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Magnitude of Birth Injuries and Associated Factors Among Newborns Delivered in Public Hospitals of North Shewa Zone, Oromia, Ethiopia, 2023: Cross-Sectional Study

Received: 3 December 2024     Accepted: 19 December 2024     Published: 9 January 2025
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Abstract

Introduction: - Birth trauma, often known as birth injuries, is any disability or harm that a newborn sustains during delivery or throughout the entire birth process. According to Ethiopia, birth injuries now contribute to between 28% and 31.6% of neonatal deaths, making them the major cause of mortality and morbidity. Although research on the extent and risk factors was conducted in Ethiopia, it did not cover all aspects, such as medical factors (smoking) and professional factors that were proven to be predictors of birth injury in other nations. Methods: An institutional-based cross-sectional study was employed for three months from June 1, 2023, to August 30, 2023. A semi-structured interview-administered questionnaire was used to collect data. Data were entered into Epi Data version 4.6 and exported to Statistical Package for Social Science software version 26 for analysis. Descriptive statistical analysis was done, and an association between dependent variables and independent variables was examined in logistic regression models. Results: The overall magnitude of neonatal birth injuries was 22.68% (95% CI: 18.5, 27.5). Age of the mother from 15-19 and 20-24 (AOR: 0.006, 95% CI:0.000, 0.131, and AOR: 0.017, 95% CI:0.001, 0.320), instrumental delivery (AOR:3.882, 95% CI:1.402, 10.780), cesarean section (AOR: 0.1449, 95% CI:0.027, 0.779), rural residence (AOR: 3.188, 95% CI:1.283, 7.923), cephalo-pelvic disproportion (AOR: 8.171, 95% CI:3.871, 17.248), induced labor (AOR: 4.009, 95% CI:1.832, 8.773), and prolonged duration of labor (AOR: 5.262, 95% CI:2.222, 12.461) were risk factors of birth injury. Conclusion and Recommendation: The rate of birth injuries was found to be higher than expected. The age of the mother, instrumental and cesarean section delivery, prolonged labor, induced labor, CPD, and rural residence were predictors of birth injury. The Ministry of Health and the regional and local healthcare systems should give attention to maternal health services.

Published in Biomedical Statistics and Informatics (Volume 10, Issue 1)
DOI 10.11648/j.bsi.20251001.11
Page(s) 1-13
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Birth Injury, Fiche, North Shewa, Oromia

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Cite This Article
  • APA Style

    Alemu, T. T., Beyene, D. H., Zergaw, M. W., Mirkena, G. B., Delelegn, H. A. (2025). Magnitude of Birth Injuries and Associated Factors Among Newborns Delivered in Public Hospitals of North Shewa Zone, Oromia, Ethiopia, 2023: Cross-Sectional Study. Biomedical Statistics and Informatics, 10(1), 1-13. https://doi.org/10.11648/j.bsi.20251001.11

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    ACS Style

    Alemu, T. T.; Beyene, D. H.; Zergaw, M. W.; Mirkena, G. B.; Delelegn, H. A. Magnitude of Birth Injuries and Associated Factors Among Newborns Delivered in Public Hospitals of North Shewa Zone, Oromia, Ethiopia, 2023: Cross-Sectional Study. Biomed. Stat. Inform. 2025, 10(1), 1-13. doi: 10.11648/j.bsi.20251001.11

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    AMA Style

    Alemu TT, Beyene DH, Zergaw MW, Mirkena GB, Delelegn HA. Magnitude of Birth Injuries and Associated Factors Among Newborns Delivered in Public Hospitals of North Shewa Zone, Oromia, Ethiopia, 2023: Cross-Sectional Study. Biomed Stat Inform. 2025;10(1):1-13. doi: 10.11648/j.bsi.20251001.11

