Magnitude and Factors Associated With Obstructed Labor among Women Delivered at Halaba Kulito Primary Hospital, Halaba Special District, Southern Ethiopia

Abstract

Background: Obstructed labor is still major cause of maternal morbidity and mortality, and adverse birth out comes in low income countries. The issue of obstructed labor is unsolved problem in Ethiopia so far.

One-sixth of women experienced obstructed labor among those delivered at public hospitals in Southern Ethiopia: A multicenter study

“…Those women who experienced any complications during labor and delivery were more likely to encounter obstructed labor. This finding is consistent with the study finding done in Halaba Kulito primary Hospital, Southern Ethiopia, 17 Mizan-Aman General Hospital, Ethiopia, 22 Adama Hospital Medical College, Ethiopia, 19 and in Southwestern Uganda. 32 This might be due to complications like mal-presentation, cephalo-pelvic disproportion, and malposition left unidentified and managed early, they were at high risk for obstructed labor since their diameter was not competent to pass through the pelvic bone.…”

“…Women below 20 years had higher odds to face obstructed labor. This is consistent with findings reported from Ethiopia: a hospital-based cross-sectional study conducted in Halab Kulito Primary Hospital in 2015, 17 Gimbi General hospital in 2019, 21 and Southwestern Uganda. 32 This implies that pregnancy and related labor and delivery in teenagers are very risky for both maternal and fetal well-being secondary to her body not being well matured.…”

“…In this study, 15.8% of women experienced obstructed labor. This finding was in line with other institution-based studies conducted in Ethiopia: Mizan Tepi University Teaching Hospital (15.3%), 20 Halaba Kulito primary Hospital (18.6%), 17 and Gimbi General Hospital (18.1%). 21 But this study finding was higher than the prevalence reported in a facility-based study conducted at Mizan Aman General Hospital, Ethiopia (7.95%), 22 Jimma University Specialized Hospital (12.2%), 23 Metu Karl Referal Hospital (4.1%), 18 Adama Hospital Medical college (9.6%), 19 systematic review and meta-analysis done in Ethiopia (11.79%), 12 Gombe State, Nigeria (1.1%), 30 and Maiduguri, Nigeria (2.13%), 28 Ebonyi, Nigeria (3.4%), 31 Southwestern Uganda (10.5%), 32 and India (8.9%).…”

“…A similar finding was reported by another research in Southern Ethiopia. 17 This could be because not having ANC during pregnancy may decrease women’s knowledge about risk factors of obstructed labor like multiple pregnancies, a big baby, and fetal anomalies. In addition, women who did not have ANC were prone to home delivery, have poor awareness about birth preparedness and complication readiness plan, and danger signs of pregnancy which might increase the risk of obstructed labor.…”

“…The questionnaire was developed based on the Ethiopian Demographic Health Survey data collection tool and other relevant works of literature. 17 , 19 The questionnaire contains two parts: the sociodemographic characteristics, health facility-related characteristics, and obstetric characteristics. Data collection was carried out by five BSc midwifery as data collectors while two MSc Midwifery were nominated as supervisors for 1 month.…”