Maternofetal outcomes of obstructed labor among women who gave birth at general hospital in Ethiopia

Abstract

Objective Obstructed labor had different maternal outcomes such as uterine rupture, postpartum hemorrhage, puerperal sepsis, Vesico-Vaginal fistula (VVF), recto-vaginal fistula can leads to death. Besides fetal outcomes including birth asphyxia, still birth, neonatal jaundice and umbilical sepsis can occur. Identifying maternal and fetal outcomes of obstructed labor among women who gave birth at Suhul general Hospital, Shirie town, Tigray, Ethiopia has been done using a retrospective review of delivery charts and registration book. Results Majority of mothers 69 (75.8%) came from rural areas and 74.7% were married. Cephalo pelvic disproportion occurs in 59 (64.8%) and mal-presentation in 28 (30.8%) of obstructed labor. Fetal congenital anomaly (hydrocephalus) occurs in 3 (3.3%) of cases and pelvic mass constituted 1 (1.1%) of cause of obstructed labor. Above half of mothers delivered with obstructed labor had sepsis 23 (25.3%), post-partum hemorrhage 10 (11%), Vesico Vaginal Fistula 5 (5.5%) and anemia 15 (16.5%). From the well-known causes of obstructed labor; mal-presentation, Cephalo pelvic disproportion, fetal congenital anomaly, and pelvic mass were found to the common outcomes of obstructed labor in our study area. Besides Still birth, birth asphyxia, and birth injury were the others.

Incidence, causes, and maternofetal outcomes of obstructed labor in Ethiopia: systematic review and meta-analysis

“…Among the included studies the largest sample size was 13,425 [ 41 ], whereas the smallest was 90 [ 48 ] (Table 1 ).…”

“…Among sixteen studies thirteen were cross sectional [1,14,[35][36][37][38][39][40][41][42][43][44][45] and three case-controls [46][47][48] in study design. Regarding the geographical area, six from Oromia [14,35,36,40,41,47], four [3,37,39,42] from Southern Nation Nationalities and People (SNNPR), and four [1,38,43,48] from Tigray region, two studies [45,46] were from Amhara region. Among the included studies the largest sample size was 13,425 [41], whereas the smallest was 90 [48] (Table 1).…”

“…Primarily, all three case-control [46][47][48] studies were not considered in the incidence estimation, because they did not report the incidence of obstructed labor, but all studies were included in factor analysis. The pooled incidence of obstructed labor is presented on a forest plot (Fig.…”

Risk Factors for Early Neonatal Death despite Cesarean Section

“…Therefore, no hypoxia resulting from a cord compression or traction or from maternal hemorrhage is present. It is only in cases of prolonged second stage of labor that the fetal head and therefore the fetal brain can be seriously traumatized by the maternal bony pelvis, leading to AFD with subsequent neonatal asphyxia and death [14].…”

Obstructed labor and its association with adverse feto-maternal outcome in Ethiopia: a protocol for a systematic review and meta-analysis

“…However, the prevalence varies across different regions, 17.5% in Tigray region [ 26 ] and 9.6% in Oromia region [ 23 ]. In studies conducted so far, referral time, travel distance, residence, age, antenatal care (ANC) follow-up, gravida, parity, access to transport, height, malnutrition at young age, and age at pregnancy were significantly associated with OL [ 17 , 19 , 27 – 29 ].…”