Research Article

Determinants of Neural Tube Defects among Newborns in Amhara Region, Ethiopia: A Case-Control Study

Table 3

Determinants of NTDs among neonates born at public hospitals, Amhara Region, Ethiopia, 2019.

Predictor variablesBirth outcomesCOR (95% CI)AOR (95% CI)
CasesControls

ResidenceRural75 (59.1)92 (36.2)2.54 (1.64, 3.93)1.78 (1.02, 3.11)
Urban52 (40.9)162 (63.8)1.001.00

Mothers’ age (in completed years)18-2740 (31.5)96 (37.8)1.001.00
28-3460 (47.2)96 (37.8)1.50 (0.92, 2.44)1.74 (0.92, 3.30)
≥3527 (21.3)62 (24.4)1.04 (0.58, 1.87)0.78 (0.36, 1.69)

Mothers’ completed educational levelIlliterate53 (41.7)29 (11.4)2.02 (0.93, 4.53)1.81 (1.07, 4.61)
Primary23 (18.1)112 (44.1)0.23 (0.11, 0.48)0.13 (0.05, 0.35)
Secondary32 (25.2)92 (36.2)0.38 (0.18, 0.81)0.30 (0.12, 0.75)
Tertiary19 (15.0)21 (8.3)1.001.00

Sex of the newbornMale38 (29.9)120 (47.2)1.001.00
Female89 (70.1)134 (52.8)2.09 (1.34, 3.29)1.95 (1.09, 3.50)

ANC follow-upYes108 (85.0)240 (94.5)1.001.00
No19 (15.0)14 (5.5)3.02 (1.46, 6.23)1.93 (1.17, 5.04)

Folic acid supplemented prior to or during pregnancyNo99 (77.9)125 (49.2)1.001.00
Yes28 (22.1)129 (50.8)0.27 (0.17, 0.44)0.37 (0.21, 0.65)

Pregnancy was plannedYes51 (40.2)93 (36.6)1.001.00
No76 (59.8)161 (63.4)0.86 (0.55, 1.33)0.94 (0.54, 1.66)

Previous history of NTD(s)No48 (37.8)182 (71.7)1.001.00
Yes79 (62.2)72 (28.3)4.16 (2.65, 6.53)4.39 (2.42, 7.96)

Substance use during pregnancy (alcohol, khat, cigarette, and drugs)Yes27 (29.1)23 (9.1)1.001.00
No90 (70.9)231 (90.9)0.24 (0.14, 0.43)0.42 (0.21, 0.88)

Previous adverse birth outcomes (stillbirth, PTB, LBW, abortion, and SGA)Yes25 (19.7)32 (12.6)1.001.00
No102 (80.3)222 (87.4)0.59 (0.33, 1.05)0.61 (0.28, 1.29)

Medical problems during this pregnancy (PROM, DM, HTN, HIV, UTI, etc.)Yes18 (14.2)19 (7.5)1.001.00
No109 (85.8)235 (92.5)0.49 (0.25, 0.96)0.27 (0.11, 0.69)

Mode of deliverySVD105 (82.7)224 (88.2)1.001.00
C-section14 (11.0)19 (7.5)1.57 (0.76, 3.25)2.23 (0.84, 5.91)
Instrumental delivery8 (6.3)11 (4.3)1.55 (0.61, 3.97)2.05 (0.63, 6.59)

Key: AOR, adjusted odds ratio; COR, crude odds ratio; CI, confidence interval; . DM, Diabetes Mellitus; HTN, Hypertension; HIV, Human Immune Virus; UTI, Urinary Tract Infection; PROM, Premature Rupture of Membrane; PTB, Preterm Birth; LBW, Low Birth Weight; SGA, Small for Gestational Age; ANC, Antenatal Care; NTDs, Neural Tube Defects.