Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia

Asnakech Tadesse Gudina; Tilaye Workneh Abebe; Fikiru Abebe Gebremariam; Godana Jarso Guto

doi:doi:10.11648/j.jgo.20160403.11

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Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia

Asnakech Tadesse Gudina, Tilaye Workneh Abebe, Fikiru Abebe Gebremariam, Godana Jarso Guto

Published in Journal of Gynecology and Obstetrics (Volume 4, Issue 3)

Received: 8 April 2016 Accepted: 20 April 2016 Published: 13 June 2016

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Abstract

Background: Obstructed labor is one of the common preventable causes of maternal and perinatal morbidity and mortality in developing countries. In the last decade among the top four causes of maternal mortality, obstructed labor /uterine rupture accounted for 36% of maternal mortality in Ethiopia. The aim of this study was to determine magnitude of obstructed labor and its associated risk factors among mothers come for delivery services in Adama Hospital Medical College from June 01 to July 30, 2015. Methods: Hospital-based cross-sectional study was employed. Descriptive statistics was used to summarize socio-demographic variables and characteristics of delivery. Using binary logistic regression analysis, Odds ratio and confidence interval were used to determine statistically associated risk factors with obstructed labor. Result: Of 384 deliveries during the study period 9.6% were obstructed labor cases. The causes of obstructed labor identified by clinician on mother medical record were CPD (54.1%), mal-position (29.7%) and mal-presentation 16.2%). 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: 6.2; 95%CI: 2.7, 14.2), 4 to 6 hours of travel to health facility (OR: 2.9; 95%CI: 1.1, 10.6), malpresentation (OR: 6; 95%CI: 1.7, 12.8) and fetal weight greater than 4 Kilo gram (OR: 11.2; 95%CI: 2.4, 13.2). Conclusion: magnitude of OL is comparatively higher, especially among mothers of low educational status. Socio-demographic and health system factors increase the risk of obstructed labor. As most of the risk factors associated with obstructed labor need long term exposure for the outcome to be seen, prevention need inter sectoral collaboration from education, agriculture, health and other social sectors.

Published in	Journal of Gynecology and Obstetrics (Volume 4, Issue 3)
DOI	10.11648/j.jgo.20160403.11
Page(s)	12-16
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Risk Factors, Obstructed Labor, Risk Prevention

References

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[4]	Chabra S, Gandhi D, Jaiswal M. Obstructed labor - a preventable entity. J Obstet Gynaecol. 2000; 20(2): 151-3.
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[8]	Kabakyenga, JK, Ostergren, PO, Turyakira, E, Mukasa, PK & Odberg-Petterson, K. Individual and health facility factors and the risk for obstructed labor and its adverse outcomes in south-western Uganda. Biomed Central Pregnancy and Childbirth. 2011b; 11(73): 1-10.
[9]	Gessessew, A & Mesfin, M. Obstructed labor in Adigrat Zonal Hospital, Tigray region, Ethiopia. Ethiopian Journal of Health Development. 2003; 17(3): 175-180.
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[17]	Shimelis, F, Hailemariam, S & Fessahaye, A. Incidence causes and outcome of obstructed labor in Jima University specialized hospital. Ethiopian Journal of Health Science. 2010; (20)3: 145-151.
[18]	Yakasai IA, Gaya AS. Maternal and fetal outcomes in patients with eclampsia in Murtala Muhammed specialist Hospital Kano Nigeria. Annals Afri. Med. 2011; 10(4): 305-309.

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Asnakech Tadesse Gudina, Tilaye Workneh Abebe, Fikiru Abebe Gebremariam, Godana Jarso Guto. (2016). Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia. Journal of Gynecology and Obstetrics, 4(3), 12-16. https://doi.org/10.11648/j.jgo.20160403.11

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Asnakech Tadesse Gudina; Tilaye Workneh Abebe; Fikiru Abebe Gebremariam; Godana Jarso Guto. Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia. J. Gynecol. Obstet. 2016, 4(3), 12-16. doi: 10.11648/j.jgo.20160403.11

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AMA Style

Asnakech Tadesse Gudina, Tilaye Workneh Abebe, Fikiru Abebe Gebremariam, Godana Jarso Guto. Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia. J Gynecol Obstet. 2016;4(3):12-16. doi: 10.11648/j.jgo.20160403.11

