Perinatal Survival and Predictors of Mortality among Mothers with Hypertensive Disorders of Pregnancy at Antenatal care Clinics in Gamo Zone Public Hospitals

BACKGROUND፡ Pregnancy induced hypertension represents a significant public health problem throughout the world, which may complicate 0.5%–10% of all pregnancies. It is the leading cause of maternal as well perinatal mortality and morbidity worldwide. Pregnancy induced hypertension is a multisystem disorder unique to pregnancy and results in high perinatal mortality. The objective of this study was to determine the survival status, incidence and predictors of perinatal mortality among mothers with pregnancy induced hypertension at antenatal clinics of Gamo Zone public hospitals.METHODS: Facility-based retrospective cohort study was conducted among selected 576(192 exposed and 384 unexposed) antenatal care attendants' record at Gamo Zone public hospitals from 1st January 2018 to 31st December 2018. Data were entered into Epi data version 3.02 and exported to SPSS V 25 for analysis. Kaplan Meier survival curve together with log rank test was fitted to test the survival time. Statistical significance was declared at Pvalue <0.05 using cox proportional hazard model.RESULT: The incidence of perinatal mortality was 124/1000 births. The cumulative proportion of surviving at the end of 4th , 8th, 12th and 16th weeks of follow-up among the exposed groups was 96.9%, 93.5%, 82.1% and 61.6% respectively whereas it was 99.5%, 98.9% and 98.5% at the end of 4th, 8th and 12th weeks of follow-up for the non-exposed groups respectively. Parity of >5(AHR: 6.3; 95%CI: 1.36,10.55), mothers who delivered at<34 weeks of gestation(AHR:7.8; 95%CI: 2.6,23.1), being preterm(AHR:6; 95%CI: 5.3,19.2), perinatal birth weight<2500gm(AHR:6.1; 95&CI: 1.01,37.9), vaginal deliveryn(AHR:2.7; 95%CI:1.13,6.84), maternal highest systolic blood pressure level >160mmHg (AHR: 2.3; 95%CI: 1.02,5.55) and prepartum onset of pregnancy induced hypertension (AHR:6; 95%CI: 5.3,19.2) were statistically significant in multivariable analysis.CONCLUSION: The risk of perinatal mortality was high among the mothers with pregnancy induced hypertension compared to those of pregnancy induced hypertension free mother,s and the perinatal mortality rate was high. High parity, low gestational age, low number of antenatal care visits, low birth weight, vaginal delivery, antepartum onset of pregnancy induced hypertension and highest maternal systolic blood pressure level were the independent predictors of perinatal mortality

Assessment of birth preparedness & complication readiness and associated factors among ANC attendant pregnant mothers in Arba Minch Town Governmental Institutions, Arba Minch, Southern Ethiopia

Introduction: Birth preparedness and complication readiness is the big pillar in the process of planning for normal delivery and seeking interventions if there is an obstetric emergency. Since Maternal mortality is a public health challenge Globally, different effort were applied from government as well as nongovernmental organization.Methods: Institution based cross-sectional study design was conducted from September 15,2017 to October 15,2017 in Arba Minch town governmental Institutions. A total of 421 pregnant mothers were involved and study subjects were selected by systematic sampling technique. Data were collected using structured interviewer administered questionnaire. Data were entered into Epi info version 7 and exported to SPSS version 23 statistical soft ware package for cleaning, coding and analysis. Descriptive statistics was done to assess basic client characteristics. Factors that show association in Bivariable analysis was entered in to Multivariable logistic regression models. The strength of statistical association was measured by adjusted odds ratios, 95% confidence intervals, and P-value &lt;0.05 was considered as significant.&nbsp;</p

Danger signs that new-born in experienced in Sodo town, Wolaita Zone, southern Ethiopia, 2019 (n = 231).

From a total of 231 neonates who experienced danger signs, 110 (47.6%) mothers preferred to seek care for their sick neonate at a health facility, 75 (32.4%) preferred traditional healers, and 18 (7.8%) gave home therapy (Fig 2). “Damakesie,” garlic, “tenadam,” honey, a mixture of lemon and ash put on the neonate’s head for tonsillitis, match stick for convulsions, tepid sponging for fever, exposure to sunlight for jaundice, and rubbing with coconut oil for cold body were some of the home treatments mothers used for their sick children.</p

Factors associated with mothers health care seeking practice for neonatal danger signs in Sodo town, Wolaita Zone, southern Ethiopia, 2019 (n = 410).

