Birth-Related Perineal Tear and Its Associated Factors Among Mothers Who Delivered in Atat Hospital

Argaw, Muche; Mesfin, Yibeltal; Demissie, Eskedar

doi:10.1891/ijc-2021-0065

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…The data collection tool was validated in Ethiopia previously. 5 , 22 Data was collected by six trained midwives with bachelor’s degrees. Questionnaires were prepared in English ( Supplemental file 2 ).…”

Section: Methodsmentioning

confidence: 99%

Risk factors associated with severe perineal tear at Public Hospitals in Bahir Dar town, Northwest Ethiopia

Addisu,

Fentahun

2024

SAGE Open Medicine

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Background: Birth-related perineal trauma is a public health issue that can lead to significant maternal morbidity in low-income countries like Ethiopia. Research on the proportion and underlying factors of birth-related severe perineal tears is rare, both in the study area and throughout Ethiopia. As a result, this study was intended to determine the proportion of birth-related severe perineal tears and associated factors at hospitals in Bahir Dar town, Ethiopia. Methods: A cross-sectional study was undertaken at government hospitals in Bahir Dar, Ethiopia. Five hundred fifteen study subjects were selected using a systematic sampling technique. The data was collected through chart reviews and interviews. Data was entered and analyzed using SPSS Version 23. A binary logistic regression was employed to identify factors, and an adjusted odds ratio and a 95% CI were used to estimate the strength of relationships. Statistical significance was declared at p-value < 0.05. Result: The prevalence of severe perineal tears was 7.4%. Previous history of a perineal tear (AOR = 3.06, 95% CI = 1.24–7.59), being nullipara (AOR = 4.03, 95% CI = 1.42–11.44), occipito-posterior position (AOR = 5.49, 95% CI = 2.27–13.28), duration of second stage of labor > 2 h (AOR = 5.42, 95% CI = 2.26–12.99), birth attendant’s work experience <1 year (AOR = 5.98, 95% CI = 2.16–16.57) were found to be associated with birth-related severe perineal tear. Conclusion: The proportion of birth-related severe perineal tears was high at governmental hospitals in Bahir Dar town. Previous history of perineal tear, work experience of birth attendants, duration of the second stage of labor, being nullipara, and occipito-posterior position were the major determinants of severe perineal tear. This study suggests that strategies and regulations should be developed to shorten the second stage of labor.

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Section: Methodsmentioning

confidence: 99%

Risk factors associated with severe perineal tear at Public Hospitals in Bahir Dar town, Northwest Ethiopia

Addisu,

Fentahun

2024

SAGE Open Medicine

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“…Perineal laceration(s) can result in serious maternal morbidity and even mortality in low and middle-income countries, including Ethiopia. Perineal tear is highly prevalent in Ethiopia: one study showed prevalence of perineal tear was 38.4% in Atat hospital [ 32 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Flexible Sacrum Position on Maternal and Neonatal Outcomes in Public Health Facilities, Amhara Regional State, Ethiopia: A Quasi-Experimental Study

Badi

Abebe

Weldetsadic

et al. 2022

IJERPH

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Restricting women giving birth in health care facilities from choosing the most comfortable position during labor and birth is a global problem. This study was aimed to examine the effect of flexible sacrum birth positions on maternal and neonatal outcomes in public health facilities in Ethiopia’s Amhara Region. A non-equivalent control group post-test-only design was employed at public health facilities from August to November 2019. A total of 1048 participants were enrolled and assigned to intervention or control groups based on their choice of birth position. Participants who preferred the flexible sacrum birth position received the intervention, while participants who preferred the supine birth position were placed in the control group. Data were collected using observational follow-up from admission to immediate postpartum period. Log binomial logistic regression considering as treated analysis was used. Of the total participants, 970 women gave birth vaginally, of whom 378 were from the intervention group, and 592 were from the control group. The intervention decreased the chance of perineal tear and poor Apgar score by 43 and 39%, respectively. The flexible sacrum position reduced the duration of the second stage of labor by a mean difference of 26 min. Maternal and newborn outcomes were better in the flexible sacrum position.

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Birth-Related Perineal Tear and Its Associated Factors Among Mothers Who Delivered in Atat Hospital

Cited by 2 publications

References 13 publications

Risk factors associated with severe perineal tear at Public Hospitals in Bahir Dar town, Northwest Ethiopia

Risk factors associated with severe perineal tear at Public Hospitals in Bahir Dar town, Northwest Ethiopia

Effect of Flexible Sacrum Position on Maternal and Neonatal Outcomes in Public Health Facilities, Amhara Regional State, Ethiopia: A Quasi-Experimental Study

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