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@article{10.11648/j.jgo.20160403.11,
  author = {Asnakech Tadesse Gudina and Tilaye Workneh Abebe and Fikiru Abebe Gebremariam and Godana Jarso Guto},
  title = {Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {4},
  number = {3},
  pages = {12-16},
  doi = {10.11648/j.jgo.20160403.11},
  url = {https://doi.org/10.11648/j.jgo.20160403.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20160403.11},
  abstract = {Background: Obstructed labor is one of the common preventable causes of maternal and perinatal morbidity and mortality in developing countries. In the last decade among the top four causes of maternal mortality, obstructed labor /uterine rupture accounted for 36% of maternal mortality in Ethiopia. The aim of this study was to determine magnitude of obstructed labor and its associated risk factors among mothers come for delivery services in Adama Hospital Medical College from June 01 to July 30, 2015. Methods: Hospital-based cross-sectional study was employed. Descriptive statistics was used to summarize socio-demographic variables and characteristics of delivery. Using binary logistic regression analysis, Odds ratio and confidence interval were used to determine statistically associated risk factors with obstructed labor. Result: Of 384 deliveries during the study period 9.6% were obstructed labor cases. The causes of obstructed labor identified by clinician on mother medical record were CPD (54.1%), mal-position (29.7%) and mal-presentation 16.2%). 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: 6.2; 95%CI: 2.7, 14.2), 4 to 6 hours of travel to health facility (OR: 2.9; 95%CI: 1.1, 10.6), malpresentation (OR: 6; 95%CI: 1.7, 12.8) and fetal weight greater than 4 Kilo gram (OR: 11.2; 95%CI: 2.4, 13.2). Conclusion: magnitude of OL is comparatively higher, especially among mothers of low educational status. Socio-demographic and health system factors increase the risk of obstructed labor. As most of the risk factors associated with obstructed labor need long term exposure for the outcome to be seen, prevention need inter sectoral collaboration from education, agriculture, health and other social sectors.},
 year = {2016}
}

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TY  - JOUR
T1  - Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia
AU  - Asnakech Tadesse Gudina
AU  - Tilaye Workneh Abebe
AU  - Fikiru Abebe Gebremariam
AU  - Godana Jarso Guto
Y1  - 2016/06/13
PY  - 2016
N1  - https://doi.org/10.11648/j.jgo.20160403.11
DO  - 10.11648/j.jgo.20160403.11
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 12
EP  - 16
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20160403.11
AB  - Background: Obstructed labor is one of the common preventable causes of maternal and perinatal morbidity and mortality in developing countries. In the last decade among the top four causes of maternal mortality, obstructed labor /uterine rupture accounted for 36% of maternal mortality in Ethiopia. The aim of this study was to determine magnitude of obstructed labor and its associated risk factors among mothers come for delivery services in Adama Hospital Medical College from June 01 to July 30, 2015. Methods: Hospital-based cross-sectional study was employed. Descriptive statistics was used to summarize socio-demographic variables and characteristics of delivery. Using binary logistic regression analysis, Odds ratio and confidence interval were used to determine statistically associated risk factors with obstructed labor. Result: Of 384 deliveries during the study period 9.6% were obstructed labor cases. The causes of obstructed labor identified by clinician on mother medical record were CPD (54.1%), mal-position (29.7%) and mal-presentation 16.2%). 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: 6.2; 95%CI: 2.7, 14.2), 4 to 6 hours of travel to health facility (OR: 2.9; 95%CI: 1.1, 10.6), malpresentation (OR: 6; 95%CI: 1.7, 12.8) and fetal weight greater than 4 Kilo gram (OR: 11.2; 95%CI: 2.4, 13.2). Conclusion: magnitude of OL is comparatively higher, especially among mothers of low educational status. Socio-demographic and health system factors increase the risk of obstructed labor. As most of the risk factors associated with obstructed labor need long term exposure for the outcome to be seen, prevention need inter sectoral collaboration from education, agriculture, health and other social sectors.
VL  - 4
IS  - 3
ER  -

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Author Information

Asnakech Tadesse Gudina

Department of Integrated Emergency Surgery and Obstetrics, Adama Hospital Medical College, Adama, Ethiopia
Tilaye Workneh Abebe

Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia
Fikiru Abebe Gebremariam

Department of Obstetrics and Gynecology, Adama Hospital Medical College, Adama, Ethiopia
Godana Jarso Guto

Department of Internal Medicine, Adama Hospital Medical College, Adama, Ethiopia

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Asnakech Tadesse Gudina, Tilaye Workneh Abebe, Fikiru Abebe Gebremariam, Godana Jarso Guto. (2016). Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia. Journal of Gynecology and Obstetrics, 4(3), 12-16. https://doi.org/10.11648/j.jgo.20160403.11

