RESUMEN
BACKGROUND: Advanced maternal age generally denotes age after 35 years during the time of delivery. Despite the fact that being pregnant at any reproductive age is not risk-free, older gravidity usually culminates with adverse outcomes both to the mother and fetus or neonate. This study aimed to determine the association of adverse obstetrical and perinatal outcomes with advanced maternal age pregnancy. The study was conducted in Ayder comprehensive specialized hospital, north Ethiopia, from 2015 to 2017. METHODS: chart review comparative cross-sectional study was employed. Data were retrieved from medical charts of 752 pregnant mothers (376 each for both the study;> 35-year-old and reference group;20-34 year old). Data was collected using a pretested and structured checklist using systematic sampling and data was entered & analyzed using SPSS version 20. Binary and multivariable logistic regression was run to determine the association of independent variables with dependent variables. RESULTS: This study revealed that advanced maternal age pregnancy was significantly associated with pregnancy induced hypertension [AOR 4.15, 95% CI (2.272-7.575), p < 0.001], ante partum hemorrhage [AOR 2.54, 95% CI (1.32-4.91), P = 0.005] & cesarean delivery [AOR 2.722, 95% CI (1.777-4.170), p < 0.001]. Furthermore, advanced maternal age pregnancy was also increasingly associated with adverse perinatal outcomes like preterm delivery [AOR 3.622, 95% CI (1.469-8.930), p = 0.005], low birth weight [AOR 3.137, 95% CI (1.324-7.433), p = 0.009], perinatal death [AOR 2.54, 95% CI (1.141-5.635), p = 0.022] and low fifth minute APGAR score [AOR 7.507, 95% CI (3.134-17.98), p < 0.001]. Notwithstanding this, maternal age was not found to be associated with amniotic fluid disturbances, premature rupture of membranes and post-term pregnancy. CONCLUSIONS: Advanced maternal age is markedly linked with adverse obstetrical and perinatal outcomes. Therefore, it is better for health care providers to counsel couples, who seek to have a child in their later ages, about the risks of advanced maternal age pregnancy. In addition, health care workers need to emphasize on how to improve advanced age mothers' health through the utilization of contraception to reduce pregnancy in this age group.
Asunto(s)
Edad Materna , Complicaciones del Trabajo de Parto/epidemiología , Complicaciones del Embarazo/epidemiología , Adulto , Estudios Transversales , Etiopía/epidemiología , Femenino , Hospitales Especializados , Humanos , Embarazo , Probabilidad , Factores de Riesgo , Adulto JovenRESUMEN
OBJECTIVE: The objective of this study was to determine the prevalence and associated factors of preterm births among mothers who gave birth in Axum and Adwa public hospitals, Tigray, North Ethiopia, 2018. RESULT: This study showed that 13.3% from the total 472 mothers gave a preterm birth. Being a rural resident (AOR = 2.13, 95% CI (1.07,4.22), short inter pregnancy interval (AOR = 5.4, 95% CI (1.32, 22.05), previous preterm birth (AOR = 3.74, 95% CI (1.03, 16.34), Premature rupture of membrane (AOR = 4.14, 95% CI (1.92, 8.89), induced onset of labor (AOR = 2.49, 95% CI (1.06, 5.85) multiple pregnancy (AOR = 5.69, 95% CI (2.27, 14.28), malaria during pregnancy (AOR = 4.71, 95% CI (1.98, 11.23), Presence of chronic illness (AOR = 4.55, 95% CI (1.83, 11.26) were significantly associated with preterm birth.
Asunto(s)
Rotura Prematura de Membranas Fetales/epidemiología , Recien Nacido Prematuro , Trabajo de Parto Inducido/efectos adversos , Malaria/epidemiología , Nacimiento Prematuro/epidemiología , Adulto , Enfermedad Crónica , Estudios Transversales , Parto Obstétrico/estadística & datos numéricos , Etiopía/epidemiología , Femenino , Hospitales Públicos , Humanos , Recién Nacido , Malaria/complicaciones , Embarazo , Embarazo Múltiple/estadística & datos numéricos , Nacimiento Prematuro/etiología , Prevalencia , Factores de Riesgo , Población Rural , Población UrbanaRESUMEN
BACKGROUND: In spite of the negative impact of prelacteal feeding on the growth and development of children, it is widely practiced in Ethiopia. This study aimed to assess prelacteal feeding practices and associated factors among mothers of children aged less than 24 months in the North Wello zone. METHODS: A quantitative community based cross-sectional study was employed during March 2015. Eight hundred and forty four (844) mother-child pairs were selected by multi-stage sampling technique. Data were collected by face-to-face interview. Descriptive statistics, binary and multiple logistic regression analyses were employed to identify factors associated with prelacteal feeding practice. Variables with a p-value <0.05 were identified as statistically significant factors. RESULTS: The prevalence of prelacteal feeding was 11.1 % (95 % confidence interval [CI]: 9.0, 13.0). Colostrum discarding (adjusted odds ratio [AOR]: 8.7; 95 % CI (3.8, 20.1)) and lack of counseling about breastfeeding (AOR: 2.6; 95 % CI 1.27, 5.4) were the factors associated with prelacteal feeding. The major reasons stated for providing prelacteal feeds were "culture" and "do not have enough milk". CONCLUSION: Prelacteal feeds are offered to nearly one child in every ten in the North Wello zone. Colostrum removal and lack of counseling on breastfeeding at antenatal care visit are important positive predictors of prelacteal feeding practice. Awareness of the risks associated with prelacteal feeding, promotion of counseling on breastfeeding and the health benefit of colostrum during antenatal care visits are recommended interventions to reduce prelacteal feeding practices in the study areas.