From: Determinants of adverse birth outcomes among women delivered in public hospitals of Ethiopia, 2020
Characteristics | Adverse birth outcome | COR (95%) CI | P- value | |
---|---|---|---|---|
Control n (%) | Cases n (%) | |||
Ethnicity | ||||
 Oromo | 286 (86.67) | 141 (85.45) | 1 |  |
 Amhara | 35 (10.6) | 21 (12.73) | 1.21 (0.68,2.17) | 0.5 |
 Gurage | 9 (2.73) | 3 (1.82) | 0.67 (0.18,2.54) | 0.56 |
Religion of the mother | ||||
 Protestant | 160 (48.48) | 86 (52.12) | 1 |  |
 Orthodox | 86 (26.06) | 39 (23.64) | 0.84 (0.53,1.34) | 0.47 |
 Catholic | 13 (3.94) | 8 (4.85) | 1.14 (0.457,2.87) | 0.77 |
 Muslim | 62 (18.78) | 29 (17.58) | 0.87 (0.52,1.45) | 0.6 |
 Others | 9 (2.73) | 3 (1.82) | 0.62 (0.16,2.35) | 0.48 |
Marital status | ||||
 Married | 311 (94.24) | 153 (92.73) | 1 |  |
 Single | 6 (1.82) | 3 (1.82) | 1.02 (0.25,4.12) | 0.98 |
 Divorced | 9 (2.73) | 6 (3.64) | 1.35 (0.47,3.87) | 0.57 |
 Widowed | 4 (1.21) | 3 (1.82) | 1.52 (0.34,6.89) | 0.58 |
Educational status | ||||
 Unable to read and write | 72 (21.8) | 40 (24.24) | 1.28 (0.76,2.14) | 0.35 |
 Completed grade 1–8 | 84 (25.5) | 42 (25.45) | 1.15 (0.69,1.9) | 0.59 |
 Completed grade 9–12 | 66 (20) | 36 (21.82) | 1.25 (0.74,2.13) | 0.4 |
 Diploma and above | 108 (32.7) | 47 (28.48) | 1 |  |
Residence | ||||
 Rural | 212 (64.24) | 104 (63.03) | 1 |  |
 Urban | 118 (35.76) | 61 (36.97) | 1.05 (0.7,1.55) | 0.79 |
Age category | ||||
 15–24 years | 89 (26.97) | 43 (26.06) | 1.08 (0.6,1.9) | 0.78 |
 25-34 years | 176 (53.33) | 93 (56.36) | 1.18 (0.71,1.96) | 0.5 |
 35–44 years | 65 (19.7) | 29 (17.58) | 1 |  |
Age at 1st marriage | ||||
 < 18 years | 110 (33.33) | 51 (30.91) | 1.6 (0.71,3.6) | 0.26 |
 18–23 years | 189 (57.27) | 105 (63.64) | 1.9 (0.88,4.17) | 0.1* |
 > 23 years | 31 (9.39) | 9 (5.45) | 1 |  |
Monthly income | ||||
 < 1000 birr | 67 (20.3) | 40 (24.24) | 1.54 (0.86,2.76) | 0.14* |
 1000–2000 birr | 54 (16.36) | 31 (18.79) | 1.48 (0.8,2.75) | 0.21* |
 2001–3000 birr | 75 (22.73) | 37 (22.42) | 1.27 (0.7,2.28) | 0.41 |
 3001–4000 birr | 59 (17.88) | 28 (16.97) | 1.23 (0.66,2.28) | 0.52 |
 > 4000 birr | 75 (22.73) | 29 (17.58) | 1 |  |
Family size | ||||
 1–3 | 98 (29.7) | 37 (22.42) | 1 |  |
 4–6 | 197 (59.7) | 107 (64.85) | 1.44 (0.92,2.25) | 0.11* |
 > 6 | 35 (10.7) | 21 (12.73) | 1.59 (0.82,3.07) | 0.17* |
Number of live births | ||||
 < 3 | 217 (65.76) | 106 (64.24) | 1 |  |
 3–5 | 81 (24.55) | 47 (28.48) | 1.18 (0.77,1.82) | 0.43 |
 > 5 | 32 (9.70) | 12 (7.27) | 0.77 (0.38,1.55) | 0.46 |
