Determinant of adverse early neonatal outcomes following emergency cesarean section in North West, Ethiopia: institutional-based case-control study
Abstract Background The World Health Organization recommends a cesarean delivery rate of 5–15%, which is thought to be within the range that can reduce infant morbidity and mortality. Various investigations have shown that those poor newborn outcomes are influenced by a variety of maternal and fetal...
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BMC
2024-12-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-024-07037-2 |
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| author | Beyene Sisay Damtew Alemu Merga Hailu Bezawit Melak Fente Tadesu Wondu Workneh Hinsermu Bayu Abdi |
| author_facet | Beyene Sisay Damtew Alemu Merga Hailu Bezawit Melak Fente Tadesu Wondu Workneh Hinsermu Bayu Abdi |
| author_sort | Beyene Sisay Damtew |
| collection | DOAJ |
| description | Abstract Background The World Health Organization recommends a cesarean delivery rate of 5–15%, which is thought to be within the range that can reduce infant morbidity and mortality. Various investigations have shown that those poor newborn outcomes are influenced by a variety of maternal and fetal factors and are more prevalent in emergencies than planned cesarean deliveries. Ethiopia is one of the five nations that account for 50% of all neonatal fatalities worldwide. Sub-Saharan African countries account for 38% of all infant deaths worldwide. Aim To know the determinants of adverse early neonatal outcomes after emergency cesarean delivery. Method and material A multicenter case-control study design would be carried out between November 2022 and January 2023. Using the consecutive method, a sample of 318 mother-newborn pairs was studied. Direct observation and face-to-face interviews were undertaken to gather the data using a semi-structured questionnaire. For both data input and analysis, Epi Data version 4.6 and Stata version 14 software were used. Both the crude and adjusted odds ratios were computed. The measure of significance was based on the adjusted odds ratio with a 95% confidence interval and a p-value of less than 0.05. Results Maternal age over 35, the presence of danger signs during pregnancy, and non-reassuring fetal heart rate were significantly associated with increased risk of adverse fetal outcomes following emergency cesarean section. Women aged over 35 were 3.6 times more likely to experience adverse fetal outcomes compared to younger women (AOR: 3.6, 95% CI: 1.1, 9.7). Women with danger signs during pregnancy were 3.5 times more likely to have adverse fetal outcomes compared to those without (AOR = 3.5, 95% CI: 2.4, 36). Similarly, cases with non-reassuring fetal heart rate were associated with a 5.2 times higher risk of adverse newborn outcomes (AOR = 5.2, 95% CI: 1.1, 26). Conclusion This study identified advanced maternal age (over 35 years old), pregnancy complications, and non-reassuring fetal heart rate as significant risk factors for adverse neonatal outcomes following emergency cesarean section. |
| format | Article |
| id | doaj-art-07d5dae04c7b41a5bdb9c32eb4cf5a36 |
| institution | Kabale University |
| issn | 1471-2393 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
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| series | BMC Pregnancy and Childbirth |
| spelling | doaj-art-07d5dae04c7b41a5bdb9c32eb4cf5a362025-01-05T12:49:31ZengBMCBMC Pregnancy and Childbirth1471-23932024-12-012411910.1186/s12884-024-07037-2Determinant of adverse early neonatal outcomes following emergency cesarean section in North West, Ethiopia: institutional-based case-control studyBeyene Sisay Damtew0Alemu Merga Hailu1Bezawit Melak Fente2Tadesu Wondu Workneh3Hinsermu Bayu Abdi4College of Health Science, Department of Midwifery, Arsi UniversityDepartment of Midwifery, Wollega University College of Health ScienceCollege of Medicine and Health Science, Department of General Midwifery, University of GondarCollege of Medicine and Health Science, Department of General Midwifery, University of GondarCollege of Health Science, Department of Midwifery, Arsi UniversityAbstract Background The World Health Organization recommends a cesarean delivery rate of 5–15%, which is thought to be within the range that can reduce infant morbidity and mortality. Various investigations have shown that those poor newborn outcomes are influenced by a variety of maternal and fetal factors and are more prevalent in emergencies than planned cesarean deliveries. Ethiopia is one of the five nations that account for 50% of all neonatal fatalities worldwide. Sub-Saharan African countries account for 38% of all infant deaths worldwide. Aim To know the determinants of adverse early neonatal outcomes after emergency cesarean delivery. Method and material A multicenter case-control study design would be carried out between November 2022 and January 2023. Using the consecutive method, a sample of 318 mother-newborn pairs was studied. Direct observation and face-to-face interviews were undertaken to gather the data using a semi-structured questionnaire. For both data input and analysis, Epi Data version 4.6 and Stata version 14 software were used. Both the crude and adjusted odds ratios were computed. The measure of significance was based on the adjusted odds ratio with a 95% confidence interval and a p-value of less than 0.05. Results Maternal age over 35, the presence of danger signs during pregnancy, and non-reassuring fetal heart rate were significantly associated with increased risk of adverse fetal outcomes following emergency cesarean section. Women aged over 35 were 3.6 times more likely to experience adverse fetal outcomes compared to younger women (AOR: 3.6, 95% CI: 1.1, 9.7). Women with danger signs during pregnancy were 3.5 times more likely to have adverse fetal outcomes compared to those without (AOR = 3.5, 95% CI: 2.4, 36). Similarly, cases with non-reassuring fetal heart rate were associated with a 5.2 times higher risk of adverse newborn outcomes (AOR = 5.2, 95% CI: 1.1, 26). Conclusion This study identified advanced maternal age (over 35 years old), pregnancy complications, and non-reassuring fetal heart rate as significant risk factors for adverse neonatal outcomes following emergency cesarean section.https://doi.org/10.1186/s12884-024-07037-2Cesarean deliveryNeonatal outcomeAdverse outcomeEthiopia |
| spellingShingle | Beyene Sisay Damtew Alemu Merga Hailu Bezawit Melak Fente Tadesu Wondu Workneh Hinsermu Bayu Abdi Determinant of adverse early neonatal outcomes following emergency cesarean section in North West, Ethiopia: institutional-based case-control study BMC Pregnancy and Childbirth Cesarean delivery Neonatal outcome Adverse outcome Ethiopia |
| title | Determinant of adverse early neonatal outcomes following emergency cesarean section in North West, Ethiopia: institutional-based case-control study |
| title_full | Determinant of adverse early neonatal outcomes following emergency cesarean section in North West, Ethiopia: institutional-based case-control study |
| title_fullStr | Determinant of adverse early neonatal outcomes following emergency cesarean section in North West, Ethiopia: institutional-based case-control study |
| title_full_unstemmed | Determinant of adverse early neonatal outcomes following emergency cesarean section in North West, Ethiopia: institutional-based case-control study |
| title_short | Determinant of adverse early neonatal outcomes following emergency cesarean section in North West, Ethiopia: institutional-based case-control study |
| title_sort | determinant of adverse early neonatal outcomes following emergency cesarean section in north west ethiopia institutional based case control study |
| topic | Cesarean delivery Neonatal outcome Adverse outcome Ethiopia |
| url | https://doi.org/10.1186/s12884-024-07037-2 |
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