ADVERSE PREGNANCY OUTCOMES AND ASSOCIATED FACTORS AMONG ADVANCED AGE PRIMIGRAVIDAE WOMEN IN GURAGE ZONE PUBLIC HOSPITALS, SOUTHERN ETHIOPIA: A COMPARATIVE CROSS-SECTIONAL STUDY 2022.

Abstract

Introduction :Adverse pregnancy outcomes means those pregnancy outcomes are either maternal or perinatal outcomes other than normal live birth which majorly includes: pregnancy induced hypertension, Antepartum Hemorrhage, Postpartum Hemorrhage, Cesarean delivery, Congenital Anomalies, Perinatal Death. Elderly primigravidae means a woman who is going to pregnancy and bring birth for the first times at the age of 35 or older years. In the world, every day around 830 women die due to adverse pregnancy and perinatal outcomesObjective: The aim of this study is to assess adverse pregnancy outcomes and associated factors among advanced age primigravidae in gurage zone public hospitals, southern Ethiopia: a comparative cross-sectional study 2022.Methods: Institutional based comparative cross-sectional study design was conducted among 122 studygroupand 122 comparison groups in gurage zone public hospitals. Data was collected using pre-tested and structured questionnaires by reviewing charts and it was coded, checked and entered into SPSS version 25 for analysis. Chi-square test and independent t-test was done to compare categorical and continuous variables accordingly. Bivariabl analysis was done to see the crude significant relation of each independent variables with dependent variable individually. Then Variables with P value ≤ 0.25 during the Bivariabl analysis was entered to multivariable analysis to see the neat effect of each independent variable on the outcome variable. Finally variables with P value less than 0.05 was considered as statistically significant. Result:This study was conducted among a total of 244 women who participated in the study classified into a study group and a comparison group of 122 participants for each with a response rate of 100%. The overall prevalence of adverse pregnancy outcomes results was 74.5% (95%; CI: 66.5%-83.7%) of study group and 42.6% of comparison group. The factors significantly associated with adverse pregnancy outcomes were rural resident [AOR: 4.76 95%; CI: 1.073 –65.00], Spontaneous vaginal delivery (AOR: 0.007, 95%; CI: 0.001-0.057) and unplanned pregnancy (AOR: 0.023, 95%; CI: 0.003-0.175).Conclusion: The prevalence of adverse pregnancy outcomes in this study is higher as compared to other literatures. Rural resident were positively significantly associated with adverse pregnancy outcomes, while planned pregnancy and spontaneous vagina mode of delivery were protective factors that significantly associated with adverse pregnancy outcomes.