Duration between pregnancy | ||||
 1st pregnancy | 79 (23.94) | 49 (29.70) | 1.39 (0.86,2.24) | 0.18* |
 < 12 months | 16 (4.85) | 10 (6.06) | 1.4 (0.6,3.28) | 0.44 |
 12–17 months | 26 (7.88) | 10 (6.06) | 0.86 (0.39,1.9) | 0.71 |
 18–23 months | 88 (26.67) | 42 (25.45) | 1.07 (0.657,1.74) | 0.78 |
 > 23 months | 121 (36.67) | 54 (32.73) | 1 |  |
Family planning utilization | ||||
 Yes | 247 (74.85) | 118 (71.52) | 1 |  |
 No | 83 (25.15) | 47 (28.48) | 1.18 (0.78,1.8) | 0.427 |
Plan of pregnancy | ||||
 Yes | 260 (78.79) | 125 (75.76) | 1 |  |
 No | 70 (21.21) | 40 (24.24) | 1.19 (0.76,1.85) | 0.44 |
Antenatal care attendance | ||||
 One time | 16 (4.85) | 33 (20) | 6.25 (3.22,12.16) | < 0.001* |
 Two times | 46 (13.94) | 33 (20) | 2.17 (1.27,3.71) | 0.004* |
 Three times | 86 (26.06) | 39 (23.6) | 1.37 (0.85,2.22) | 0.19* |
 > =4 times | 182 (55.15) | 60 (36.4) | 1 |  |
Danger sign of pregnancy | ||||
 Yes | 63 (19.1) | 42 (25.45) | 1.45 (0.93,2.26) | 0.1* |
 No | 267 (80.9) | 123 (74.55) | 1 |  |
Mode of delivery | ||||
 Spontaneous vaginal delivery | 196 (59.39) | 88 (53.33) | 1 |  |
 Forceps | 18 (5.45) | 10 (6.06) | 1.24 (0.55,2.79) | 0.61 |
 Cesarean section | 66 (20) | 43 (26.06) | 1.45 (0.92,2.29) | 0.11* |
 Vacuum delivery | 45 (13.64) | 20 (12.12) | 0.99 (0.55,1.77) | 0.97 |
 Destructive delivery | 5 (1.52) | 4 (2.42) | 1.78 (0.47,6.79) | 0.39 |
History of adverse birth outcome | ||||
 Yes | 59 (17.88) | 34 (20.6) | 1.19 (0.745,1.91) | 0.46 |
 No | 271 (82.12) | 131 (79.4) | 1 |  |
Premature rupture of membrane | ||||
 Yes | 50 (15.15) | 59 (35.76) | 3.12 (2.01,4.83) | < 0.001* |
 No | 280 (84.85) | 106 (64.24) | 1 |  |
Labour started | ||||
 Spontaneously | 269 (81.52) | 125 (75.76) | 1 |  |
 Induced | 61 (18.48) | 40 (24.24) | 1.41 (0.9,2.21) | 0.135* |
History of diabetes mellitus | ||||
 Yes | 21 (6.36) | 10 (6.06) | 0.95 (0.44,2.07) | 0.9 |
 No | 309 (93.64) | 155 (93.94) | 1 |  |
History of hypertension | ||||
 Yes | 42 (12.73) | 41 (24.85) | 2.27 (1.4,3.66) | 0.001* |
 No | 288 (87.27) | 124 (75.15) | 1 |  |
History of cardiac disease | ||||
 Yes | 8 (2.42) | 5 (3.03) | 1.26 (0.405,3.91) | 0.69 |
 No | 322 (97.58) | 160 (96.97) | 1 |  |
Human immunodeficiency virus status | ||||
 Positive | 9 (2.73) | 4 (2.42) | 1 |  |
 Negative | 311 (94.24) | 154 (93.33) | 1.1 (0.34,3.67) | 0.86 |
 Unknown | 10 (3.03) | 7 (4.24) | 1.57 (0.34,7.22) | 0.56 |
Anemia | ||||
 Yes | 39 (11.82) | 45 (27.27) | 2.8 (1.73,4.5) | < 0.001* |
 No | 291 (88.18) | 120 (72.73) | 1 |  |
