Risk factors associated with congenital anomalies among newborns in southwestern Ethiopia: A case-control study.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2021
Historique:
received: 25 07 2020
accepted: 08 01 2021
entrez: 28 1 2021
pubmed: 29 1 2021
medline: 24 6 2021
Statut: epublish

Résumé

Human embryo is well protected in the uterus by the embryonic membrane, although teratogens may cause developmental disruptions after maternal exposure to them during early pregnancy. Most of the risk factors contributing to the development of congenital anomalies are uncertain; however, genetic factors, environmental factors and multifactorial inheritance are found to be risk factors. Regardless of their clinical importance, there are little/no studies conducted directly related to predisposing risk factors in southwestern Ethiopia. The study aimed to determine the associated risk factors with congenital anomalies among newborns in southwestern Ethiopia. Case-control study was conducted on newborns and their mothers in six purposively selected hospitals in southwestern Ethiopia from May 2016 to May 2018. Data was collected after evaluation of the neonates for the presence of congenital anomalies using the standard pretested checklist. The data was analyzed using SPSS version 25.0. P <0.01 was set as statistically significant. Risk factors such as unidentified medicinal usage in the first three months of pregnancy (AOR = 3.435; 99% CI: 2.012-5.863), exposure to pesticide (AOR = 3.926; 99% CI: 1.266-12.176), passive smoking (AOR = 4.104; 99% CI: 1.892-8.901), surface water as sources of drinking (AOR = 2.073; 99% CI: 1.221-3.519), folic acid supplementation during the early pregnancy (AOR = 0.428; 99% CI: 0.247-0.740) were significantly associated with the congenital anomalies. In this study, risk factors such as passive smoking, exposure to pesticides, chemicals and use of surface water as a source of drinking during early pregnancy had a significant association with congenital anomalies. There is a need to continuously provide health information for the community on how to prevent and control predisposing risk factors.

Identifiants

pubmed: 33508017
doi: 10.1371/journal.pone.0245915
pii: PONE-D-20-23170
pmc: PMC7843017
doi:

Substances chimiques

Pesticides 0
Tobacco Smoke Pollution 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0245915

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Soressa Abebe (S)

Department of Anatomy, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Girmai Gebru (G)

Department of Anatomy, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Demisew Amenu (D)

Department of Gynecology and Obstetrics, Institute of Health, Jimma University, Jimma, Oromia, Ethiopia.

Zeleke Mekonnen (Z)

School of Medical Laboratory Sciences, Institute of Health, Jimma University, Jimma, Oromia, Ethiopia.

Lemessa Dube (L)

Department of Epidemiology, Institute of Health, Jimma University, Jimma, Oromia, Ethiopia.

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