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ACS Style

Asnakech Tadesse Gudina; Tilaye Workneh Abebe; Fikiru Abebe Gebremariam; Godana Jarso Guto. Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia. J. Gynecol. Obstet. 2016, 4(3), 12-16. doi: 10.11648/j.jgo.20160403.11

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AMA Style

Asnakech Tadesse Gudina, Tilaye Workneh Abebe, Fikiru Abebe Gebremariam, Godana Jarso Guto. Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia. J Gynecol Obstet. 2016;4(3):12-16. doi: 10.11648/j.jgo.20160403.11

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@article{10.11648/j.jgo.20160403.11,
  author = {Asnakech Tadesse Gudina and Tilaye Workneh Abebe and Fikiru Abebe Gebremariam and Godana Jarso Guto},
  title = {Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {4},
  number = {3},
  pages = {12-16},
  doi = {10.11648/j.jgo.20160403.11},
  url = {https://doi.org/10.11648/j.jgo.20160403.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20160403.11},
  abstract = {Background: Obstructed labor is one of the common preventable causes of maternal and perinatal morbidity and mortality in developing countries. In the last decade among the top four causes of maternal mortality, obstructed labor /uterine rupture accounted for 36% of maternal mortality in Ethiopia. The aim of this study was to determine magnitude of obstructed labor and its associated risk factors among mothers come for delivery services in Adama Hospital Medical College from June 01 to July 30, 2015. Methods: Hospital-based cross-sectional study was employed. Descriptive statistics was used to summarize socio-demographic variables and characteristics of delivery. Using binary logistic regression analysis, Odds ratio and confidence interval were used to determine statistically associated risk factors with obstructed labor. Result: Of 384 deliveries during the study period 9.6% were obstructed labor cases. The causes of obstructed labor identified by clinician on mother medical record were CPD (54.1%), mal-position (29.7%) and mal-presentation 16.2%). 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: 6.2; 95%CI: 2.7, 14.2), 4 to 6 hours of travel to health facility (OR: 2.9; 95%CI: 1.1, 10.6), malpresentation (OR: 6; 95%CI: 1.7, 12.8) and fetal weight greater than 4 Kilo gram (OR: 11.2; 95%CI: 2.4, 13.2). Conclusion: magnitude of OL is comparatively higher, especially among mothers of low educational status. Socio-demographic and health system factors increase the risk of obstructed labor. As most of the risk factors associated with obstructed labor need long term exposure for the outcome to be seen, prevention need inter sectoral collaboration from education, agriculture, health and other social sectors.},
 year = {2016}
}

Copy | Download

TY  - JOUR
T1  - Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia
AU  - Asnakech Tadesse Gudina
AU  - Tilaye Workneh Abebe
AU  - Fikiru Abebe Gebremariam
AU  - Godana Jarso Guto
Y1  - 2016/06/13
PY  - 2016
N1  - https://doi.org/10.11648/j.jgo.20160403.11
DO  - 10.11648/j.jgo.20160403.11
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 12
EP  - 16
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20160403.11
AB  - Background: Obstructed labor is one of the common preventable causes of maternal and perinatal morbidity and mortality in developing countries. In the last decade among the top four causes of maternal mortality, obstructed labor /uterine rupture accounted for 36% of maternal mortality in Ethiopia. The aim of this study was to determine magnitude of obstructed labor and its associated risk factors among mothers come for delivery services in Adama Hospital Medical College from June 01 to July 30, 2015. Methods: Hospital-based cross-sectional study was employed. Descriptive statistics was used to summarize socio-demographic variables and characteristics of delivery. Using binary logistic regression analysis, Odds ratio and confidence interval were used to determine statistically associated risk factors with obstructed labor. Result: Of 384 deliveries during the study period 9.6% were obstructed labor cases. The causes of obstructed labor identified by clinician on mother medical record were CPD (54.1%), mal-position (29.7%) and mal-presentation 16.2%). 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: 6.2; 95%CI: 2.7, 14.2), 4 to 6 hours of travel to health facility (OR: 2.9; 95%CI: 1.1, 10.6), malpresentation (OR: 6; 95%CI: 1.7, 12.8) and fetal weight greater than 4 Kilo gram (OR: 11.2; 95%CI: 2.4, 13.2). Conclusion: magnitude of OL is comparatively higher, especially among mothers of low educational status. Socio-demographic and health system factors increase the risk of obstructed labor. As most of the risk factors associated with obstructed labor need long term exposure for the outcome to be seen, prevention need inter sectoral collaboration from education, agriculture, health and other social sectors.
VL  - 4
IS  - 3
ER  -

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