Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia
Asnakech Tadesse Gudina,
Tilaye Workneh Abebe,
Fikiru Abebe Gebremariam,
Godana Jarso Guto
Issue:
Volume 4, Issue 3, May 2016
Pages:
12-16
Received:
8 April 2016
Accepted:
20 April 2016
Published:
13 June 2016
Abstract: Background: Obstructed labor is one of the common preventable causes of maternal and perinatal morbidity and mortality in developing countries. In the last decade among the top four causes of maternal mortality, obstructed labor /uterine rupture accounted for 36% of maternal mortality in Ethiopia. The aim of this study was to determine magnitude of obstructed labor and its associated risk factors among mothers come for delivery services in Adama Hospital Medical College from June 01 to July 30, 2015. Methods: Hospital-based cross-sectional study was employed. Descriptive statistics was used to summarize socio-demographic variables and characteristics of delivery. Using binary logistic regression analysis, Odds ratio and confidence interval were used to determine statistically associated risk factors with obstructed labor. Result: Of 384 deliveries during the study period 9.6% were obstructed labor cases. The causes of obstructed labor identified by clinician on mother medical record were CPD (54.1%), mal-position (29.7%) and mal-presentation 16.2%). The independent predictors of obstructed labor using logistic regression analysis were duration of labor before arrival to the health facility greater than 24 hour (OR: 6.2; 95%CI: 2.7, 14.2), 4 to 6 hours of travel to health facility (OR: 2.9; 95%CI: 1.1, 10.6), malpresentation (OR: 6; 95%CI: 1.7, 12.8) and fetal weight greater than 4 Kilo gram (OR: 11.2; 95%CI: 2.4, 13.2). Conclusion: magnitude of OL is comparatively higher, especially among mothers of low educational status. Socio-demographic and health system factors increase the risk of obstructed labor. As most of the risk factors associated with obstructed labor need long term exposure for the outcome to be seen, prevention need inter sectoral collaboration from education, agriculture, health and other social sectors.
Abstract: Background: Obstructed labor is one of the common preventable causes of maternal and perinatal morbidity and mortality in developing countries. In the last decade among the top four causes of maternal mortality, obstructed labor /uterine rupture accounted for 36% of maternal mortality in Ethiopia. The aim of this study was to determine magnitude of...
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Increased Anti-mullerian Hormone (AMH) After Delivery: Case Report
Keiichi Kumasawa,
Yuri Yasui,
Hitomi Nakamura,
Tadashi Kimura
Issue:
Volume 4, Issue 3, May 2016
Pages:
17-18
Received:
15 June 2016
Accepted:
25 June 2016
Published:
15 July 2016
Abstract: Anti-mullerian hormone (AMH) is mainly produced by antral follicles. AMH is widely used as a useful biomarker to reflect ovarian reserve and it was reported to reveal less changes during the course of pregnancy and early puerperium. A 29-year old woman visited our hospital for infertility treatment. Her serum level of AMH was 1.12ng/ml, which was lower for her age. She conceived by intra-uterine sperm insemination (IUI) treatment with clomiphen citrate. About 6 months after delivery, her serum level of AMH rose up to 3.34ng/ml, which was about the average level for her age. This result indicated that even if the serum AMH level is low initially, there is the possibility for higher levels of serum AMH at a later date.
Abstract: Anti-mullerian hormone (AMH) is mainly produced by antral follicles. AMH is widely used as a useful biomarker to reflect ovarian reserve and it was reported to reveal less changes during the course of pregnancy and early puerperium. A 29-year old woman visited our hospital for infertility treatment. Her serum level of AMH was 1.12ng/ml, which was l...
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