Wondwossen, Kalkidan(MSc, Ass. Prof.)Mulugeta, Feven(BSc, MSc)Amsalu, Esubalew2021-10-312023-11-062021-10-312023-11-062021-06http://etd.aau.edu.et/handle/123456789/28433Background: Birth injury is harm/damage that a baby suffers during the entire birth process. It includes both birth asphyxia and physical trauma (birth trauma). In Ethiopia, intra-partum related complications’ including birth injury has become the leading cause of neonatal morbidity and mortality, accounting around 28%-31.6 % of neonatal mortality. This study was done to assess the prevalence and factors associated with birth injuries among newborns delivered in public hospitals Addis Ababa, Ethiopia, 2021. Methods: Institution based cross-sectional study was conducted on total of 373 samples from February 15 th to April 20 th , 2021 in selected public hospitals of Addis Ababa, Ethiopia. Random sampling (lottery method) and systematic random sampling were used to select study area and study participants respectively. Interview and chart review were used to collect data. Data was entered by using Epi data version 4.0.2 and exported in to SPSS Software version 25 for analysis. Both bivariate and multivariable logistic regressions analysis were used to analyze the data. Finally P-value 0.05 was used to claim statistically significant. Result: In this study, the prevalence of birth injury was 24.7 %. Each birth asphyxia and birth trauma accounted 13.9 % and 12.9 % respectively. In the final model, birth asphyxia was significantly associated with the short height of the mothers (AOR=10.7, 95% CI: 3.59-32.4), intrapartal fetal distress (AOR=4.74, 95% CI: 1.81-12.4), cord prolapse (AOR=7.7. 95% CI: 1.45-34.0), tight nuchal cord (AOR=9.2. 95% CI: 4.9-35.3), birth attended by residents (AOR=0.19, 95% CI: 0.05-0.68), male sex of the newborns (AOR=3.84, 95% CI: 1.30-11.3) and low birth weight of the newborns (AOR= 5.28, 95% CI: 1.58-17.6). Whereas, birth trauma was significantly associated with gestational diabetic mellitus (AOR=5.01, 95% CI: 1.3818.1), prolonged duration of labor (AOR= 3.74, 95% CI: 1.52-9.20), instrumental delivery (AOR=10.6, 95% CI: 3.45-32.7) and night time birth (AOR=4.82, 95% CI: 1.84-12.6). Conclusion and recommendation: The prevalence of birth injury among newborns has continued to increases and become life-threatening issue in the delivery and neonatal intensive care unit in our study area. Therefore, considering the prevailing associated factors, robust effort has to be made to optimize the quality of ANC care, obstetric care and follow up and emergency obstetrics team has to be strengthened to reduce the prevalence of birth injury.en-USBirths injury, Birth Asphyxia, Birth trauma, Newborns, PrevalenceThesis