Adverse birth outcomes and associated factors among newborns delivered in Sao Tome & Principe: A case‒control study

Alexandra Vasconcelos1, Swasilanne Sousa2, Nelson Bandeira3

  • 1Instituto de Higiene e Medicina Tropical (IHMT), Unidade de Clínica Tropical-Global Health and Tropical Medicine (GHTM), Universidade NOVA de Lisboa, Lisboa, Portugal.

Plos One
|July 7, 2023
PubMed

Insights

Adverse birth outcomes (ABOs) are linked to twin pregnancies and prolonged rupture of membranes. High-quality antenatal care (ANC) significantly reduces ABO risk in newborns.

Area of Science:

  • Neonatal Health
  • Obstetrics
  • Public Health

Background:

  • Adverse birth outcomes (ABOs) increase newborn mortality and long-term health issues.
  • Identifying factors associated with ABOs is crucial for effective interventions.
  • This study focused on ABOs in Sao Tome & Principe, a resource-limited sub-Saharan African country.

Purpose of the Study:

  • To assess factors associated with adverse birth outcomes (ABOs) in newborns.
  • To inform targeted interventions in resource-constrained settings.

Main Methods:

  • A hospital-based, unmatched case-control study was conducted.
  • Newborns with one or more ABOs were cases; healthy newborns were controls.
  • Data were collected via interviews and medical records; multivariable logistic regression was used.

Main Results:

  • Twin pregnancy (aOR 4.92), prolonged rupture of membranes (aOR 3.43), and meconium-stained fluid (aOR 1.59) were significantly associated with ABOs.
  • Eight or more antenatal care (ANC) contacts were protective against ABOs (aOR 0.33).

Conclusions:

  • Modifiable factors linked to ABOs necessitate cost-effective interventions.
  • Prioritizing high-quality ANC is essential.
  • Twin pregnancies and intrapartum complications require prompt attention and follow-up.
Abstract

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