Complications among Mothers and New Born Due to Delivery Process in Selected Hospitals of Rupandehi District Nepal

Abstract

Background: Child birth is a universally celebrated occasion, yet everyday for thousands of women child birth is experienced not as a joyful event as it should be, but as a private hell that may even end in death. The objective of this study is to determine the complications of normal delivery and cesarean section on the mothers and new born.Methods: A descriptive study was conducted in two selected hospitals of Rupandehi district, Nepal. Data was collected as per pretested structured proforma from 550 respondents who were the mothers and new born delivered normally and through cesarean section randomly till the completion of sample size and analyzed by using SPSS, MANOVA and Chi-square test to determine associations between categorical variables.Results: In a total of 550 deliveries,25.8% were cesarean delivery, 42.7% motherssuffered from delivery related complications, common were PPH (21.1%), prolonged labour (8.5%) and wound infection (7.6%). 35.5% of newborn had complications, common were respiratory distress (6.3%) and neonatal jaundice (4.2%).Conclusions: Delivery related complications were higher among Lower segment cesarean section compared to vaginal delivery in mothers and newborn.

Materno-fetal and neonatal outcomes associated with caesarean section delivery in private and public hospitals in low- and middle-income countries: a systematic review

“…This review laid out the relevance of the facilities' ownership in materno-fetal and neonate CSDrelated outcomes. Of the 14 studies targeting both public and private facilities [4,45,48,[52][53][54][55]57,[59][60][61][62]64,65], only Murta et al [60] and Kilsztajn et al [59] have frontally compared the CSD outcomes between participants in public and private institutions. In the case of the former, private institutions led statistically to fewer LBW babies (OR = 1.4 vs. 2.33), while in Kilsztajn et al's study, the likelihood of dying from CSD was 3.3 times higher [59].…”

“…Dhakal found greater prevalence in low segment CSD (53.5% vs. 39%; χ 2 = 9.11, p <0.05)[54]. Cisse et al, in their mix of private facilities in Senegal, contended with a CSD-related maternal mortality and morbidity at 3.3% versus 13.85 (with indication), 2.6% vs. 3.8% (discretion), 3.7% vs.14.6% (essential) p <10-8 [44].…”

“…In terms of ownership, 14 included both public and private health facilities, 11 run in public facilities only, and one run in a private facility only (Fig 2). Of these reviewed articles, there were seven from Africa [42-48], seven from Asia [49][50][51][52][53][54][55], and 10 from Latin America [4,41,[56][57][58][59][60][61][62][63], as well as two cross-continental papers [64,65]. The study contexts were both the private and public sectors (Fig 1).…”

“…In Ethiopia, neonate deaths were estimated at 4.49% for emergency CSD [45] and 8.93% of perinatal death of the 392 CSD cases in a Kabul maternity hospital [50]. Sharma & Dhakal found a rather high prevalence of complications (not specified) in newborns through low segment CSD vs. VD (52,1% vs.28.4%; χ 2 = 26.12, p <0.05)[54]. Torres et al analyzed deliveries compiled from both public and private providers, including those with the standard care model ("typical" hospitals) and baby-friendly health facilities ("atypical" hospitals)[62].…”

Alpha-fetoprotein as a biochemical diagnostic and prognostic marker for prolonged jaundice in newborns

“…The risk factors for the development of prolonged jaundice in newborns are complications during pregnancy and childbirth, the presence of gynecological and extragenital pathology in mothers , and onerous obstetric history, as well as prematurity, asphyxia, and cerebral ischemia [20][21][22]. The maternal age, weight, body mass index (BMI), numbers of pregnancies and prolonged delivery were significantly associated with bilirubin levels [23][24][25].…”