Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia

Woyessa, Ashenafi Habte; Caffo, Jote Markos; Palanichamy, Thanasekaran

doi:10.21613/gorm.2019.936

Cited by 2 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This might be a more extended recovery period, higher operating complications, an increased risk of unexplained stillbirths in subsequent pregnancies, and respiratory disorders for the newborn baby were all consequences of cesarean delivery (77). This result is supported by studies conducted in western Ethiopia (45).…”

Section: Discussionmentioning

confidence: 70%

Poor feto maternal outcomes and associated factors among labouring mothers referred to Nekemte city public hospitals, East Wallaga Zone, Oromia, Ethiopia.

Tolessa,

Lema,

Wodajo

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Deliveries are not always free from poor fetal and maternal outcomes. The majority of obstetric complications are referred to tertiary hospitals however, there is limited evidence regarding the magnitude of poor maternal and fetal outcomes and their associated factors among referred laboring mothers in Ethiopia and especially in the study area. Objective: The study aimed to assess the magnitude ofpoor fetal and maternal outcomes and associated factors among laboring mothers referred to Nekemte City public Hospitals, Oromia region, Ethiopia. Methods and Materials: Institutional-based cross-sectional study design was conducted among 420 referred laboring mothers in the two public hospitals of Nekemte City from February 10, 2023, to April 10, 2023. The data were entered to EPI- DATA software version 4.6 and then, exported to SPSS Version 26.0 for analysis. A binary Logistic regression was used to identify factors associated with poor feto-maternal outcomes. A bivariable binary logistic regression model was used to select candidate variables at p-value ≤ 0.25. A multivariable binary logistic regression model with 95% CI and Adjusted Odds Ratio (AOR) was used to identify variables associated with poor feto-maternal outcomes at a P-value < 0.05. Result: Poor fetal and maternal outcome was 46.2% (95%CI: (41% - 51%) and 24.1% (95% CI: 20%- 29%) respectively. Unable to read and write (AOR: 3.64, 95% CI: (1.11-11.96), multiple pregnancies (AOR: 4.23, 95% CI: (1.26, 14.25), and Preeclampsia 3.9, 95% CI: (1.11-13.67) were significant factors for poor maternal outcome. Rural residence (AOR: 1.99, 95% CI: (1.21, 3.29), a cesarean delivery (AOR: 2.64, 95% CI: (1.56, 4.47), gestational age <37 weeks (AOR: 8.09, 95% CI: (1.52, 12.91), <4 antenatal care visit (AOR: 2.37, 95% CI: (1.23-4.58), were found to be significant factors for poor fetal outcome. Conclusion and Recommendation: In this study, the poor fetal and maternal outcomes were linked to obstetric complications among referred pregnant women. Unable to read and write, multiple pregnancies, and, - pregnancy induced hypertention were factors associated with poor maternal outcomes. Rural residence, cesarean deliveries, Gastational age less than 37 weeks and less than four ANC visits were factors associated with poor fetal outcomes. Therefore, detecting and managing obstetric complications early, improving antenatal care further and pregnant women should also have their blood pressure checked regularly.

show abstract

Section: Discussionmentioning

confidence: 70%

Poor feto maternal outcomes and associated factors among labouring mothers referred to Nekemte city public hospitals, East Wallaga Zone, Oromia, Ethiopia.

Tolessa,

Lema,

Wodajo

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Retrospective Analysis of Obstetric Emergencies Referred to a Tertiary Care Center in India

Kedia

Dube

Jhancy

2022

ijsr

View full text Add to dashboard Cite

Background: Life-threatening events associated with pregnancy are called Obstetric emergencies and they can occur at any time during pregnancy, labor, delivery, or even after delivery. Timely and proper obstetric care saves lives of the pregnant women and their babies daily, throughout the world. Complications of childbirth cannot be prevented in some cases but they can be treated promptly and effectively. Lack of facilities at primary health care centers can result in signicant maternal and neonatal morbidity and mortality in such cases. This study aims to identify the various obstetric emergencies referred to a tertiary care center and the different reasons for such referral. This retrospectiveMethods: clinical descriptive study was carried out in the Tertiary Health Care Centre (Sheth Vadilal Hospital, Ahmedabad, Gujarat, India) recruiting a total of 100 patients who presented with various obstetric emergencies from September 2013 to September 2015. 86% of patients wereResults: between 21 to 30 years of age. The highest number of indication of referral was due to anaemia(15%), followed by previous caesarean section(12%), preeclampsia(11%), meconium-stained liquor(10%), preterm rupture of membranes(9%), oligohydramnios (7%), postdate(5%), malpresentation (6%) and Obstructed labour(4%). Other indications of referral were cord prolapse (1%), maternal diabetes (1%), polio(1%) and cardiac disease(1%). The main reasons for referral to higher centers included a lack of OT facilities and blood products. The cost factor is responsible especially in those cases who are referred from the private sector. Regular antenatal care can help prevent many obstetricConclusions: emergencies. Improvement of health care in women before pregnancy can go a long way in preventing all pregnancy complications including a majority of obstetric emergencies. Also, better health facilities and trained staff at Primary Health Care Centre are vital for improved delivery of maternal and child health care services.

show abstract

Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia

Cited by 2 publications

References 11 publications

Poor feto maternal outcomes and associated factors among labouring mothers referred to Nekemte city public hospitals, East Wallaga Zone, Oromia, Ethiopia.

Poor feto maternal outcomes and associated factors among labouring mothers referred to Nekemte city public hospitals, East Wallaga Zone, Oromia, Ethiopia.

Retrospective Analysis of Obstetric Emergencies Referred to a Tertiary Care Center in India

Contact Info

Product

Resources

About