Browsing by Author "Alemu Mihret"

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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; Berhan Yeshiwork
    Background: Intraventricular hemorrhage is one of the most severe brain injuries in pretermneonates, especially in VLBW and ELBW, and is associated with some perinatal risk factors,such as antepartum hemorrhage, urogenital tract infections, chorioamnionitis, and some neonatalrisks, 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 theneonatal 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 neonatesadmitted to selected public hospitals in Addis Ababa from February 27 to March 27, 2023. Thestudy was conducted in five randomly selected public hospitals in Addis Ababa. Data wascollected using a pretested data extraction tool (Kobo) chart reviewed by the data collector. Thecollected data was exported to SPSS version 26 for analysis. Descriptive statistics to describe thevariables were conducted for bi-variable logistic regression and multi-variable logistic regressionanalysis. Variables with a P-value < 0.05 in the multivariate analysis (final model) wereconsidered significantly associated. The tables, figures, and graphs were used to present thefindings. Result: The magnitude of Intraventricular hemorrhage was reported in 93 (25%), with37.6% 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 foundthat 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 andrecommendation: The magnitudes of Intraventricular hemorrhage were low compared to reportsof other studies in Africa and globally, while the severity of Intraventricular hemorrhage wasrelatively high. Therefore, a further large-scale study with the same title is required to understand factors associated with Intraventricular hemorrhage among preterm neonates.