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Determinants of Obstetric Complications in Debre Behran Referral Hospital, Amhara Regional State, Ethiopia: A Matched Case-control Study

Received: 26 April 2021     Accepted: 4 June 2021     Published: 21 June 2021
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Abstract

Background: Obstetric complications are health problems that occur during pregnancy, delivery and postnatal period. In Ethiopia, obstetric complications are the major cause of maternal death in which results from represent a mix of risk factors such as illiteracy, lack of information, low use of health care, previous obstetric complications, previous chronic medical conditions, remote location, poverty and poor decision-making power of women. Objective: The aim of this study is to assess determinants of obstetric complications in Debre Berhan Referral hospital, Amhara Regional State, Ethiopia. Method: An institutional based matched case-control study was conducted on determinants of obstetric complications in Debre Berhan Referral Hospital from March 10 to April 30, 2019. Systematic sampling method was used to select 47 cases and 94 controls a total sample size of 141 and data was collected using pre-tested standardized questionnaire and checklist. Then data was entered and cleaned using Epi-info version 7.0, bivariate and multivariate analysis was done using conditional logistic regression on SPSS version 21. Descriptive statistics and odds ratio with 95% CI was computed for predictor variables and P-value <0.05 was considered as significant. Results: Age 35 years and above [(COR=1.8, 95% CI: (1.023-3.27)], age of first pregnancy less than 18 years [AOR=2.825, 95% CI, (1.021-3.273)], lack information access [AOR=13.742, 95% CI, (4.935-38.270)], birth interval less or equal 1 year [AOR=2.581, 95% CI, (1.679-3.896)]; past obstetric complications [AOR=3.450, 95% CI, (2.001-4.155)], anemia [AOR=3.1, 95% CI, (2.002-4.414)], focused ANC utilizations [AOR=0.30, 95% CI, (0.014-0.877)], and induced labor [AOR=4.9, 95% CI 1.008-7.321)] showed significant association with an obstetric complications. Conclusions and recommendations: ANC, age, birth interval, past obstetric complications, abortion, information access, educational status, planned pregnancy, anaemia, weight loss, and FP were determinants of obstetric complications in study area. Therefore, providing appropriate information on potential obstetric complications, accessed maternal health services and empower women is very important.

Published in American Journal of Biomedical and Life Sciences (Volume 9, Issue 3)
DOI 10.11648/j.ajbls.20210903.13
Page(s) 151-165
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Determinants, Obstetric Complications, Matched Case-control Study

References
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[6] Ramatu A, Yohanna S. Pattern and determinants of obstetric complications among women delivered at Yusuf Dan-Tsoho Memorial Hospital. Tudunwada, India, 2014.
[7] Gogoi M. Pregnancy Complications and Birth Outcome: Do Health Care Services Make a Difference? Mumbai, Uganda, 2015.
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    Abebe Balcha, Robert Wondimu, Zalalem Kaba. (2021). Determinants of Obstetric Complications in Debre Behran Referral Hospital, Amhara Regional State, Ethiopia: A Matched Case-control Study. American Journal of Biomedical and Life Sciences, 9(3), 151-165. https://doi.org/10.11648/j.ajbls.20210903.13

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    ACS Style

    Abebe Balcha; Robert Wondimu; Zalalem Kaba. Determinants of Obstetric Complications in Debre Behran Referral Hospital, Amhara Regional State, Ethiopia: A Matched Case-control Study. Am. J. Biomed. Life Sci. 2021, 9(3), 151-165. doi: 10.11648/j.ajbls.20210903.13

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    AMA Style

    Abebe Balcha, Robert Wondimu, Zalalem Kaba. Determinants of Obstetric Complications in Debre Behran Referral Hospital, Amhara Regional State, Ethiopia: A Matched Case-control Study. Am J Biomed Life Sci. 2021;9(3):151-165. doi: 10.11648/j.ajbls.20210903.13

