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Volume 5, Issue 4 (Suppl)

Occup Med Health Aff

ISSN: 2329-6879 OMHA, an open access journal

Health Congress 2017

October 16-17, 2017

October 16-17, 2017 Dubai, UAE

World Congress on

Industrial Health, Healthcare and Medical Tourism

Prevalence and associated factors of obstructed labor and its outcome among mothers delivered at

Gimbi Public Hospital, Wollega, Western Ethiopia, 2015: Retrospective cross-sectional study

Daniel Shiferaw

, Tefera Belachew

and Sileshi Toma

Mizan-Tepi University, Ethiopia

Jimma University, Ethiopia

Ethiopian midwife association, Ethiopia

Introduction:

Obstructed labor is still a major cause of maternal morbidity and mortality and of adverse outcome for women

and newborns in developing countries, mainly the problem caused by maternal pelvis or the fetus or both.

Aim & Methods:

A retrospective cross-sectional study was carried out to assess the magnitude and associated factors of

obstructed labor and its fetal and maternal outcome among women delivered in Gimbi Public Hospital, Wollega, Western

Ethiopia from February to March 2015. A total of 321 deliveries registered from 2012-2014 was reviewed. Single population

proportion formula was used to determine sample size. The study participants were selected by systematic sampling technique.

Bivariable and multivariable logistic regression analysis were applied. Independent variables with p<0.05 in multivariable

logistic regression analysis were considered as predictors of obstructed labor.

Results:

Prevalence of obstructed labor was 18.1% and the main causes were cephalopelvic disproportion 61.3% followed by

malpresentation 27.1%. Risk of obstructed labor was significantly associated with age, 15-19 year (AOR 11.22, 95% CI: 4.43-

28.42), 25-29 year (AOR 1.23, 95% CI: 0.07-2.56); parity (nulipara) (AOR 24.96, 95% CI: 10.73-56.85) and birth weight, 2.5-4

kg, (AOR 4.76, 95% CI: 1.20-18.90). The major maternal complications were post-partum hemorrhage, ruptured uterus and

puerperal sepsis. From the total obstructed deliveries 45 (78.9%) of them were live birth and 13 (21.1%) were still birth. Poor

perinatal outcome including perinatal mortality was higher among obstructed deliveries. Prenatal complication was related

with parity and prolonged duration of labor. The perinatal mortality rate was 310 per 1000 total births for women who had

obstructed labor and 42 per 1000 total births among women non obstructed group. Overall the perinatal mortality rate was 90

per 1000 total births.

Conclusion:

The prevalence of obstructed labor was high. Age of the mother, parity and birth weight were significantly

associated with obstructed labor. Birth preparedness and complication readiness also need to be addressed within the health

system and the community level.

Occup Med Health Aff 2017, 5:4 (Suppl)

DOI: 10.4172/2329-6879-C1-038