Effect of Maternal Waiting Home Utilization on Maternal and Perinatal Health Outcomes, in Selekleka Primary Hospital, Northern Ethiopia: Retrospective Cohort Study.
| dc.contributor.advisor | Firdu, Naod (MD, MPH) | |
| dc.contributor.author | Zafu, Tekia | |
| dc.date.accessioned | 2018-12-04T12:26:44Z | |
| dc.date.accessioned | 2023-11-05T14:57:02Z | |
| dc.date.available | 2018-12-04T12:26:44Z | |
| dc.date.available | 2023-11-05T14:57:02Z | |
| dc.date.issued | 2018-06 | |
| dc.description.abstract | Background: Maternal waiting home is a facility within easy reach of a hospital or health center which provides emergency obstetric and newborn care (EmONC) to accommodate women in their final weeks of pregnancy. World health organization has been introducing maternal waiting home services in order to increases maternal health utilization to improve maternal and newborn health outcomes. However, according to previous studies, its effect on maternal and perinatal health outcomes is controversial. Objective: This study was aimed to assess the effect of maternal waiting home utilization on maternal and perinatal health outcomes. Methods: Retrospective cohort study was conducted from 01/01/2018 to 30/01/2018 and compared maternal waiting home user (330) and non-user (343) mothers who were admitted for delivery between 01/01/2015 and 31/12/2017 in Selekleka primary hospital, Tigray, Ethiopia. They were selected using simple random sampling method. The survival time of the mothers and their newborns were evaluated using life table and Kaplan Meier survival function. Cox proportional hazard regression model was used to determine the hazard ratio of maternal and perinatal death and complications for each predictor. Result: The incidence rates of maternal complications and perinatal death and complications were significantly lower among the maternal waiting home users than non-users. Maternal waiting home user mothers [AHR: 0.11 95% CI: 0.07 - 0.19] and mothers who gave birth twin [AHR: 3.4, 95% CI: 1.5 - 7.4] were the independent predictors of the maternal complication. Similarly newborn born from maternal waiting home user mothers [AHR: 0.16, 95%CI: 0.08- 0.31], born from complicated mothers [AHR=2.91, 95% CI: 1.68 - 5.05], newborn lives in rural area [AHR=0.49, 95% CI: 0.25 - 0.96] and newborn weighted <2500 gm [AHR: 2.26, 95% CI: 1.1, 4.64] were the independent predictors of the perinatal death and complications. Conclusion and recommendations: The incidence rate of maternal and perinatal death and complications were significantly lower among the maternal waiting home users’ group, and the government should have to encourage and support to the mothers to use maternal waiting home services. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/14822 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Ababa Universty | en_US |
| dc.subject | Maternal Waiting Home Utilization | en_US |
| dc.title | Effect of Maternal Waiting Home Utilization on Maternal and Perinatal Health Outcomes, in Selekleka Primary Hospital, Northern Ethiopia: Retrospective Cohort Study. | en_US |
| dc.type | Thesis | en_US |