1.18, 6.90) were independent factors for Intraventricular hemorrhage. Conclusion and recommendation: The magnitudes of Intraventricular hemorrhage were low compared to reports of other studies in Africa and globally, while the severity of Intraventricular hemorrhage was relatively high. Therefore, a further large-scale study with the same title is required to understand factors associated with Intraventricular hemorrhage among preterm neonates.