Research Article
Magnitude of Birth Injuries and Associated Factors Among Newborns Delivered in Public Hospitals of North Shewa Zone, Oromia, Ethiopia, 2023: Cross-Sectional Study
Teferi Tasew Alemu*,
Dejene Hailu Beyene,
Melese Wagaye Zergaw,
Gadisa Berhanu Mirkena,
Henok Abebayehu Delelegn
Issue:
Volume 10, Issue 1, March 2025
Pages:
1-13
Received:
3 December 2024
Accepted:
19 December 2024
Published:
9 January 2025
DOI:
10.11648/j.bsi.20251001.11
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Abstract: Introduction: - Birth trauma, often known as birth injuries, is any disability or harm that a newborn sustains during delivery or throughout the entire birth process. According to Ethiopia, birth injuries now contribute to between 28% and 31.6% of neonatal deaths, making them the major cause of mortality and morbidity. Although research on the extent and risk factors was conducted in Ethiopia, it did not cover all aspects, such as medical factors (smoking) and professional factors that were proven to be predictors of birth injury in other nations. Methods: An institutional-based cross-sectional study was employed for three months from June 1, 2023, to August 30, 2023. A semi-structured interview-administered questionnaire was used to collect data. Data were entered into Epi Data version 4.6 and exported to Statistical Package for Social Science software version 26 for analysis. Descriptive statistical analysis was done, and an association between dependent variables and independent variables was examined in logistic regression models. Results: The overall magnitude of neonatal birth injuries was 22.68% (95% CI: 18.5, 27.5). Age of the mother from 15-19 and 20-24 (AOR: 0.006, 95% CI:0.000, 0.131, and AOR: 0.017, 95% CI:0.001, 0.320), instrumental delivery (AOR:3.882, 95% CI:1.402, 10.780), cesarean section (AOR: 0.1449, 95% CI:0.027, 0.779), rural residence (AOR: 3.188, 95% CI:1.283, 7.923), cephalo-pelvic disproportion (AOR: 8.171, 95% CI:3.871, 17.248), induced labor (AOR: 4.009, 95% CI:1.832, 8.773), and prolonged duration of labor (AOR: 5.262, 95% CI:2.222, 12.461) were risk factors of birth injury. Conclusion and Recommendation: The rate of birth injuries was found to be higher than expected. The age of the mother, instrumental and cesarean section delivery, prolonged labor, induced labor, CPD, and rural residence were predictors of birth injury. The Ministry of Health and the regional and local healthcare systems should give attention to maternal health services.
Abstract: Introduction: - Birth trauma, often known as birth injuries, is any disability or harm that a newborn sustains during delivery or throughout the entire birth process. According to Ethiopia, birth injuries now contribute to between 28% and 31.6% of neonatal deaths, making them the major cause of mortality and morbidity. Although research on the exte...
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Research Article
Analysis of Maternal Deaths Occurring in Tambacounda Region (Senegal) During 2023
Issue:
Volume 10, Issue 1, March 2025
Pages:
14-21
Received:
18 January 2025
Accepted:
3 February 2025
Published:
21 February 2025
DOI:
10.11648/j.bsi.20251001.12
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Views:
Abstract: Introduction: Maternal mortality remains a significant public health challenge in developing countries like Senegal, particularly in the Southeast regions. The objective of this study was to determine the epidemiological, clinical, and paraclinical profile of maternal deaths recorded in the Tambacounda region during the year 2023. Methodology: This was a retrospective and descriptive study. Data were collected using Excel 2007 and pertained to sociodemographic characteristics, obstetric histories, clinical parameters, paraclinical data, and outcomes. The analysis was performed using R software version 4.4.1. Results: In 2023, a total of 115 maternal deaths were recorded, equivalent to 284 deaths per 100,000 live births. Among these deaths, 113 were analyzed, with 61.1% occurring in the regional hospital. The age group most affected was 20-24 years, representing 31.1% of cases, and 30.1% of the women were primigravida. Approximately 27.4% of women did not receive prenatal care, 42.5% did not undergo biological assessments, and 43.4% did not have ultrasounds. While 43.4% did not have a partogram, 30.1% of the women had not given birth at the time of death, which occurred during the second trimester in 38.9% of cases, followed by the third trimester at 30.7%. Preeclampsia/eclampsia was the leading cause of death, accounting for 19.5%. Deaths were deemed avoidable in 28.3% of cases, but a large proportion (69.9%) was not assessed. Conclusion: This study reveals a high maternal mortality rate (284 deaths per 100,000 live births) in the Tambacounda region, especially among women aged 20 to 24 years (31.1%) and primigravida (30.1%), with deficiencies in prenatal care and examinations. The early detection and referral of pregnant women with gynecological-obstetric morbidity factors must be strengthened.
Abstract: Introduction: Maternal mortality remains a significant public health challenge in developing countries like Senegal, particularly in the Southeast regions. The objective of this study was to determine the epidemiological, clinical, and paraclinical profile of maternal deaths recorded in the Tambacounda region during the year 2023. Methodology: This...
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,
Modou Mbacké Faye
