Pregnancy Outcome in Rural Ethiopia With Emphasis to Perinatal Mortality

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Addis Abeba Universty


A prospective community-based study of pregnant women was conducted to assess pregnancy outcome with emphasis to perinatal mortal ity in rural communities of Meskan and Mareko district in Gurage zone in Southern Eth iop ia, between March 22 and August 2 1, 1997. Pregnant women were identified by trained enumerators through house - to - house visit and were followed month Iy till del ivery, after wh ich both the neonates and the mothers were visited at 7th and 28th days. Pretes ted standard questionnaires were used to obtain information on socio-demograph ic characteristics, past obstetric history, health problems during the index pregnancy and labour, and the condition of both the neonates and the mothers at the 7th and 28th days. Analysis made on 428 singleton births showed a perinatal mortality rate of 44.4 per 1000 births. The stillbirth and early neonatal mortality rates were 21.0 per 1000 births and 23.9 per 1000 live births, respectively. The rates were found to be relatively low as compared to figures reported for other sub- Saharan Africa. Both bivariate and multivariate analysis showed that maternal height and gestational age were significantly associated with perinatal ~ - -- mortality. The risk of death was signif icantly higher among neonates born to short statured mothers. Similarly the risk of perinatal death was higher in preterm babies than term babies. Establishment of emergency obstetric care (EOC) alongside with training of traditional birth attendants and educating mothers for appropriate utilization of MCH services are recommended.



Pregnancy Outcome in Rural Ethiopia