Oumer Sada
Addis Ababa University, Ethopia
Title: Proportion of obstructed labour and associated factors among pregnant women admitted to obstetrics ward at Woldia General Hosptal, 2016
Biography
Biography: Oumer Sada
Abstract
Background- Obstructed labour (OL) is one of the common preventable causes of maternal and perinatal morbidity and mortality in developing and low-income countries including Ethiopia. Africa has the highest maternal mortality in the world, estimated an average of about 1, 000 deaths per 100,000 live birth. In Ethiopia, obstructed labour accounts 13% of maternal death. This study was conducted to assess proportion and associated factor of OL in Woldia general hospital.
Objective – objective of this study is to determine the proportion of obstructed labor and associated factor among pregnant women admitted to obstetric ward at Woldia general hospital
From Jul 8, 2015-Jul 7, 2016 G.C
Methods -: Institutional based cross-sectional study was conducted in Woldia general hospital northeast Ethiopia from Dec 1, 2016 to Dec 30, 2016 GC. A one -year retrospective document review (from Jul 8, 2015-Jul 7, 2016 G.C) was conducted. Registration books, operation logbooks and patient chart review were carried out and all pregnant mothers admitted were included in the study. Pretested and structured questionnaire, which was adopted from registration book, operation logbooks and patient charts, was used to collect the data. Bivariate and multivariate logistic regression analysis was used to assess the relationship between dependent and independent variable. A 95 % CI and p –value of 0.05 was used to measure the statistical significance and/or to measure the strength of association.
Result: Of 407 deliveries during the study period 10.1% were obstructed labor cases .The cause of obstructed labor identified by clinician on mother medical record was CPD (56.1%), malpresentation ( 26.8%), malposition (12.2%) and fetal congenital anomaly (4.9%).The independent predictors of obstructed labor using logistic regression analysis were duration of labor before arrival to the health facility greater than 24 hour ( OR: 8.6; 95% CI: 3.9, 19.1), parthograph not being used during the progress of labor (OR:7.7;95%CI: 3.5,16.6) being from rural residence area (OR: 7.7;95%CI: 3.5, 16.6), primipara (OR:5.3; 95% CI: 2.4, 11.7), neonatal weight greater than 4 kg (OR: 4.9;95% CI: 1.6, 14.8), having no ANC visit (OR: 13.5; 95% CI: 5.9, 30.75), and referred from health center (OR:7.9;95%CI:1.1, 60.3)