Factors associated with mothers health care seeking practice for neonatal danger signs in Sodo town, Wolaita Zone, southern Ethiopia, 2019 (n = 410).</p

Socio demographic characteristics of mothers in Sodo town, Wolaita Zone, southern Ethiopia, 2019 (n = 410).

Socio demographic characteristics of mothers in Sodo town, Wolaita Zone, southern Ethiopia, 2019 (n = 410).</p

S1 File -

BackgroundOver the previous few decades, significant progress has been made in reducing newborn mortality, but the worldwide scale of the problem remains high. A considerable number of newborn death and difficulties owing to neonatal danger signs could be avoided if mothers sought appropriate health care for common neonatal risk indications, according to a number of studies presently underway in Ethiopia. The aim of this study is to assess health care seeking behavior of mothers’ in related to neonatal danger signs.MethodA community-based cross-sectional study was conducted among 410 participants in Wolaita Sodo, From October 1 to October 30, 2019. To collect data, structured interviewer administered questionnaire was used. Data was coded, cleaned, recoded and entered in to epi-data version 3.1 and transported to SPSS window version 21 for analysis. Multivariable logistic regression was carried out and p-value of less than or equal to 0.05 was considered statistically significant.ResultA total of 410 mothers participated in this study, 110 (47.6%) mothers preferred health intuition for their neonate. Husband educational status (AOR = 2.4, 95% CI = 1.1, 5.5), communication media (AOR = 4.3, 95% CI = 2.4, 7.5), place of residence (AOR = 3.5, 95% C.I = 1.9, 6.7), ANC follow up (AOR = 2.8, 95% CI = 1.4, 5.8), and PNC follow (AOR = 1.7, 95% CI = 1.1, 3.1) were all factors that significantly associated with health care seeking practice neonatal dander signs.ConclusionOverall, there was a low degree of health-seeking practice. The educational status of the mother’s husband, communication media, residence, ANC follow-up, and PNC follow-up all predicted the mothers’ health-care seeking behavior. The study also identifies the Wolaita Zone and Sodo town health offices, the health development army, one to five local community organizations with and health extension workers as key contributors.</div

Reasons for not seeking medical care for neonatal danger signs in Sodo town, Wolaita Zone, southern Ethiopia, 2019 (n = 121).

Reasons for not seeking medical care for neonatal danger signs in Sodo town, Wolaita Zone, southern Ethiopia, 2019 (n = 121).</p

Obstetrics history of mothers in Sodo town, Wolaita Zone, Southern Ethiopia, 2019(n = 410).

Obstetrics history of mothers in Sodo town, Wolaita Zone, Southern Ethiopia, 2019(n = 410).</p

Care seeking practice of mothers for their sick neonate in Sodo town, Wolaita Zone, southern Ethiopia, 2019 (n = 231).

Care seeking practice of mothers for their sick neonate in Sodo town, Wolaita Zone, southern Ethiopia, 2019 (n = 231).</p

Underlying data set.

BackgroundOver the previous few decades, significant progress has been made in reducing newborn mortality, but the worldwide scale of the problem remains high. A considerable number of newborn death and difficulties owing to neonatal danger signs could be avoided if mothers sought appropriate health care for common neonatal risk indications, according to a number of studies presently underway in Ethiopia. The aim of this study is to assess health care seeking behavior of mothers’ in related to neonatal danger signs.MethodA community-based cross-sectional study was conducted among 410 participants in Wolaita Sodo, From October 1 to October 30, 2019. To collect data, structured interviewer administered questionnaire was used. Data was coded, cleaned, recoded and entered in to epi-data version 3.1 and transported to SPSS window version 21 for analysis. Multivariable logistic regression was carried out and p-value of less than or equal to 0.05 was considered statistically significant.ResultA total of 410 mothers participated in this study, 110 (47.6%) mothers preferred health intuition for their neonate. Husband educational status (AOR = 2.4, 95% CI = 1.1, 5.5), communication media (AOR = 4.3, 95% CI = 2.4, 7.5), place of residence (AOR = 3.5, 95% C.I = 1.9, 6.7), ANC follow up (AOR = 2.8, 95% CI = 1.4, 5.8), and PNC follow (AOR = 1.7, 95% CI = 1.1, 3.1) were all factors that significantly associated with health care seeking practice neonatal dander signs.ConclusionOverall, there was a low degree of health-seeking practice. The educational status of the mother’s husband, communication media, residence, ANC follow-up, and PNC follow-up all predicted the mothers’ health-care seeking behavior. The study also identifies the Wolaita Zone and Sodo town health offices, the health development army, one to five local community organizations with and health extension workers as key contributors.</div