Reproductive Health and Wellness
Effects of Mother related Factors on Perinatal Outcomes-a study of Mothers seeking Antenatal Care at Public and Non-public Health Facilities in Kisii County, Kenya
The study sought to determine clientlevel
and facility-level factors that affect
perinatal outcomes among women attending
comparable public (government owned)
and non-public health facilities (non-government
owned) in Kisii County-Kenya in
the context of free maternity care. A total of
365 pregnant mothers recruited in 4 health
facilities during their ANC visit and followed
up to 2 weeks post-delivery but only
287 attended all follow-up visits. Study subjects
were recruited proportionate to number
of deliveries each of the facilities had
conducted in the preceding 6 months. The
dependent variable was perinatal outcome;
independent variables were demographic
and clinical factors. Analysis was done
using χ2, logistic regression, paired t and
McNemar’s tests. Maternal BMI and a
mother’s parity were statistically correlated
with perinatal outcome (χ2= 8.900, d.f =3,
P=0.031 and (χ2= 13.232, d.f =4, P=0.039)
respectively. Mothers with 1 parity were 4.5
times more likely to have normal perinatal
outcomes (OR =4.5, 95% CI 2.25-14.29,
P=0.012). There was a significant relationship
between a mother’s knowledge of
pregnancy-related issues and the baby’s
weight (t=-67.8 d.f. 213 P
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