Prevalence and Predictors of Adverse Birth Outcome among Deliveries at Butajira General Hospital, Gurage Zone, Southern Nations, Nationalities, and PeopleâÂÂs Region, Ethiopia

Background: Adverse birth outcomes are the most common public health problem in both developed and developing countries, including Ethiopia. This study aimed to assess the prevalence and predictors of adverse birth outcome among women who delivered at the Butajira General Hospital, Southern Nations, Nationalities, and People’s Region, Ethiopia. Methods: A Hospital-based cross-sectional study was conducted from March 06–27, 2019. Three hundred thirteen mothers’ card was obtained using the systematic sampling method. A pretested checklist was used to collect data. Data were entered into Epi-data version 3.1 and analysed using SPSS version 24. Multiple logistic regressions were used to identify associated predictors of adverse birth outcome with 95% confidence interval. p value of <0.05 was considered significant. Result: The overall prevalence of adverse birth outcome was 18.2%. The predictors of 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: Most factors associated with adverse birth outcome are manageable by means of appropriate pre-natal care and improving antenatal, intrapartum, neonatal care services and incorporating community-based health education within our limited resources.