scholarly journals Determinants of Neonatal Hypothermia Among Babies Born in Public Hospitals of West Shewa Zone of Oromia Regional State, Ethiopia: Unmatched Case–Control Study

2021 ◽  
Vol Volume 11 ◽  
pp. 13-21
Author(s):  
Benyam Seifu ◽  
Daniel Belema ◽  
Kassa Mamo ◽  
Gizachew Abdissa Bulto
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
Public Hospitals ◽  
Regional State ◽  
Neonatal Hypothermia ◽  
Control Study

scholarly journals Determinants of preterm birth in public hospitals in central Ethiopia: an unmatched case-control study

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 773
Author(s):  
Berhanu Senbeta Deriba ◽  
Agumas Fentahun Ayalew ◽  
Addis Adera Gebru
Keyword(s):  
Preterm Birth ◽  
Cigarette Smoking ◽  
Birth Outcomes ◽  
Case Control Study ◽  
Case Control ◽  
Public Hospitals ◽  
Medical Illness ◽  
Adverse Birth Outcomes ◽  
Central Ethiopia ◽  
Control Study

Background: Around 15 million babies are born prematurely in the world every year. The most common cause of neonatal death in Ethiopia is premature birth. To reduce the rate of preterm delivery by correcting modifiable or preventable causes, the availability of local data is important. Hence, this study aimed to identify the determinants of preterm birth among women who gave birth in public hospitals in central Ethiopia. Methods: An Institutional-based unmatched case-control study was conducted at public hospitals in central Ethiopia to select 170 cases and 340 controls. The collected data were entered into EPI INFO and transferred to SPSS for analysis. Tables, graphs, and proportions were used to present the results. Binary and multiple logistic regressions analysis were computed to identify determinants of preterm birth. Adjusted Odds Ratio (AOR), 95% Confidence Interval (CI), and a p-value < 0.05 were computed to determine the presence of an association between preterm birth and independent variables. Results: A total of 166 cases and 332 controls participated in the study, giving a response rate of 97.6%. Cigarette smoking (AOR=3.77, 95% CI=1.35,10.56), alcohol consumption (AOR=1.85, 95% CI=1.11,3.10), wanted but unplanned pregnancy (AOR=3,95% CI=1.68,5.34), neither wanted nor planned pregnancy(AOR=3.61% CI=1.62,8.06), lack of antenatal care (ANC) visits (AOR=4.13, 95% CI=1.95, 8.74), adverse birth outcomes (AOR=5.66, 95% CI=2.88,11.12), presence of a diagnosed illness (AOR=2.81, 95% CI=1.37, 5.76), presence of one or more of obstetrics complications(AOR=6.44, 95% CI=5.49, 3.35, 9), and hemoglobin level < 11g/dl  (AOR=2.78, 95% CI=1.48, 5.22) were determinants of preterm birth. Conclusion:-In this study, cigarette smoking status, alcohol drinking status, pregnancy status, adverse birth outcomes, ANC visits, obstetric complications,  presence of medical illness, and anemia were identified as determinants of preterm birth. It is important to encourage such women to attend ANC visits, stop smoking, and abstain from alcohol.

scholarly journals Determinants of VIA Positivity Among Women Screened for Cervical Precancerous Lesion in Public Hospitals of Oromia Region, Ethiopia: Unmatched Case-Control Study

2020 ◽  
Vol Volume 12 ◽  
pp. 587-596
Author(s):  
Yohannes Tekalegn ◽  
Rameto Aman ◽  
Demelash Woldeyohannes ◽  
Biniyam Sahiledengle ◽  
Sisay Degno
Keyword(s):  
Case Control Study ◽  
Precancerous Lesion ◽  
Case Control ◽  
Public Hospitals ◽  
Control Study

scholarly journals Modeling Clinical And Non-Clinical Determinants of Intrapartum Stillbirths In Singletons In Six Public Hospitals In The Greater Accra Region of Ghana: A Retrospective Case-Control Study

2021 ◽  
Author(s):  
Linda Vanotoo ◽  
Duah Dwomoh ◽  
Amos Laar ◽  
Agnes Kotoh ◽  
Richard Adanu
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
Public Hospitals ◽  
Operating Characteristics ◽  
Contributing Factors ◽  
Retrospective Case ◽  
Fetal Autopsy ◽  
Intrapartum Stillbirth ◽  
Greater Accra Region ◽  
Control Study

Abstract Background: The Greater Accra Region (GAR) of Ghana records 2000 stillbirths annually and 40 % of them occur intrapartum. An understanding of the contributing factors will facilitate the development of preventive strategies to reduce the huge numbers of intrapartum stillbirths. This study identified determinants of intrapartum stillbirths in GAR.Method: A retrospective 1:2 unmatched case-control study was conducted in six public hospitals in the Greater Accra Region of Ghana. A multivariable ordinary logistic regression model with robust standard error was used to quantify the effect of exposures on intrapartum stillbirth. The area under the receiver operating characteristics curve and the Brier scores were used to assess the predictive performance of the regression models. Results: The following maternal factors increased the odds of intrapartum stillbirths: pregnancy-induced hypertension (PIH) [adjusted Odds Ratio; aOR=3.72, 95% CI:1.71-8.10, p<0.001]; antepartum haemorrhage (APH) [aOR=3.28, 95% CI: 1.33-8.10, p<0.05] and premature rupture of membranes (PROM) [aOR=3.36, 95% CI: 1.20-9.40, p<0.05]. Conclusions: Improved management of PIH, APH, PROM, and preterm delivery will reduce intrapartum stillbirth. Hospitals should improve on the quality of monitoring women during labor. Auditing of intrapartum stillbirths should be mandatory for all hospitals and Ghana Health Service (GHS) should include fetal autopsy in stillbirth auditing to identify other causes of fetal deaths. Interventions to reduce intrapartum stillbirth must combine maternal, fetal, and service delivery factors to make them effective.

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