Factors associated with adverse pregnancy outcomes among women who delivered at Intermediate Hospital Oshakati
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Date
2015
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University of Namibia
Abstract
Globally an estimate of 350 000 to 500 000 women die annually from preventable causes related to pregnancy and childbirth. An adverse pregnancy outcome is an incident which reduces the chance of having a healthy baby, two or more 1st trimester miscarriage. Previous studies reveal that adverse pregnancy outcomes were threatening the lives of both the mother and child. The burden of adverse pregnancy outcomes among women who deliver at Intermediate Hospital Oshakati is a major public health concern. It has frequently been reported in the local media that adverse pregnancy outcomes among women in Namibia is a common occurrence. The objective of this study was to determine and describe the factors associated with adverse pregnancy outcomes and compare the adverse pregnancy outcomes between teenage and older mothers. A quantitative analytical, contextual, cross-sectional study was conducted. Pregnant women who delivered at Intermediate Hospital Oshakati from July to September 2015 were interviewed, using a structured questionnaire. Information on demographic, potential risk factors and adverse pregnancy outcomes were collected and analyzed using Epi info. We enrolled a total of 306 pregnant women of whom 50% (n=153) were teenage and 50% (n=153) were older mothers. A total of n=164 (53.60%) had adverse pregnancy outcomes, whereas n=142 (46.40%) did not have adverse pregnancy outcomes. Significant bivariate results included regions (OR 0.33, 95%CI: 0.12-0.94, p=0.0314), residential areas (OR=0.43, 95%CI: 0.25-0.74, p=0.0021), gestational weeks (OR 0.75, 95%CI: 0.65-0.88, p=0.0004), BMI (OR 0.56, 95%CI: 0.32-0.98, p=0.0430), haemoglobin (OR 0.33, 95%CI: 0.16-0.69, p=0.0029), and blood pressure (OR 9.56, 95%CI: 1.19-77.5, p=0.0334). The adverse pregnancy outcomes are a real public health issue, which need to be addressed. It is recommended that each district hospitals have specialists in obstetric care and advanced midwifery, and to sensitize all pregnant women about the adverse pregnancy outcomes and how to prevent it.
Description
A thesis submitted in partial fulfilment of the requirements for the Degree of Master of Science in Applied Epidemiology
Keywords
Adverse pregnancy