Médecine néonatale et pédiatrique

Abstrait

Factors Associated with Induced Preterm Birth and Its Immediate Outcome in Addis Ababa Public Hospitals, Ethiopia

Aba Tamir Deressa, Amsale Cherieb and Berhan Tsegaye Negash

Objective: It was to assess factors associated with induced preterm birth and its immediate outcome from 2011 to 2015 in Addis Ababa public hospitals.
Methods: The hospitals were selected by simple random sampling. Following this, the neonatal medical records were selected by systematic sampling from admission neonatal intensive care unit’s log book. Data were collected using structured questionnaire. Finally data were entered to EPIDATA3.1 and transported to SPSS 22 for analysis. Analysis was undertaken using bivariate and multivariate logistic regression.
Result: Majority (66.1%) of preterm births were spontaneous and 33.9% were induced preterm births. From those admitted preterm births to Neonatal intensive care unit, 45.3% were died and 54.7% discharged alive. Maternal Human immune deficiency virus (HIV) infection [p=0.003, AOR=6.446, 95%CI: (3.085, 26.279)] was one of the factors associated with both the induced preterm birth and immediate death outcome of preterm birth.
Conclusion: Maternal HIV infection and hypertension during pregnancy were associated with the induced preterm birth; and maternal HIV infection, premature rupture of membrane, low Appearance, pulse, grimace, activity and respiration (APGAR) score and respiratory distress were associated with immediate death outcome of preterm birth.