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

Abebe Balcha; Robert Wondimu; Zalalem Kaba

doi:doi:10.11648/j.ajbls.20210903.13

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

Abebe Balcha, Robert Wondimu, Zalalem Kaba

Published in American Journal of Biomedical and Life Sciences (Volume 9, Issue 3)

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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APA Style

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

Abebe Balcha

Kotu Primary Healthcare Unit, North Shewa Zone, Ethiopia
Robert Wondimu

Sendafa Beke Town Health Office, Sendafa Beke Town, Ethiopia
Zalalem Kaba

East Wollega Zonal Health Office, Nekemte Town, Ethiopia

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Plain Text BibTeX RIS

APA Style

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

Copy | Download

@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}
}

Copy | Download

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  -

Copy | Download