Comparison of Adverse Neonatal outcomes and its Associated Factors among Women with Adult and Advanced Aged Pregnancy at the Public Hospitals of AddisAbaba City, Ethiopia. Hospital-Based Comparative Crosssectional Study
No Thumbnail Available
Date
2024-10-13
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Introduction: Pregnancy at advanced maternal age (>35 years old) is considered a risk factor for different adverse neonatal outcomes. Adverse neonatal outcomes are the leading cause of neonatal and infant mortality worldwide. In Ethiopia, studies were conducted to identify adverse neonatal outcomes, however, having updated information on the status of adverse neonatal outcomes could be helpful in future effective policy and program formulation. Objective: This study aimed to compare adverse neonatal outcomes and its associated factors among adult and advanced-aged pregnant women at the public hospitals of Addis Ababa City
Methods: A hospital-based comparative cross-sectional study was conducted at the public hospitals of Addis Ababa City from April 29/2024 to June 30/2024 among 707 mothers (471 adults and 236 advanced-age mothers). The data was collected by a systematic random sampling technique using Kobo tool Kit, and analyzed using SPSS version 26.0. Chi-square and independent t-tests was performed. Logistic regression analyses was employed to estimate the COR and AOR with a CI of 95% and a P-value.
Results: The response rate was 97.7% and 97.9% among adult and advanced aged mothers respectively. Almost half (51.5%) (95% CI=44.7-57.9) of advanced aged mothers had at least one adverse neonatal outcome, while it was 40.2% (95% CI=35.7-44.6) among adult aged mothers. The adverse neonatal outcomes was significantly higher among advanced aged mothers than adult aged mothers, with a point estimate mean difference of 11.3% (95% CI = 0.035 0.191). Meanwhile, the overall adverse neonatal outcomes was 44.0% (95% CI = 40.2-47.6). Unfavorable neonatal outcomes [AOR=1.51, 95%, CI=1.02-2.25] were significantly associated with maternal age. Preterm birth [AOR =1.84, 95% CI=1.18-2.85], large for gestational age [AOR =2.68, 95% CI=1.31-5.49], stillbirth [AOR =3.35, 95% CI=1.27-.8.82], and post-term birth (AOR=0.25, 95% CI=1.08-.083] were significantly associated with advanced maternal age. Conclusions: The proportion of adverse neonatal outcomes were higher among advanced aged mothers compared to adult aged mothers. Preterm birth, large for gestational age and stillbirth were positively, while post-term birth negatively associated with adverse neonatal outcomes among advanced aged mothers. This study indicates a need of stratagies devoplment in order to create awareness on the advantage of having the desired number of children in the early adulthood ages. x
Keywords: adult; advanced maternal age; adverse neonatal outcomes; mean; pregnancy; unfavorable outcome; mothers; neonate; Addis Ababa; Ethiopia.
Description
Keywords
adult, advanced maternal age, adverse neonatal outcomes, mean, pregnancy, unfavorable outcome, mothers, neonate, Addis Ababa, Ethiopia