Malaria | ||||
 Yes | 13 (3.94) | 11 (6.67) | 1.74 (0.76,3.97) | 0.18* |
 No | 317 (96.06) | 154 (93.33) | 1 |  |
Sexually transmitted infection | ||||
 Yes | 41 (12.42) | 12 (7.27) | 0.55 (0.28,1.08) | 0.08* |
 No | 289 (87.58) | 154 (93.3) | 1 |  |
Pregestational body mass index | ||||
 < 18 kg/m2 | 35 (10.6) | 17 (10.3) | 0.97 (0.52,1.81) | 0.93 |
 18–24 kg/m2 | 258 (78.18) | 122 (73.94) | 1.45 (0.67,3.1) | 0.34 |
 > 24 kg/m2 | 37 (11.21) | 26 (15.75) | 1 |  |
Pregnancy induced hypertension | ||||
 Yes | 49 (14.85) | 57 (34.55) | 3.03 (1.95,4.7) | < 0.001* |
 No | 281 (85.15) | 108 (65.45) | 1 |  |
Maternal height | ||||
 > =150 cm | 138 (41.82) | 54 (32.73) | 1 |  |
 < 150 cm | 192 (58.18) | 111 (67.27) | 1.47 (0.99,2.18) | 0.051* |
Dietary counselling | ||||
 Yes | 216 (65.45) | 92 (55.76) | 1 |  |
 No | 114 (34.55) | 73 (44.24) | 1.5 (1.03,2.2) | 0.036* |
Mid upper arm circumference | ||||
 < 23 cm | 97 (29.4) | 49 (29.7) | 1.01 (0.67,1.53) | 0.94 |
 = > 23 cm | 233 (70.6) | 116 (70.3) | 1 |  |
Dietary supplementation | ||||
 Yes | 236 (71.52) | 78 (47.27) | 1 |  |
 No | 94 (28.48) | 87 (52.73) | 2.8 (1.9,4.13) | < 0.001* |
Time of 1st antenatal care visit | ||||
 1st Trimester | 125 (37.88) | 46 (27.88) | 1 |  |
 2nd trimester | 167 (50.6) | 90 (54.55) | 1.46 (0.96,2.24) | 0.078* |
 3rd Trimester | 38 (11.51) | 29 (17.57) | 2.07 (1.15,3.74) | 0.015* |
Number of born child | ||||
 Multiple | 9 (2.73) | 2 (1.21) | 1 |  |
 Singleton | 321 (97.27) | 163 (98.79) | 2.28 (0.48,10.7) | 0.29 |
Labor duration category | ||||
 < 8 h | 111 (33.64) | 59 (35.76) | 1 |  |
 8-15 h | 143 (43.33) | 65 (39.4) | 0.85 (0.56,1.32) | 0.47 |
 16-22 h | 61 (18.48) | 34 (20.6) | 1.05 (0.62,1.77) | 0.86 |
 > 22 h | 15 (4.55) | 7 (4.24) | 0.87 (0.34,2.27) | 0.79 |
Time to reach health facility | ||||
 < 1 h | 217 (65.75) | 102 (61.82) | 0.72 (0.42,1.23) | 0.23* |
 1-2 h | 70 (21.21) | 35 (21.21) | 0.77 (0.41,1.43) | 0.41 |
 > 2 h | 43 (13.03) | 28 (16.97) | 1 |  |
History of substance abuse | ||||
 Yes | 49 (14.85) | 37 (22.42) | 1.66 (1.03,2.67) | 0.037* |
 No | 281 (85.15) | 128 (77.58) | 1 |  |
Physical abuse | ||||
 Yes | 23 (6.97) | 21 (12.73) | 1.95 (1.04,3.63) | 0.036* |
 No | 307 (93.03) | 144 (87.27) | 1 |  |
Use of traditional medicine | ||||
 Yes | 17 (5.15) | 6 (3.64) | 0.69 (0.27,1.79) | 0.45 |
 No | 313 (94.85) | 159 (96.36) | 1 |  |
Experienced stress | ||||
 Yes | 76 (23.03) | 52 (31.52) | 1.54 (1.01,2.33) | 0.043* |
 No | 254 (76.97) | 113 (68.48) | 1 |  |