Assessment of birth outcomes among mothers with diabetes who delivered at Tikur Anbessa specialized hospital Addis Ababa, Ethiopia, 2018.
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Date
2018-06
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Addis Ababa University
Abstract
Diabetes in pregnancy is the major cause of poor birth outcome that encountered during pregnancy. Worldwide, 7% of all pregnancies are complicated by diabetes and causes for maternal and prenatal morbidity and mortality.
Objective: To assess birth outcomes among mothers with diabetes who delivered at Tikur Anbessa specialized hospital Addis Ababa Ethiopia, 2018.
Method: Facility based retrospective cross-sectional study were carried from January 2015 to 2017 out to determine the birth outcome. Total sample was 422; the required data was extracted from patient chart and checked for completeness. Then those mothers who had complete data record were separated and convenient sampling method was used from February 1 to April 30. Data entered and cleaned to Epi Data 4.2. Then entered data was transported to SPSS version 23.0 for data analysis.
Results: Out of 14039 women who gave birth, 2.5% women were found to have diabetes mellitus and from total of 346 diabetic women, 189(54.6%) had GDM and 157(45.4%) had PGDM. From the total DM mothers, 200(57.8%) of the neonates were born by caesarian section, only 39.9% born by spontaneous vaginal delivery, 17.9% were preterm delivery and 26% of pregnancies were end up with induced hypertension. Regarding to fetal outcome, 17.6% were macrocosmic, 9.2% respiratory distress, 10.1% were low birth weight, 10.1% had poor Apgar score at 5th minutes, 2.9% were hypoglycemia 2.6% were still birth, and 65% were admitted to NICU. Neonate born from working mothers were 2.1 times more develop adverse birth outcome than house wife and statistically associated with adverse birth out comes at (P <0 .002) and [OR=95%CI 2.117 (1.315, 3.405). Preterm delivery was significantly associated with adverse birth outcome at [P<0 .0001) [OR=95%CI 9.763(4.560, 20.902)].
Conclusion: Diabetes cause maternal complication and adverse birth outcomes among mothers with diabetes who delivered at Tikur Anbessa specialized hospital. Body mass index and previous history of pregnancy induced hypertension significantly associated with maternal adverse outcome. Preterm delivery and house wife mothers was associated with adverse fetal outcome
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Keywords
pregnancy,Diabetes