Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda
<p>Abstract</p> <p>Background</p> <p>Obstructed labour is still a major cause of maternal morbidity and mortality and of adverse outcome for newborns in low-income countries. The aim of this study was to investigate the role of individual and health facility factors and...
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| Format: | Article |
| Language: | English |
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BMC
2011-10-01
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| Series: | BMC Pregnancy and Childbirth |
| Online Access: | http://www.biomedcentral.com/1471-2393/11/73 |
| _version_ | 1818677732204085248 |
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| author | Turyakira Eleanor Östergren Per-Olof Kabakyenga Jerome K Mukasa Peter K Pettersson Karen |
| author_facet | Turyakira Eleanor Östergren Per-Olof Kabakyenga Jerome K Mukasa Peter K Pettersson Karen |
| author_sort | Turyakira Eleanor |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Obstructed labour is still a major cause of maternal morbidity and mortality and of adverse outcome for newborns in low-income countries. The aim of this study was to investigate the role of individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda.</p> <p>Methods</p> <p>A review was performed on 12,463 obstetric records for the year 2006 from six hospitals located in south-western Uganda and 11,180 women records were analysed. Multivariate logistic regression analyses were applied to control for probable confounders.</p> <p>Results</p> <p>Prevalence of obstructed labour for the six hospitals was 10.5% and the main causes were cephalopelvic disproportion (63.3%), malpresentation or malposition (36.4%) and hydrocephalus (0.3%). The risk of obstructed labour was statistically significantly associated with being resident of a particular district [Isingiro] (AOR 1.39, 95% CI: 1.04-1.86), with nulliparous status (AOR 1.47, 95% CI: 1.22-1.78), having delivered once before (AOR 1.57, 95% CI: 1.30-1.91) and age group 15-19 years (AOR 1.21, 95% CI: 1.02-1.45). The risk for perinatal death as an adverse outcome was statistically significantly associated with districts other than five comprising the study area (AOR 2.85, 95% CI: 1.60-5.08) and grand multiparous status (AOR 1.89, 95% CI: 1.11-3.22). Women who lacked paid employment were at increased risk of obstructed labour. Perinatal mortality rate was 142/1000 total births in women with obstructed labour compared to 65/1000 total births in women without the condition. The odds of having maternal complications in women with obstructed labour were 8 times those without the condition. The case fatality rate for obstructed labour was 1.2%.</p> <p>Conclusions</p> <p>Individual socio-demographic and health system factors are strongly associated with obstructed labour and its adverse outcome in south-western Uganda. Our study provides baseline information which may be used by policy makers and implementers to improve implementation of safe motherhood programmes.</p> |
| first_indexed | 2024-12-17T09:04:03Z |
| format | Article |
| id | doaj.art-15debce2d33646cb9e26c74b679227dc |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-17T09:04:03Z |
| publishDate | 2011-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-15debce2d33646cb9e26c74b679227dc2022-12-21T21:55:35ZengBMCBMC Pregnancy and Childbirth1471-23932011-10-011117310.1186/1471-2393-11-73Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western UgandaTuryakira EleanorÖstergren Per-OlofKabakyenga Jerome KMukasa Peter KPettersson Karen<p>Abstract</p> <p>Background</p> <p>Obstructed labour is still a major cause of maternal morbidity and mortality and of adverse outcome for newborns in low-income countries. The aim of this study was to investigate the role of individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda.</p> <p>Methods</p> <p>A review was performed on 12,463 obstetric records for the year 2006 from six hospitals located in south-western Uganda and 11,180 women records were analysed. Multivariate logistic regression analyses were applied to control for probable confounders.</p> <p>Results</p> <p>Prevalence of obstructed labour for the six hospitals was 10.5% and the main causes were cephalopelvic disproportion (63.3%), malpresentation or malposition (36.4%) and hydrocephalus (0.3%). The risk of obstructed labour was statistically significantly associated with being resident of a particular district [Isingiro] (AOR 1.39, 95% CI: 1.04-1.86), with nulliparous status (AOR 1.47, 95% CI: 1.22-1.78), having delivered once before (AOR 1.57, 95% CI: 1.30-1.91) and age group 15-19 years (AOR 1.21, 95% CI: 1.02-1.45). The risk for perinatal death as an adverse outcome was statistically significantly associated with districts other than five comprising the study area (AOR 2.85, 95% CI: 1.60-5.08) and grand multiparous status (AOR 1.89, 95% CI: 1.11-3.22). Women who lacked paid employment were at increased risk of obstructed labour. Perinatal mortality rate was 142/1000 total births in women with obstructed labour compared to 65/1000 total births in women without the condition. The odds of having maternal complications in women with obstructed labour were 8 times those without the condition. The case fatality rate for obstructed labour was 1.2%.</p> <p>Conclusions</p> <p>Individual socio-demographic and health system factors are strongly associated with obstructed labour and its adverse outcome in south-western Uganda. Our study provides baseline information which may be used by policy makers and implementers to improve implementation of safe motherhood programmes.</p>http://www.biomedcentral.com/1471-2393/11/73 |
| spellingShingle | Turyakira Eleanor Östergren Per-Olof Kabakyenga Jerome K Mukasa Peter K Pettersson Karen Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda BMC Pregnancy and Childbirth |
| title | Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda |
| title_full | Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda |
| title_fullStr | Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda |
| title_full_unstemmed | Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda |
| title_short | Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda |
| title_sort | individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south western uganda |
| url | http://www.biomedcentral.com/1471-2393/11/73 |
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