Prevalence, causes, and factors associated with obstructed labour among mothers who gave birth at public health facilities in Mojo Town, Central Ethiopia, 2019: A cross-sectional study

Abstract

Background Obstructed labour is a type of abnormal labour that is one of the causes of obstetric complications such as maternal and fetal mortality and morbidity. Early detection is the key to reducing complications. Objective This study aimed to assess the prevalence, causes, and factors associated with obstructed labor among mothers who gave birth at public health facilities in Mojo Town, Central Ethiopia. Methods An institution-based cross-sectional study was conducted from November 10 to December 30, 2019 among 318 women who gave birth at public health facilities in Mojo Town. Face-to-face interviews and participants’ medical record reviews were utilized to gather data. The collected data were checked, coded, and entered into EpiData version 3.1 and then exported to SPSS version 23 for analysis. A binary logistic regression model was used to test the association between the dependent and independent variables. In bivariate analysis, all variables with a p-value less than 0.25 were included in multivariate analysis. Finally, a significant statistical association was declared at a p-value less than 0.05. Results The prevalence of obstructed labour in this study was 51 (16%), and cephalo-pelvic disproportion (66%), mal-presentation (22%), and mal-position (12%) were reported as causes of obstructed labour. Primgravidity (AOR = 7.74: 95%CI = 2.13, 18.2) and a one-time antenatal care follow-up (AOR = 9.50: 95%CI: 1.91, 33.07) were found to be associated factors with obstructed labour, while labour duration of 12–24 hours (AOR = 0.20: 95%CI = 0.17, 0.87) was identified as a factor decreasing the risk of obstructed labour. Conclusion The prevalence of obstructed labour in this study was higher than in the majority of previous similar local and global studies. In this study setting, cephalo-pelvic disproportion, mal-presentation, and mal-position were found to be the causes of obstetric labour. Additionally, factors such as gravidity, frequency of antenatal follow-up, and duration of labour were significantly associated with obstructed labour. Therefore, the concerned entities need to work to curb young age pregnancy as well as to strengthen counselling mothers on the importance of subsequent antenatal-follows in the prevention of obstructed labour.

One-sixth of women experienced obstructed labor among those delivered at public hospitals in Southern Ethiopia: A multicenter study

“…3 Duration of labor that persists ⩾24 hours were significantly associated with experiencing obstructed labor. This is in line with a study conducted in Adigrat Zonal Hospital, Tigray Region, Ethiopia reported that obstructed labor was highly prevalent among women who are in labor for a long time, 36 Metu Referal Hospital, Ilu Ababora Zone, Southwest Ethiopia, 18 Adama Hospital Medical College, 19 Mojo Town, Oromia, 34 Hawasa Town 37 and also abroad study reported that prolonged labor and obstructed labor were significantly associated. 7,38 Therefore, proper follow-up of danger signs of obstructed labor to women in labor and delivery and appropriate utilization of partograph to follow labor progress will help reduce the occurrence of obstructed labor which, in turn, decreases maternal mortality.…”

“…On the other hand, the prevalence of obstructed labor reported in this study is lower than the study conducted at Public Hospitals of Western Hararghe Zone, Oromia, Ethiopia in 2018 (34.3%), 33 Mojo Town, Oromia (22%), 34 and 20.5% prevalence of obstructed labor was reported in Nigeria. 35 The possible difference for this might be an improved healthcare system, proper care during pregnancy and delivery, and improved ANC follow-up in recent years than ever before.…”

Prediction Model of Prolonged and Obstructed Labor in East Nusa Tenggara: A Multivariate Adaptive Regression Splines Analysis

“…Fetal malpresentation and malposition were identified as other causes of prolonged and obstructed labor (Ayenew, 2021) leading to a greater risk of cesarean delivery (Senécal et al, 2005). Therefore, longer durations may be appropriate to reassure maternal and fetal status and continued descent of the fetal presenting part (Gill et al, 2023).…”

Decreased renal function among children born to women with obstructed labour in Eastern Uganda: a cohort study

“…One potential insult in the peripartum period is obstructed labour. Obstructed labour complicates 22% of pregnancies [ 12 ], and is involved in 50% of perinatal deaths [ 13 ] and 9% of maternal deaths [ 12 ] in Uganda. Unrelieved obstruction is associated with prolonged fetal asphyxia, which results in shunting of blood from the kidneys to maintain cerebral, cardiac, and adrenal perfusion [ 14 ].…”