Prevalence of pregnancy-related complications and course of labour of surviving women who gave birth in selected health facilities in Rwanda: a health facility-based, cross-sectional study

Abstract

ObjectivesThis study estimated health facility-based prevalence for pre-eclampsia/eclampsia, postpartum haemorrhage and caesarean section (CS) due to prolonged labour/dystocia. The background characteristics of Rwandan pregnant women, the course of labour and the level of healthcare were investigated in relation to pregnancy and delivery outcomes.MethodsThis is health facility-based study and data were collected in 2014–2015 through structured interviews and medical records (n=817) in Kigali and Northern Province, Rwanda. Frequencies and prevalence were used to describe participants’ background factors, labour and delivery-related characteristics. Bivariable and multivariable logistic regression models were performed for different background factors and pregnancy/delivery outcomes.ResultsPre-eclampsia/eclampsia, postpartum haemorrhage and CS due to prolonged labour/dystocia represented 1%, 2.7% and 5.4% of all participants, respectively. In total, 56.4% of the participants were transferred from facilities with low levels to those with higher levels of healthcare, and the majority were transferred from health centres to district hospitals, with CS as the main reason for transfer. Participants who arrived at the health facility with cervical dilation grade of ≤3 cm spent more hours in maternity ward than those who arrived with cervical dilatation grade of ≥4 cm. Risk factors for CS due to prolonged labour or dystocia were poor households, nulliparity and residence far from health facility.ConclusionsThe estimated health facility-based prevalence of pregnancy-related complications was relatively low in this sample from Rwanda. CS was the main reason for the transfer of pregnant women from health centres to district hospitals. Upgrading the capacity of health centres in the management of pregnant women in Rwanda may improve maternal and fetal health.

Parenting Stress of Mothers Having Children with Thalassemia

“…11 Maternal complications occurred commonly in woman without ANC. In this study 51% pregnant woman had malnutrition and anemia, 10% hypertension and 3% diabeteswhich is very higher than the observations by Semasaka et al 12 Results of regular ANC regarding less complication during pregnancy and healthy status of child after birth are due to development of healthcare delivery center both in public and private were increased and easily assessable to these for available transport facilities and increased consciousness of family members for better health of mother and children.…”

“…Three fourth (84%) respondents did regular antenatal checkup which closure to another study by Semasaka et al 12 and only 15% had complication during their pregnancy. Almost half (58%) of the mothers delivered their child at hospital and 70% did normal delivery.The present study showed higher antenatal checkup results less complication during pregnancy which similar to Tuladhar's observations.…”

Pregnancy-related complications and associated factors among women attending antenatal care at a specialised maternal and child health national referral hospital, in Uganda

“…The variations in the prevalence may have resulted from differences in the study context, population and designs used. The study in Ethiopia was community-based and retrospective (22), while that in Rwanda was cross-sectional in nature and involved lower level healthcare facilities (23). Our study was done in a specialised maternal and child health national referral hospital.…”

Prevalence of pregnancy‐related complications and associated factors among reproductive‐aged women in northwest Ethiopia: A community‐based retrospective cross‐sectional study

“…Similar studies showed that excessive bleeding was most frequent in Ethiopia, 17 and prolonged/ obstructed labor was most prevalent in a study finding in Ghana and Rwanda. 23,24 This implies that the proportions of each pregnancy-related complication type are changing as the result of the collective efforts in the healthcare system and study settings.…”