Factors Influencing Early Neonatal Adverse Outcomes among Women with HIV with Post Dated Pregnancies Delivering at Kampala International University Teaching Hospital, Uganda

Abstract

Introduction: Postdated pregnancies have been shown for centuries in several studies of having increased risk to the mother and their fetus when compared to term pregnancies with complications increasing with increase in gestational age beyond 40 weeks. The purpose of this study was to determine the factors influencing early neonatal adverse outcomes among women with postdate pregnancies delivering at Kampala International University Teaching Hospital. Methods: A quantitative cross-sectional study employed simple random sampling among 108 pregnant postdated mothers admitted in labour in maternity ward at Kampala International University Teaching Hospital. Results: From total respondents, 58 (53.7%) mothers had babies with neonatal complications with confidence interval of (53.4–61.6). Majority 14 (24.1%) of women revealed that they had meconium aspiration while the least 3 (5.2%) had Low birth weight complications.Statistically significantly factors associated with early neonatal adverse outcomes among women with postdated pregnancies at Kampala International University Teaching Hospital included age group 25 – 29 years of age (OR =5.73: 95%CI, 2.31-28.4: P<0.001), no educational background (OR=3.29: 95%CI, 1.94–5.57: P<0.001), being a single women (OR=2.61: 95%CI, 0.77–8.85: P=<0.001), smoking (OR=4.36: 95%CI, 3.18-29.63: P=<0.001), gravity of 4 and above (OR=7.93: 95%CI, 0.55–38.33: P<0.001), ANC between 1 to 2 times (OR=3.81: 95%CI, 0.57–29.01: P=0.004), and previous postdated pregnancy (OR=10.47: 95%CI, 7.69–14.26: P=<0.001). Conclusion: In conclusion, with good antenatal care and multidisciplinary approach, HIV-infected women can ensure quality care of mothers and newborns.