THE MAGNITUDE OF INADEQUATE GESTATIONAL WEIGHT GAIN AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN ATTENDING ANTINATAL CARE AT PUBLIC AND PRIVATE HEALTH FACILITIES IN ADAMA CITY, OROMIA, ETHIOPIA

Abstract

Introduction: Gestational weight gain among pregnant mothers’ results from diverse functional and structural modifications that occur in a woman’s body to get the nutritional demands of pregnancy and the fetus. However, inadequate and excessive weight gain during pregnancy increases the risk of adverse pregnancy outcome for women and the fetus.There are dearth of studies conducted on gestational weight gain and its associated factors among pregnant women in Ethiopia, particularly in the current study area. Objective: The objective of the study was to assess inadequate gestational weight gain and its associated factors among women attending antenatal clinic in public and private health facilities in Adama City, Oromia, Ethiopia from December 15, 2021- January 15, 2022. Methods: An institutional based cross-sectional study was conducted among 341 randomly selected mothers attending ANC at public and private health facilities in Adama city, Ethiopia, Data was collected by structured questionnaire, four data collecters were recruited and the study participants collected from ANC clinic by sytamatic randam sampling.Data was entered into a computer using Epi Data Version 3.1 and exported to SPSS version 22 for cleaning and analysis. The characteristics of study participants were presented using descriptive statistics such as frequency distribution and summary statistics. Bivariate binary logistic regression was used to identify independent variables that have crude association with gestational weight gain at a p-value of 0.25 and multivariable regression models was used to identify variables that have significant association with gestational weight gain at a p-value < 0.05. The strength of association is presented using odds ration along with 95% Confidence interval. Results: In the current study, the magnitudes of Adequate and inadequate gestational weight gain were 37.2% (95% CI: 31.7, 42.5) and 62.8% (95% CI: 57.5, 68.3), respectively. Women who had never attended formal education (AOR =6.8, 95 % CI: 1.6, 28.4) and women who had family monthly income of <1500 birr per month (AOR = 8.8, 95% CI: (2.3, 32.4), women who attending ANC < 37 weeks (AOR = 13.9, 95 % CI: (4.59 , 42.4) and women who were in food insecure (AOR= 32, 95%, CI (24.2, 48.4)has significantly association with gestational weight Conclusions and recommendation: In the current study, more than three-fifth of the pregnant women experienced an inadequate gestational weight gain. Thus, public health and Nutrtional intervention should be considered targeting food insecured households, women with no formal education, low family income during pregnancy.