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  • @article{10.11648/j.bsi.20251001.11,
      author = {Teferi Tasew Alemu and Dejene Hailu Beyene and Melese Wagaye Zergaw and Gadisa Berhanu Mirkena and Henok Abebayehu Delelegn},
      title = {Magnitude of Birth Injuries and Associated Factors Among Newborns Delivered in Public Hospitals of North Shewa Zone, Oromia, Ethiopia, 2023: Cross-Sectional Study
    },
      journal = {Biomedical Statistics and Informatics},
      volume = {10},
      number = {1},
      pages = {1-13},
      doi = {10.11648/j.bsi.20251001.11},
      url = {https://doi.org/10.11648/j.bsi.20251001.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bsi.20251001.11},
      abstract = {Introduction: - Birth trauma, often known as birth injuries, is any disability or harm that a newborn sustains during delivery or throughout the entire birth process. According to Ethiopia, birth injuries now contribute to between 28% and 31.6% of neonatal deaths, making them the major cause of mortality and morbidity. Although research on the extent and risk factors was conducted in Ethiopia, it did not cover all aspects, such as medical factors (smoking) and professional factors that were proven to be predictors of birth injury in other nations. Methods: An institutional-based cross-sectional study was employed for three months from June 1, 2023, to August 30, 2023. A semi-structured interview-administered questionnaire was used to collect data. Data were entered into Epi Data version 4.6 and exported to Statistical Package for Social Science software version 26 for analysis. Descriptive statistical analysis was done, and an association between dependent variables and independent variables was examined in logistic regression models. Results: The overall magnitude of neonatal birth injuries was 22.68% (95% CI: 18.5, 27.5). Age of the mother from 15-19 and 20-24 (AOR: 0.006, 95% CI:0.000, 0.131, and AOR: 0.017, 95% CI:0.001, 0.320), instrumental delivery (AOR:3.882, 95% CI:1.402, 10.780), cesarean section (AOR: 0.1449, 95% CI:0.027, 0.779), rural residence (AOR: 3.188, 95% CI:1.283, 7.923), cephalo-pelvic disproportion (AOR: 8.171, 95% CI:3.871, 17.248), induced labor (AOR: 4.009, 95% CI:1.832, 8.773), and prolonged duration of labor (AOR: 5.262, 95% CI:2.222, 12.461) were risk factors of birth injury. Conclusion and Recommendation: The rate of birth injuries was found to be higher than expected. The age of the mother, instrumental and cesarean section delivery, prolonged labor, induced labor, CPD, and rural residence were predictors of birth injury. The Ministry of Health and the regional and local healthcare systems should give attention to maternal health services.
    },
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Magnitude of Birth Injuries and Associated Factors Among Newborns Delivered in Public Hospitals of North Shewa Zone, Oromia, Ethiopia, 2023: Cross-Sectional Study
    
    AU  - Teferi Tasew Alemu
    AU  - Dejene Hailu Beyene
    AU  - Melese Wagaye Zergaw
    AU  - Gadisa Berhanu Mirkena
    AU  - Henok Abebayehu Delelegn
    Y1  - 2025/01/09
    PY  - 2025
    N1  - https://doi.org/10.11648/j.bsi.20251001.11
    DO  - 10.11648/j.bsi.20251001.11
    T2  - Biomedical Statistics and Informatics
    JF  - Biomedical Statistics and Informatics
    JO  - Biomedical Statistics and Informatics
    SP  - 1
    EP  - 13
    PB  - Science Publishing Group
    SN  - 2578-8728
    UR  - https://doi.org/10.11648/j.bsi.20251001.11
    AB  - Introduction: - Birth trauma, often known as birth injuries, is any disability or harm that a newborn sustains during delivery or throughout the entire birth process. According to Ethiopia, birth injuries now contribute to between 28% and 31.6% of neonatal deaths, making them the major cause of mortality and morbidity. Although research on the extent and risk factors was conducted in Ethiopia, it did not cover all aspects, such as medical factors (smoking) and professional factors that were proven to be predictors of birth injury in other nations. Methods: An institutional-based cross-sectional study was employed for three months from June 1, 2023, to August 30, 2023. A semi-structured interview-administered questionnaire was used to collect data. Data were entered into Epi Data version 4.6 and exported to Statistical Package for Social Science software version 26 for analysis. Descriptive statistical analysis was done, and an association between dependent variables and independent variables was examined in logistic regression models. Results: The overall magnitude of neonatal birth injuries was 22.68% (95% CI: 18.5, 27.5). Age of the mother from 15-19 and 20-24 (AOR: 0.006, 95% CI:0.000, 0.131, and AOR: 0.017, 95% CI:0.001, 0.320), instrumental delivery (AOR:3.882, 95% CI:1.402, 10.780), cesarean section (AOR: 0.1449, 95% CI:0.027, 0.779), rural residence (AOR: 3.188, 95% CI:1.283, 7.923), cephalo-pelvic disproportion (AOR: 8.171, 95% CI:3.871, 17.248), induced labor (AOR: 4.009, 95% CI:1.832, 8.773), and prolonged duration of labor (AOR: 5.262, 95% CI:2.222, 12.461) were risk factors of birth injury. Conclusion and Recommendation: The rate of birth injuries was found to be higher than expected. The age of the mother, instrumental and cesarean section delivery, prolonged labor, induced labor, CPD, and rural residence were predictors of birth injury. The Ministry of Health and the regional and local healthcare systems should give attention to maternal health services.
    
    VL  - 10
    IS  - 1
    ER  - 

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Author Information
  • Department of Nursing, Salale University Comprehensive Specialized Hospital, Fitche, Ethiopia

  • Department of Nursing, College of Health Sciences, Salale University, Fitche, Ethiopia

  • Department of Nursing, College of Health Sciences, Salale University, Fitche, Ethiopia

  • Department of Medicine, College of Health Sciences, Salale University, Fitche, Ethiopia

  • Department of Medicine, College of Health Sciences, Salale University, Fitche, Ethiopia

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