The magnitude of short interpregnancy intervals and associated factors among women who delivered in North Wollo Zone public hospitals, northeastern Ethiopia, 2023: A facility-based cross-sectional study.

Background: Maternal and child mortality rates remain a serious public health challenge in Ethiopia. Short interpregnancy intervals are known to negatively impact perinatal and child health; therefore, improving this practice is a key strategy to reduce mortality and adverse outcomes. Objective: Thi...

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Publicado en:Therapeutic Advances in Reproductive Health pp. 1 - 14
Autores principales: Arage, Mulugeta Wodaje, Shimels, Samrawit, Kassaw, Abebe Tarekegn, Yilak, Gizachew
Formato: equations & formulas research tables/charts Journal Article
Publicado: Sage Publications Inc. 11/19/2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/19/2024
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        atl: The magnitude of short interpregnancy intervals and associated factors among women who delivered in North Wollo Zone public hospitals, northeastern Ethiopia, 2023: A facility-based cross-sectional study.
      aug:
        au:
          Arage, Mulugeta Wodaje
          Shimels, Samrawit
          Kassaw, Abebe Tarekegn
          Yilak, Gizachew
        affil: Conceptualization, Department of Midwifery, College of Health Sciences, Woldia University, Woldia, Ethiopia
      sug:
        subj:
          Birth Intervals Psychosocial Factors
          Mothers Psychosocial Factors
          Hospitals, Public Ethiopia
          Time Factors
          Human
          Female
          Adolescence
          Adult
          Middle Age
          Funding Source
          Pregnancy
          Ethiopia
          Cross Sectional Studies
          Maternal Mortality Prevention and Control
          Child Mortality Prevention and Control
          Perinatal Care
          Adverse Health Care Event Prevention and Control
          Questionnaires
          Interviews
          Descriptive Statistics
          Data Analysis Software
          Multivariate Analysis
          Independent Variable
          Contraceptive Agents Therapeutic Use
          Health Education
          Health Promotion
          Odds Ratio
          Confidence Intervals
          Educational Status
          Prevalence
          Parity
          Pregnancy Complications
          Pregnancy, Unplanned
          Pregnancy, Unwanted
          Family Planning
          Attitude to Pregnancy
          Urban Areas
          Breast Feeding Psychosocial Factors
          Multiple Regression
          Pregnancy Outcomes
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Background: Maternal and child mortality rates remain a serious public health challenge in Ethiopia. Short interpregnancy intervals are known to negatively impact perinatal and child health; therefore, improving this practice is a key strategy to reduce mortality and adverse outcomes. Objective: This study aimed to evaluate the extent of short intervals between pregnancies and the factors associated with them among women who gave birth at public hospitals in the North Wollo Zone of northeastern Ethiopia in 2023. Design: A facility-based cross-sectional study was conducted in the North Wollo Zone of northeastern Ethiopia in 2023. Methods: This study was conducted on mothers who delivered at public hospitals in the North Wollo Zone of northeastern Ethiopia. The study participants were selected using a systematic random sampling technique between February 1, 2023, and April 1, 2023. Data were collected through an interviewer-administered questionnaire using the Kobo Collect tool and analyzed using SPSS version 27.0. Bivariable and multivariable analyses were performed to determine the relationship between the outcome and predictor variables. A p value of less than 0.05 was considered significant in the multivariable analysis. Results: The study found that 51.5% of participants had short interpregnancy intervals. Several independent factors were associated with a short birth interval, including the status of the last pregnancy (adjusted odds ratio (AOR): 9.51; 95% CI: 3.932–23.0028), educational status of the woman (AOR: 4.545; 95% CI: 1.208–17.108), and use of modern contraceptives in previous pregnancies (AOR: 6.460, 95% CI: 3.882–23.008). Conclusion: Despite the efforts made through public health interventions in Ethiopia, the prevalence of short interpregnancy intervals in this study was high. Therefore, increasing the utilization of modern contraceptives and promoting health education at both health facilities and community levels could contribute to addressing this issue. Plain language summary: The study of interpregnancy intervals was conducted to better understand the magnitude and causes of short interpregnancy intervals among women who delivered at North Wollo Zone public hospitals Why was the study done? This study was conducted to evaluate the prevalence of short intervals between pregnancies and identify the factors associated with them among women who gave birth at public hospitals in the North Wollo Zone of northeastern Ethiopia in 2023. This research aimed to understand the extent of the issue and its determinants to inform strategies and interventions aimed at reducing maternal and child mortality and improving health outcomes in the region. What did the researchers do? This cross-sectional study was conducted in 2023 in the North Wollo Zone of northeastern Ethiopia. They selected mothers who had given birth at public hospitals between February and April 2023 using systematic random sampling. Data were collected through interviews and analyzed to identify factors associated with short birth intervals. What did the researchers find? The researchers found that over half (51.5%) of the participants had short intervals between pregnancies. They discovered significant associations between short birth intervals and factors such as the outcome of the last pregnancy, educational status of the women, and use of modern contraceptives in previous pregnancies. These findings highlight the importance of addressing these factors to improve the maternal and child health outcomes in the region. What do the findings mean? These findings suggest that a considerable proportion of women in the North Wollo Zone of northeastern Ethiopia experienced short intervals between pregnancies. Factors such as the outcome of previous pregnancies, educational status, and use of modern contraceptives play crucial roles in determining the length of birth intervals. Addressing these factors through improved access to modern contraceptives and enhanced health education could potentially reduce the maternal and child health risks associated with short birth intervals in the region.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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