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Perinatal Death and Associated Factors in Wolaita Sodo Referral Hospital, Southern Ethiopia: a Facility Based Cross-Sectional Study | OMICS International | Abstract
ISSN: 2167-1079

Primary Healthcare: Open Access
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Research Article

Perinatal Death and Associated Factors in Wolaita Sodo Referral Hospital, Southern Ethiopia: a Facility Based Cross-Sectional Study

Mihiretu A1*, Elazar T1and Negash2

1Department of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Ethiopia

2Department of Medicine, College of Health Sciences and Medicine, Wolaita Sodo University, Ethiopia

*Corresponding Author:
Mihiretu A
Department of Public Health
College of Health Sciences and Medicine
Wolaita Sodo University, Ethiopia
Tel:
251913213443
E-mail: [email protected]

Received date: April 04, 2016; Accepted date: May 30, 2017; Published date: June 06, 2017

Citation: Mihiretu A, Elazar T, Negash (2017) Perinatal Death and Associated Factors in Wolaita Sodo University Hospital, Southern Ethiopia and a Facility Based Cross-Sectional Study. Prim Health Care 7:269. doi:10.4172/2167-1079.1000269

Copyright: © 2017 Mihiretu A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

Abstract

Abstract Background: Birth is a critical time for the mother and fetus. In Ethiopia rates of new born morbidity and mortality are among the highest in the world. Even though many African mothers including Ethiopian are ending up in perinatal mortality, little was investigated to identify the associated factors. Methodology: A facility based retrospective cross-sectional study was conducted in July, 2015 in Wolaita Sodo University teaching and referral Hospital by collecting data through record review of all women who gave birth at the hospital within the past one year preceding the survey. Systematic sampling technique was used to select 300 subjects. Epidata version 1.4.4.0 and SPSS version 20 were used to enter and analyze data respectively. Proportions and means were used to describe the study population by explanatory variables whereas; Bivariate and multivariable logistic regression were used to identify the candidate and predictor variables respectively. All statistical tests were considered significant at α<0.05. Result: Among the 300 mothers who delivered their index child at Wolaita Sodo University teaching and referral hospital, 52 (17.3%) of them had a dead perinatal outcome. Antenatal care visit, obstructed labor, referral from other health facility, cord prolapse, preeclampsia and birth weight were identified as predictors of perinatal outcome. Conclusion: Perinatal death among the study participants was high, which seeks a due attention. Appropriate antenatal care supported with ultrasound examination, improving obstetrics care, early diagnosis and appropriate management of severely asphyxiated fetus at the time of delivery could reduce the prevalence. Hence, making health facilities (those which can provide comprehensive services) accessible to clients could reduce perinatal death attributable to referral related causes. Besides, health facilities have to give due attention on strengthening improvement of ante-natal care service and the use of partograph.

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