Cargando…

Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia

BACKGROUND: Operative vaginal delivery refers to vaginal delivery performed with the use of instruments such as forceps or vacuum. Operative vaginal delivery-related maternal complications are still a serious problem, but they are one of the least investigated in Ethiopia, particularly in the study...

Descripción completa

Detalles Bibliográficos
Autores principales: Nedamo, Selamu Abose, Sakelo, Amanuel Nuramo, Tirore, Lire Lemma, Abate, Ageze Abose
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289875/
https://www.ncbi.nlm.nih.gov/pubmed/37359756
http://dx.doi.org/10.1155/2023/4214252
_version_ 1785062373758861312
author Nedamo, Selamu Abose
Sakelo, Amanuel Nuramo
Tirore, Lire Lemma
Abate, Ageze Abose
author_facet Nedamo, Selamu Abose
Sakelo, Amanuel Nuramo
Tirore, Lire Lemma
Abate, Ageze Abose
author_sort Nedamo, Selamu Abose
collection PubMed
description BACKGROUND: Operative vaginal delivery refers to vaginal delivery performed with the use of instruments such as forceps or vacuum. Operative vaginal delivery-related maternal complications are still a serious problem, but they are one of the least investigated in Ethiopia, particularly in the study area. Increased difficulties have been attributed to a lack of understanding on how to anticipate the procedure's complications. Identifying typical OVD complications can assist health providers in detecting and intervening early. The goal of this study was to find out which characteristics contributed to maternal problems during surgical vaginal birth. METHODS: A health facility-based cross-sectional study design was used. From December 2019 to November 2021, a total of 326 mother's OVD medical records were selected from a total of 1000 OVD medical records using a simple random sampling method. A checklist was used to collect the data. Binary logistic regression was computed and variables with a p value ≤0.2 in the bivariate logistic regression were taken to multivariate logistic regression analysis to examine the real relationship or statistical association with the outcome variable. The p value of <0.05 with a 95% confidence interval was considered a significant variable. The results are presented using tables, figures, and texts. RESULTS: Maternal complications were prevalent in 62 of the cases (19%). The type of operative vaginal delivery instrument used (AOR = 2.248; 95% CI (1.144, 4.416)), the station of the presenting part at which the OVD was performed (AOR = 3.199; 95% CI (1.359, 7.533)), neonatal birth weight (AOR = 3.342; 95% CI (1.435, 7.787)), and duration of the second stage (AOR = 2.556; 95% CI (1.039, 6.284)) were significantly associated with the unfavorable maternal outcomes of operative vaginal delivery. CONCLUSIONS: Maternal complications are high in the study area. The type of operative vaginal delivery used, the duration of the second stage, the station of the presenting part at which the OVD was performed, and neonatal birth weights were all significantly related to maternal complications. While using the instrument, mothers with the identified factors should be given special attention.
format Online
Article
Text
id pubmed-10289875
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-102898752023-06-24 Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia Nedamo, Selamu Abose Sakelo, Amanuel Nuramo Tirore, Lire Lemma Abate, Ageze Abose Obstet Gynecol Int Research Article BACKGROUND: Operative vaginal delivery refers to vaginal delivery performed with the use of instruments such as forceps or vacuum. Operative vaginal delivery-related maternal complications are still a serious problem, but they are one of the least investigated in Ethiopia, particularly in the study area. Increased difficulties have been attributed to a lack of understanding on how to anticipate the procedure's complications. Identifying typical OVD complications can assist health providers in detecting and intervening early. The goal of this study was to find out which characteristics contributed to maternal problems during surgical vaginal birth. METHODS: A health facility-based cross-sectional study design was used. From December 2019 to November 2021, a total of 326 mother's OVD medical records were selected from a total of 1000 OVD medical records using a simple random sampling method. A checklist was used to collect the data. Binary logistic regression was computed and variables with a p value ≤0.2 in the bivariate logistic regression were taken to multivariate logistic regression analysis to examine the real relationship or statistical association with the outcome variable. The p value of <0.05 with a 95% confidence interval was considered a significant variable. The results are presented using tables, figures, and texts. RESULTS: Maternal complications were prevalent in 62 of the cases (19%). The type of operative vaginal delivery instrument used (AOR = 2.248; 95% CI (1.144, 4.416)), the station of the presenting part at which the OVD was performed (AOR = 3.199; 95% CI (1.359, 7.533)), neonatal birth weight (AOR = 3.342; 95% CI (1.435, 7.787)), and duration of the second stage (AOR = 2.556; 95% CI (1.039, 6.284)) were significantly associated with the unfavorable maternal outcomes of operative vaginal delivery. CONCLUSIONS: Maternal complications are high in the study area. The type of operative vaginal delivery used, the duration of the second stage, the station of the presenting part at which the OVD was performed, and neonatal birth weights were all significantly related to maternal complications. While using the instrument, mothers with the identified factors should be given special attention. Hindawi 2023-06-16 /pmc/articles/PMC10289875/ /pubmed/37359756 http://dx.doi.org/10.1155/2023/4214252 Text en Copyright © 2023 Selamu Abose Nedamo et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Nedamo, Selamu Abose
Sakelo, Amanuel Nuramo
Tirore, Lire Lemma
Abate, Ageze Abose
Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia
title Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia
title_full Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia
title_fullStr Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia
title_full_unstemmed Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia
title_short Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia
title_sort maternal complications related to operative vaginal delivery and their associated factors among women delivered at nemcs hospital, southwest ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289875/
https://www.ncbi.nlm.nih.gov/pubmed/37359756
http://dx.doi.org/10.1155/2023/4214252
work_keys_str_mv AT nedamoselamuabose maternalcomplicationsrelatedtooperativevaginaldeliveryandtheirassociatedfactorsamongwomendeliveredatnemcshospitalsouthwestethiopia
AT sakeloamanuelnuramo maternalcomplicationsrelatedtooperativevaginaldeliveryandtheirassociatedfactorsamongwomendeliveredatnemcshospitalsouthwestethiopia
AT tirorelirelemma maternalcomplicationsrelatedtooperativevaginaldeliveryandtheirassociatedfactorsamongwomendeliveredatnemcshospitalsouthwestethiopia
AT abateagezeabose maternalcomplicationsrelatedtooperativevaginaldeliveryandtheirassociatedfactorsamongwomendeliveredatnemcshospitalsouthwestethiopia