Assessment of Pregnancy Outcome with Emphasis on Perinatal and Neonatal Mortality in Dire Dawa Town, Ethiopia
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Date
2003-07
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Addis Ababa University
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)
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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
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Keywords
Pregnancy