Research and Reports in Neonatology (Jun 2021)

Determinants of Perinatal Mortality in Public Hospitals of Iluu Abbaa Boor Oromia Region, South West Ethiopia, 2019: Unmatched Case–Control Study

  • Geda A,
  • Shemsu S,
  • Debalke R

Journal volume & issue
Vol. Volume 11
pp. 57 – 66

Abstract

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Abdi Geda, Shuayib Shemsu, Rukiya Debalke Public Health Department, College of Health Science, Mettu University, Mettu, Oromia Region, EthiopiaCorrespondence: Abdi GedaPublic Health Department, College of Health Science, Mettu University, PO Box: 318, Mettu, Oromia Region, EthiopiaEmail [email protected]: Globally, about 2.5 million children die in the first month after birth; this amounts to 7000 neonatal deaths every day. Almost half of neonatal deaths occur on the first postnatal day, and the vast majority of the rest occurs within the first postnatal week. In Ethiopia, efforts to reduce perinatal mortality did not meet the United Nations Millennium Development Goal (MDG) in 2020.Objective: To identify determinants of perinatal death in public hospitals of Iluu Abbaa Boor Zone, Oromia regional state, Southwest Ethiopia, 2019.Methods: An institution-based, case–control study was employed from March 1 to April 30, 2019 in Iluu Abbaa Boor Zone governmental hospitals. A total of 90 cases were taken consecutively. Four controls were assigned for each case. Maternal and neonatal data were collected by interview using a semi-structured questionnaire and hospital record review.Results: The likelihood of perinatal mortality was 2.8 times greater for those whose mothers did not have regular ANC follow-up (AOR 2.8; 95% CI [1.4– 4.8]). The odds of perinatal mortality were 2.8 times higher among newborns of mothers with less than two years birth interval (AOR 2.8; 95% CI [1.8– 12.4]). The odds of perinatal mortality were 14.3 times higher among preterm deliveries compared to newborns with term deliveries (AOR 14.3; 95% CI [4.7– 37.7]).Conclusion: In a medical resource-limited region of Ethiopia, not having ANC follow-up, short birth interval, preterm and postterm births, maternal hemoglobin level, use of partograph, were independent determinants of perinatal mortality. Targeting education and medical resources in these areas for women in the reproductive age group could influence regional perinatal mortality.Keywords: perinatal death, determinants, Ilu Ababor, Ethiopia

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