Assessment of Initial Adverse Neonatal Health Eventsand Influencing Factors Among Diabetes MellitusMothers at Ishaka Adventist Hospital, Comboni Hospital, Bushenyi, Uganda

Abstract

Globally, poorly controlled diabetes mellitus during pregnancy increases the risk of complications especially among neonates born to mothers with diabetes mellitus. Aim of the study: To assess the initial adverse neonatal health events and influencing factors among diabetes mellitus mothers delivering in Ishaka Adventist Hospital and Comboni Hospital, Bushenyi, Uganda. Methodology: Prospective cohort study conducted among 145 women with diabetes mellitus in pregnancy who delivered at Ishaka Adventist Hospital, Comboni Hospital during the study period after obtaining an informed consent. Information was collected from sample with the help of the questionnaires which were coded and entered in MS excel. Data was analyzed by SPSS version 25. Analyzed information was presented inform of tables, and graphs in line with the study objectives. Results: The overall incidence of early adverse neonatal out comes among neonates born to mothers with diabetes mellitus delivering in Ishaka Adventist Hospital and Comboni Hospital was 69.3%. While non adverse neonatal outcome among neonates born to mothers with diabetes mellituswere30.7%. The most common neonatal early adverse outcome was Macrosomia representing an incidence of 45.3%. At multivariate stage, occupation (P-value=0.005), income was (P-value =0.019) at bivariate level, gestational age (P-value=0.034) at bivariate level, ANC visits at multivariate stage were (P-value=0.035) and being on treatment at bivariate level(P-value=0.006) were significant factors associated with early adverse neonatal outcome among mothers with diabetes.