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Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda
BACKGROUND: Obstructed labour is still a major cause of maternal morbidity and mortality and of adverse outcome for newborns in low-income countries. The aim of this study was to investigate the role of individual and health facility factors and the risk for obstructed labour and its adverse outcome...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204267/ https://www.ncbi.nlm.nih.gov/pubmed/21995340 http://dx.doi.org/10.1186/1471-2393-11-73 |
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author | Kabakyenga, Jerome K Östergren, Per-Olof Turyakira, Eleanor Mukasa, Peter K Pettersson, Karen Odberg |
author_facet | Kabakyenga, Jerome K Östergren, Per-Olof Turyakira, Eleanor Mukasa, Peter K Pettersson, Karen Odberg |
author_sort | Kabakyenga, Jerome K |
collection | PubMed |
description | BACKGROUND: Obstructed labour is still a major cause of maternal morbidity and mortality and of adverse outcome for newborns in low-income countries. The aim of this study was to investigate the role of individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda. METHODS: A review was performed on 12,463 obstetric records for the year 2006 from six hospitals located in south-western Uganda and 11,180 women records were analysed. Multivariate logistic regression analyses were applied to control for probable confounders. RESULTS: Prevalence of obstructed labour for the six hospitals was 10.5% and the main causes were cephalopelvic disproportion (63.3%), malpresentation or malposition (36.4%) and hydrocephalus (0.3%). The risk of obstructed labour was statistically significantly associated with being resident of a particular district [Isingiro] (AOR 1.39, 95% CI: 1.04-1.86), with nulliparous status (AOR 1.47, 95% CI: 1.22-1.78), having delivered once before (AOR 1.57, 95% CI: 1.30-1.91) and age group 15-19 years (AOR 1.21, 95% CI: 1.02-1.45). The risk for perinatal death as an adverse outcome was statistically significantly associated with districts other than five comprising the study area (AOR 2.85, 95% CI: 1.60-5.08) and grand multiparous status (AOR 1.89, 95% CI: 1.11-3.22). Women who lacked paid employment were at increased risk of obstructed labour. Perinatal mortality rate was 142/1000 total births in women with obstructed labour compared to 65/1000 total births in women without the condition. The odds of having maternal complications in women with obstructed labour were 8 times those without the condition. The case fatality rate for obstructed labour was 1.2%. CONCLUSIONS: Individual socio-demographic and health system factors are strongly associated with obstructed labour and its adverse outcome in south-western Uganda. Our study provides baseline information which may be used by policy makers and implementers to improve implementation of safe motherhood programmes. |
format | Online Article Text |
id | pubmed-3204267 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-32042672011-10-30 Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda Kabakyenga, Jerome K Östergren, Per-Olof Turyakira, Eleanor Mukasa, Peter K Pettersson, Karen Odberg BMC Pregnancy Childbirth Research Article BACKGROUND: Obstructed labour is still a major cause of maternal morbidity and mortality and of adverse outcome for newborns in low-income countries. The aim of this study was to investigate the role of individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda. METHODS: A review was performed on 12,463 obstetric records for the year 2006 from six hospitals located in south-western Uganda and 11,180 women records were analysed. Multivariate logistic regression analyses were applied to control for probable confounders. RESULTS: Prevalence of obstructed labour for the six hospitals was 10.5% and the main causes were cephalopelvic disproportion (63.3%), malpresentation or malposition (36.4%) and hydrocephalus (0.3%). The risk of obstructed labour was statistically significantly associated with being resident of a particular district [Isingiro] (AOR 1.39, 95% CI: 1.04-1.86), with nulliparous status (AOR 1.47, 95% CI: 1.22-1.78), having delivered once before (AOR 1.57, 95% CI: 1.30-1.91) and age group 15-19 years (AOR 1.21, 95% CI: 1.02-1.45). The risk for perinatal death as an adverse outcome was statistically significantly associated with districts other than five comprising the study area (AOR 2.85, 95% CI: 1.60-5.08) and grand multiparous status (AOR 1.89, 95% CI: 1.11-3.22). Women who lacked paid employment were at increased risk of obstructed labour. Perinatal mortality rate was 142/1000 total births in women with obstructed labour compared to 65/1000 total births in women without the condition. The odds of having maternal complications in women with obstructed labour were 8 times those without the condition. The case fatality rate for obstructed labour was 1.2%. CONCLUSIONS: Individual socio-demographic and health system factors are strongly associated with obstructed labour and its adverse outcome in south-western Uganda. Our study provides baseline information which may be used by policy makers and implementers to improve implementation of safe motherhood programmes. BioMed Central 2011-10-14 /pmc/articles/PMC3204267/ /pubmed/21995340 http://dx.doi.org/10.1186/1471-2393-11-73 Text en Copyright ©2011 Kabakyenga et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Kabakyenga, Jerome K Östergren, Per-Olof Turyakira, Eleanor Mukasa, Peter K Pettersson, Karen Odberg Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda |
title | Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda |
title_full | Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda |
title_fullStr | Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda |
title_full_unstemmed | Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda |
title_short | Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda |
title_sort | individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western uganda |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204267/ https://www.ncbi.nlm.nih.gov/pubmed/21995340 http://dx.doi.org/10.1186/1471-2393-11-73 |
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