Prevalence and Associated Factors of Adverse Birth Outcome Among Deliveries at Butajira Hospital, Southern Ethiopia

Background: Adverse birth outcomes are the most common public health problem in both developed and developing countries, including Ethiopia.Objective: This study aimed to assess the prevalence and associated factors of adverse birth outcome among deliveries at Butajira Hospital, Southern Ethiopia.Methods: An institution-based cross-sectional study was conducted from February 1-21, 2019 at Butajira Hospital.Three hundred thirteen mothers' card was obtained using the systematic sampling method.A pre-tested checklist was used to collect data.Data were entered into Epidata version 3.1 and analyzed using SPSS version 22. Multiple logistic regression was used to identify associated factors of adverse birth outcome with 95% CI and P value <0.05. Result:The overall prevalence of adverse birth outcome was 18.2%.The factors significantly associated with the adverse birth outcome were as follows: being rural residence [AOR=3.2;95%CI (1.5, 7.7)], mothers aged 35 and above [AOR=8.7;95% CI (3.1, 24.5)], history of abortion [AOR=2.4;95%CI (1.1, 5.4)], and pregnancy complication [AOR= 12.9; 95% CI (4.8, 35.2)]. Conclusion and recommendation:Adverse birth outcome is quite common in the study area.Mothers aged 35 and above, being rural residence, pregnancy complication, and history of abortion were associated factors of adverse birth outcome.Health education during antenatal follow-up of pregnant mothers about the need to attend maternity ward early, as soon as possible during labor recommended to reduce adverse birth outcome.