Background: Adverse birth outcomes are big problem of neonatal health in developing nations. Stillbirth, preterm birth, low birth weight and birth asphyxia are the major contributors of adverse birth outcome. There is limited data on adverse birth outcomes and intrapartum care in Ethiopia. Hence, this study was aimed to assess the magnitude of adverse birth outcomes and associated factors among newborns delivered in public health institutions of Kembata Tembaro Zone, Southern Ethiopia.
Methods: A cross-sectional study was conducted on 770 delivery records from January 31 to February 15, 2017 in selected health facilities of the zone. Data were collected by using pretested checklist and entered to Epidata and exported to SPSS for further analysis. Logistic regression analysis was carried out to identify factors associated with adverse birth outcomes.
Results: The magnitude of adverse birth outcome was 13.9% (95% CI 11.1-16.1). Lack of ANC follow-up [AOR=11.13(CI 3.2-30)], malpresentation [AOR=6.08(CI 1.8-19.9)], ruptured membrane at admission [AOR=2.5(CI 1.42-4.49)], substandard monitoring of fetal heart beat [AOR=2.7(CI 1.47-5.3)], urine test not done for protein and ketone [AOR=2.13(CI 1.09-4.16)], antepartum hemorrhage [AOR=8.08(CI 2.62-24.91)], pregnancy induced hypertension [AOR=8.42(CI 2.48-28.54)] and premature rupture of membrane [AOR=6.19(CI 1.746-21.94)] were factors independently associated with adverse birth outcomes.
Conclusion: Adverse birth outcomes in this is found to be significant. Many of the factors that are attributed to adverse birth outcomes are modifiable. This result could call for strengthening and catching-up left opportunities of these interventions directed at both prevention and proper medical care during delivery period.
Keywords: Adverse birth outcomes, factors, public health institutions, Ethiopia