Volume 4, Issue 3, May 2016, Page: 12-16
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, Department of Integrated Emergency Surgery and Obstetrics, Adama Hospital Medical College, Adama, Ethiopia
Tilaye Workneh Abebe, Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia
Fikiru Abebe Gebremariam, Department of Obstetrics and Gynecology, Adama Hospital Medical College, Adama, Ethiopia
Godana Jarso Guto, Department of Internal Medicine, Adama Hospital Medical College, Adama, Ethiopia
Received: Apr. 8, 2016;       Accepted: Apr. 20, 2016;       Published: Jun. 13, 2016
DOI: 10.11648/j.jgo.20160403.11      View  4690      Downloads  277
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.
Risk Factors, Obstructed Labor, Risk Prevention
To cite this article
Asnakech Tadesse Gudina, Tilaye Workneh Abebe, Fikiru Abebe Gebremariam, Godana Jarso Guto, Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia, Journal of Gynecology and Obstetrics. Vol. 4, No. 3, 2016, pp. 12-16. doi: 10.11648/j.jgo.20160403.11
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Arrow S, Hamlin C, Wall L. Obstructed labor injury complex: obstetric fistula formation and the multifaceted morbidity of maternal birth trauma in the developing world. Obstet Gynecol Surv. 1996; 51(9): 568-74.
Ozumba C, Uchegbu H. Incidence and management of obstructed labor in Eastern Nigeria. Aust N Z J Obstet Gynaecol. 1991; 31(3): 213-6.
Dafallah E, Ambago J, El-Agib F. Obstructed labor in a teaching hospital in Sudan. Saudi Med J. 2003; 24(10): 1102-4.
Chabra S, Gandhi D, Jaiswal M. Obstructed labor - a preventable entity. J Obstet Gynaecol. 2000; 20(2): 151-3.
Miane M. Fraser, Margaret A. Cooper Mayle’s midwife text book. Elseveir: Churchil Livingstone; 2008; 545-6.
Gaym A. Obstructed labor at district hospitals. Ethiop Med J, 2002; 40(1): 11-8.
WHO: Education material for teachers of midwifery: midwifery education modules (2nd ed.). Geneva, Switzerland, 2008; pp. 38–44. ISBN 9789241546669.
Kabakyenga, JK, Ostergren, PO, Turyakira, E, Mukasa, PK & Odberg-Petterson, K. Individual and health facility factors and the risk for obstructed labor and its adverse outcomes in south-western Uganda. Biomed Central Pregnancy and Childbirth. 2011b; 11(73): 1-10.
Gessessew, A & Mesfin, M. Obstructed labor in Adigrat Zonal Hospital, Tigray region, Ethiopia. Ethiopian Journal of Health Development. 2003; 17(3): 175-180.
Dolea, C & AbouZahr, C. The global burden of obstructed labor in the year 2000. Geneva: WHO, 2003.
WHO: The World health report: make every mother and child count. Geneva: World Health Organization; 2005, 230.
Nwogu-Ikojo EE, Nweze SO, Ezegwui HU: Obstructed labor in Enugu, Nigeria. J Obstet Gynaecol. 2008; 28(6): 596-599.
Ali AA, Adam I. Maternal and perinatal outcomes of obstructed labor in Kassala hospital, Sudan. J Obstet Gynaecol. 2010; 30(4): 376-377.
Kabakyenga et al. obstructed labor and birth preparedness. 2011; 11:73 http://www.biomedcentral.com/ 1471-2393/11/73
WHO, UNICEF, UNFPA and the World Bank. Maternal Mortality Estimates in 2005. Geneva: WHO, 2007a.
Kahn, K, Wojdyla, D, Say, L, Gülmezoglu, M & Van Look, P. 2006. WHO analysis of causes of maternal death: a systematic review. Lancet 367: 1066-1074.
Shimelis, F, Hailemariam, S & Fessahaye, A. Incidence causes and outcome of obstructed labor in Jima University specialized hospital. Ethiopian Journal of Health Science. 2010; (20)3: 145-151.
Yakasai IA, Gaya AS. Maternal and fetal outcomes in patients with eclampsia in Murtala Muhammed specialist Hospital Kano Nigeria. Annals Afri. Med. 2011; 10(4): 305-309.
Browse journals by subject