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  • @article{10.11648/j.ajbls.20210903.13,
      author = {Abebe Balcha and Robert Wondimu and Zalalem Kaba},
      title = {Determinants of Obstetric Complications in Debre Behran Referral Hospital, Amhara Regional State, Ethiopia: A Matched Case-control Study},
      journal = {American Journal of Biomedical and Life Sciences},
      volume = {9},
      number = {3},
      pages = {151-165},
      doi = {10.11648/j.ajbls.20210903.13},
      url = {https://doi.org/10.11648/j.ajbls.20210903.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20210903.13},
      abstract = {Background: Obstetric complications are health problems that occur during pregnancy, delivery and postnatal period. In Ethiopia, obstetric complications are the major cause of maternal death in which results from represent a mix of risk factors such as illiteracy, lack of information, low use of health care, previous obstetric complications, previous chronic medical conditions, remote location, poverty and poor decision-making power of women. Objective: The aim of this study is to assess determinants of obstetric complications in Debre Berhan Referral hospital, Amhara Regional State, Ethiopia. Method: An institutional based matched case-control study was conducted on determinants of obstetric complications in Debre Berhan Referral Hospital from March 10 to April 30, 2019. Systematic sampling method was used to select 47 cases and 94 controls a total sample size of 141 and data was collected using pre-tested standardized questionnaire and checklist. Then data was entered and cleaned using Epi-info version 7.0, bivariate and multivariate analysis was done using conditional logistic regression on SPSS version 21. Descriptive statistics and odds ratio with 95% CI was computed for predictor variables and P-value <0.05 was considered as significant. Results: Age 35 years and above [(COR=1.8, 95% CI: (1.023-3.27)], age of first pregnancy less than 18 years [AOR=2.825, 95% CI, (1.021-3.273)], lack information access [AOR=13.742, 95% CI, (4.935-38.270)], birth interval less or equal 1 year [AOR=2.581, 95% CI, (1.679-3.896)]; past obstetric complications [AOR=3.450, 95% CI, (2.001-4.155)], anemia [AOR=3.1, 95% CI, (2.002-4.414)], focused ANC utilizations [AOR=0.30, 95% CI, (0.014-0.877)], and induced labor [AOR=4.9, 95% CI 1.008-7.321)] showed significant association with an obstetric complications. Conclusions and recommendations: ANC, age, birth interval, past obstetric complications, abortion, information access, educational status, planned pregnancy, anaemia, weight loss, and FP were determinants of obstetric complications in study area. Therefore, providing appropriate information on potential obstetric complications, accessed maternal health services and empower women is very important.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Determinants of Obstetric Complications in Debre Behran Referral Hospital, Amhara Regional State, Ethiopia: A Matched Case-control Study
    AU  - Abebe Balcha
    AU  - Robert Wondimu
    AU  - Zalalem Kaba
    Y1  - 2021/06/21
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajbls.20210903.13
    DO  - 10.11648/j.ajbls.20210903.13
    T2  - American Journal of Biomedical and Life Sciences
    JF  - American Journal of Biomedical and Life Sciences
    JO  - American Journal of Biomedical and Life Sciences
    SP  - 151
    EP  - 165
    PB  - Science Publishing Group
    SN  - 2330-880X
    UR  - https://doi.org/10.11648/j.ajbls.20210903.13
    AB  - Background: Obstetric complications are health problems that occur during pregnancy, delivery and postnatal period. In Ethiopia, obstetric complications are the major cause of maternal death in which results from represent a mix of risk factors such as illiteracy, lack of information, low use of health care, previous obstetric complications, previous chronic medical conditions, remote location, poverty and poor decision-making power of women. Objective: The aim of this study is to assess determinants of obstetric complications in Debre Berhan Referral hospital, Amhara Regional State, Ethiopia. Method: An institutional based matched case-control study was conducted on determinants of obstetric complications in Debre Berhan Referral Hospital from March 10 to April 30, 2019. Systematic sampling method was used to select 47 cases and 94 controls a total sample size of 141 and data was collected using pre-tested standardized questionnaire and checklist. Then data was entered and cleaned using Epi-info version 7.0, bivariate and multivariate analysis was done using conditional logistic regression on SPSS version 21. Descriptive statistics and odds ratio with 95% CI was computed for predictor variables and P-value <0.05 was considered as significant. Results: Age 35 years and above [(COR=1.8, 95% CI: (1.023-3.27)], age of first pregnancy less than 18 years [AOR=2.825, 95% CI, (1.021-3.273)], lack information access [AOR=13.742, 95% CI, (4.935-38.270)], birth interval less or equal 1 year [AOR=2.581, 95% CI, (1.679-3.896)]; past obstetric complications [AOR=3.450, 95% CI, (2.001-4.155)], anemia [AOR=3.1, 95% CI, (2.002-4.414)], focused ANC utilizations [AOR=0.30, 95% CI, (0.014-0.877)], and induced labor [AOR=4.9, 95% CI 1.008-7.321)] showed significant association with an obstetric complications. Conclusions and recommendations: ANC, age, birth interval, past obstetric complications, abortion, information access, educational status, planned pregnancy, anaemia, weight loss, and FP were determinants of obstetric complications in study area. Therefore, providing appropriate information on potential obstetric complications, accessed maternal health services and empower women is very important.
    VL  - 9
    IS  - 3
    ER  - 

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Author Information
  • Kotu Primary Healthcare Unit, North Shewa Zone, Ethiopia

  • Sendafa Beke Town Health Office, Sendafa Beke Town, Ethiopia

  • East Wollega Zonal Health Office, Nekemte Town, Ethiopia

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