FACTORS ASSOCIATED WITH OBSTRUCTED LABOUR AND IMMEDIATE OUTCOMES AMONG MOTHERS WHO GAVE BIRTH AT ARBA MINCH GENERAL HOSPITAL, SNNPR, ETHIOPIA

Abstract

Background: Obstructed labor is one of the most preventable causes of maternal& prenatal morbidity and mortality. Worldwide obstructed labor occurs in an estimated 5 % of pregnancies and accounts for an estimated 8% of maternal deaths and 13% in Ethiopia. It is an indicator of inadequacy & poor quality of obstetric care and associated with high prenatal morbidity & mortality. However, there is scarcity of information on magnitudes and associated factors of obstructed labor in Ethiopia in general and Gamo Gofa Zone in particular. Therefore, the current study was aimed at filling these gaps. Objective: The main objective of the study was to determine factors associated with obstructed labor and immediate outcomes among mothers who gave birth at Arba Minch General Hospital, SNNPR, Ethiopia from September 1/2016 to August 30/2017 Methods: Institutionbased cross-sectional study was conducted from September 01/ 2016 to August 30/2017 at Arba Minch Hospital. Systematic random sampling technique was used to get the sample size of 345. A pre- test structured questionnaire and checklist will be used to collect the data. Descriptive statistic was used to summarize socio-demographic factors and delivery characteristics. Epi Info version 7 and SPSS version 21 software package was used for data entry and analysis respectively. Using multiple logistic regression analysis, Odds ratio and confidence interval were used to determine statistically associated risk factors with obstructed labor. Results: Of 345 mothers during the study period the proportion of obstructed labor among laboring mothers was 6.1%.The independent predictors of obstructed labor using logistic regression were rural residency ( p-value = 0.002 , AOR = 12.83, 95% CI: 2.54 - 64.711), being self-referral (P-value=0.003, AOR=0.11, 95% CI: 0.026 -0.466),Age group of 20-29 ((P-value = 0.014, AOR = 0.102, 95% CI: 0.016 – 0.634), labor duration more than 24 hour ( p-value = 0.001 , AOR = 13.234, 95% CI: 3.825 -45.786) and fetal weight greater than 4kg ( p-value = 0.005 , AOR = 8.681, 95% CI: 1.903 – 39.589).The study shows the immediate out comes of obstructed labor identified were Uterine rupture (52.3%) and PPH (33.3%).It has also showed that, 61.8% of the babies born to mothers with obstructed labor were either stillbirths or died immediately after delivery. Conclusion and Recommendation: The socio -demographic factor; rural residency and obstetric factors increase the risk of obstructed labor and resulted poor maternal and fetal outcome.Comprehensive obstetric care in nearby health institutions are recommended to prevent obstructed labor and its complications.