ArticleBMC public health2021
Determinants of adverse birth outcome in Sub-Saharan Africa: analysis of recent demographic and health surveys.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 3 of them syntheses that pooled it.
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Who cites it
61 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Adverse birth outcomes and associated factors among African grand multiparous women: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- Preconception health risks among women of reproductive age in Sub-Saharan Africa: a systematic review of implications for preconception care.Journal of health, population, and nutrition · 2025Pooled it
- Systematic Review and Meta-Analysis of Female Reproductive Health Following Ebola Virus Disease.The American journal of tropical medicine and hygiene · 2025Pooled it
- Identifying psychosocial predictors and developing a risk score for preterm birth among Kenyan pregnant women.BMC pregnancy and childbirth · 2025Trial
- Antenatal depression and adverse birth outcomes among pregnant women living with HIV in Dar es Salaam, Tanzania.Journal of affective disorders · 2023Trial
- The PROMISE study: protocol for a community-based cohort study and co-creation of a reproductive health intervention in Somaliland.Global health action · 2026Article
- Effect of Enhanced Nutrition and Infection Management Intervention Packages on Antenatal Quality of Care Indicators in Rural Amhara, Ethiopia.medRxiv : the preprint server for health sciences · 2026Article
- Article
- Leakage-Controlled and Survey-Weighted Machine Learning for Neonatal Mortality Risk Prediction Using NFHS-5 Data.Healthcare (Basel, Switzerland) · 2026Article
- Time-series prediction of adverse birth outcomes in the U.S. using multilayer perceptron neural networks.PLOS digital health · 2026Article
- Multilevel modified Poisson regression analysis of barriers to healthcare access among pregnant women in high and very high maternal mortality sub-Saharan African countries: insights from demographic and health surveys data.Archives of public health = Archives belges de sante publique · 2026Article
- Effects of antenatal depression on adverse birth outcomes among women attending antenatal care at Jimma University Medical Center, Ethiopia: a prospective cohort study.Scientific reports · 2026Article
- Utilization of antenatal care services among pregnant women in an urban informal settlement in Nairobi, Kenya.BMC pregnancy and childbirth · 2026Article
- Article
- Adverse Pregnancy Outcomes: A Cross-sectional Study of Prevalence and Associated Factors among Women Who Delivered at a Regional Hospital in Afghanistan.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026Article
- Article
- The First 1000 Critical Days: Determinants of Adverse Birth Outcomes in the Sari Birth Cohort, Iran.International journal of preventive medicine · 2026Article
- Prevalence and risk factors of adverse birth outcomes in Bangladesh: Insight from a nationwide survey.PloS one · 2026Article
- Bacterial vaginosis, vaginal Candida colonization and antifungal susceptibility patterns in pregnant women of eastern Ethiopia: a prospective study.Scientific reports · 2025Article
- Reproductive health characteristics among women living in severe poverty in urban Haiti.Reproductive health · 2025Observational
1 more citing papers are in PubMed but not listed here.
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Abstract
backgroundMore than 75% of neonatal deaths occurred in the first weeks of life as a result of adverse birth outcomes. Low birth weight, preterm births are associated with a variety of acute and long-term complications. In Sub-Saharan Africa, there is insufficient evidence of adverse birth outcomes. Hence, this study aimed to determine the pooled prevalence and determinants of adverse birth outcomes in Sub-Saharan Africa.
methodData of this study were obtained from a cross-sectional survey of the most recent Demographic and Health Surveys (DHS) of ten Sub-African (SSA) countries. A total of 76,853 children born five years preceding the survey were included in the final analysis. A Generalized Linear Mixed Models (GLMM) were fitted and an adjusted odds ratio (AOR) with a 95% Confidence Interval (CI) was computed to declare statistically significant determinants of adverse birth outcomes.
resultThe pooled prevalence of adverse birth outcomes were 29.7% (95% CI: 29.4 to 30.03). Female child (AOR = 0.94, 95%CI: 0.91 0.97), women attended secondary level of education (AOR = 0.87, 95%CI: 0.82 0.92), middle (AOR = 0.94,95%CI: 0.90 0.98) and rich socioeconomic status (AOR = 0.94, 95%CI: 0.90 0.99), intimate-partner physical violence (beating) (AOR = 1.18, 95%CI: 1.14 1.22), big problems of long-distance travel (AOR = 1.08, 95%CI: 1.04 1.11), antenatal care follow-ups (AOR = 0.86, 95%CI: 0.83 0.86), multiparty (AOR = 0.88, 95%CI: 0.84 0.91), twin births (AOR = 2.89, 95%CI: 2.67 3.14), and lack of women involvement in healthcare decision-making process (AOR = 1.10, 95%CI: 1.06 1.13) were determinants of adverse birth outcomes.
conclusionThis study showed that the magnitude of adverse birth outcomes was high, abnormal baby size and preterm births were the most common adverse birth outcomes. This finding suggests that encouraging antenatal care follow-ups and socio-economic conditions of women are essential. Moreover, special attention should be given to multiple pregnancies, improving healthcare accessibilities to rural areas, and women's involvement in healthcare decision-making.
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