Browsing by Author "Micky Birhanu"

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    Assessment of Determinants of Perinatal Mortality among Public Hospital Deliveries in Addis Ababa, Ethiopia: An Unmatched Case Control Study
    (Addis Ababa University, 2023-10) Micky Birhanu; Tariku Dejene (M.SC.)
    Background: According to accepted terms, the period known as the perinatal period begins at week 22 of pregnancy and lasts until day seven following delivery. However, different nations' legal systems have varying definitions of late fetal death (stillbirth). Late fetal death is seen as occurring at and after the 28th gestational week in the majority of poor nations, notably Ethiopia as well as in some affluent ones. Even though there has been a marked decline in fatality among babies of post-neonatal age in Ethiopia, the rate of infant deaths during the perinatal period continues to be substantial. This research has identified the determinant factors and causes of perinatal mortality in Addis Ababa, Ethiopia. Objective: The aim of this study is to assess determinants of perinatal mortality among public hospital deliveries in Addis Ababa, Ethiopia. Method: A hospital based unmatched case control study was carried out. In all, 318 samples (106 cases and 212 controls) were collected from Addis Abeba's three government hospitals. Cases were perinatal deaths and controls were live births and neonates who were discharged alive from the hospital and did not die before the age of 7 days. The study period was from 1st March – 31st May. For data input and analysis, Epi-Info version 7.0 and SPSS version 23 were utilized. Logistic regression model was utilized to identify the variables that are determinants of perinatal death. Results: Obstetric complication occurred in 42.5% of cases and 18.9% of controls. Obstetric complications (AOR 4.399; 95%CI (2.288 - 8.456)), very low birth weight (AOR 5.033; 95%CI (1.499 - 16.896)) and low birth weight (AOR 14.479; 95%CI (4.484- 46.749)) were the determinants of perinatal mortality that increase risk of perinatal death. Whereas, education (AOR 0.135; 95%CI (0.037 - 0.492)) and partograph use (AOR 0.374; 95%CI (0.176 - 0.797)) were found to be protective factors for perinatal mortality. Conclusion & recommendation: The determinants of perinatal mortality in the study area were largely educational status, obstetric complications, low birth weight and partograph use. Some of them can be avoided by examining pregnant women early on and monitoring them after delivery.