Predictors of adverse perinatal and maternal outcomes of instrumental vaginal delivery at a tertiary setting in Ethiopia: A cross‐sectional study
Abstract Objective To determine the rate of instrumental vaginal delivery (IVD) and the predictors of adverse maternal and fetal outcomes associated with it in an Ethiopian setting. Methods A cross‐sectional study was conducted from October 1, 2018, to January 31, 2019, at St. Paul's Hospital M...
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| Format: | Article |
| Language: | English |
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Wiley
2022-12-01
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| Series: | Public Health Challenges |
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| Online Access: | https://doi.org/10.1002/puh2.41 |
| _version_ | 1827974146580021248 |
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| author | Abraham Fessehaye Sium Wondimu Gudu Don Eliseo III Lucero‐Prisno Aida Tilahun |
| author_facet | Abraham Fessehaye Sium Wondimu Gudu Don Eliseo III Lucero‐Prisno Aida Tilahun |
| author_sort | Abraham Fessehaye Sium |
| collection | DOAJ |
| description | Abstract Objective To determine the rate of instrumental vaginal delivery (IVD) and the predictors of adverse maternal and fetal outcomes associated with it in an Ethiopian setting. Methods A cross‐sectional study was conducted from October 1, 2018, to January 31, 2019, at St. Paul's Hospital Millennium Medical College (SPHMMC) (Addis Ababa, Ethiopia). Data on obstetric characteristics, perinatal and maternal outcomes of women who delivered through IVD were collected prospectively, using a structured questionnaire. Data were analyzed using SPSS version 22 and descriptive analysis was applied to analyze baseline characteristics. Multivariable logistic regression model was fitted to predict the association between short‐term complications of IVD and their determinants. Odds ratio, 95% CI, and p‐value < 0.05 were used to present significance of study findings. Results There were 3165 deliveries during the study period, out of which 241 (7.6%) were instrumental vaginal deliveries. Sequential use of instrumental delivery (AOR = 4.82 [95% CI = 2.10–27.29] and AOR = 6.43 [95% CI = 1.19–34.73], for maternal and fetal complications, respectively) was associated with increased both maternal and fetal complications. Three number of pulls during the extraction was associated with increased fetal complications (AOR = 1.19 [95% CI = 1.05–1.67]). Conclusion The rate of instrumental delivery rate in our setting is high with sequential use of instrumental delivery found to be associated with increased adverse maternal and fetal outcomes while three number of pulls were associated with increased fetal adverse outcomes. |
| first_indexed | 2024-04-09T19:49:00Z |
| format | Article |
| id | doaj.art-b5b7e4df0cfe4d64b4b199bee55699f5 |
| institution | Directory Open Access Journal |
| issn | 2769-2450 |
| language | English |
| last_indexed | 2024-04-09T19:49:00Z |
| publishDate | 2022-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Public Health Challenges |
| spelling | doaj.art-b5b7e4df0cfe4d64b4b199bee55699f52023-04-03T10:35:29ZengWileyPublic Health Challenges2769-24502022-12-0114n/an/a10.1002/puh2.41Predictors of adverse perinatal and maternal outcomes of instrumental vaginal delivery at a tertiary setting in Ethiopia: A cross‐sectional studyAbraham Fessehaye Sium0Wondimu Gudu1Don Eliseo III Lucero‐Prisno2Aida Tilahun3St. Paul's Hospital Millennium Medical College, Department of Obstetrics and Gynecology Addis Ababa EthiopiaSt. Paul's Hospital Millennium Medical College, Department of Obstetrics and Gynecology Addis Ababa EthiopiaDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine London UKSt. Paul's Hospital Millennium Medical College, Department of Obstetrics and Gynecology Addis Ababa EthiopiaAbstract Objective To determine the rate of instrumental vaginal delivery (IVD) and the predictors of adverse maternal and fetal outcomes associated with it in an Ethiopian setting. Methods A cross‐sectional study was conducted from October 1, 2018, to January 31, 2019, at St. Paul's Hospital Millennium Medical College (SPHMMC) (Addis Ababa, Ethiopia). Data on obstetric characteristics, perinatal and maternal outcomes of women who delivered through IVD were collected prospectively, using a structured questionnaire. Data were analyzed using SPSS version 22 and descriptive analysis was applied to analyze baseline characteristics. Multivariable logistic regression model was fitted to predict the association between short‐term complications of IVD and their determinants. Odds ratio, 95% CI, and p‐value < 0.05 were used to present significance of study findings. Results There were 3165 deliveries during the study period, out of which 241 (7.6%) were instrumental vaginal deliveries. Sequential use of instrumental delivery (AOR = 4.82 [95% CI = 2.10–27.29] and AOR = 6.43 [95% CI = 1.19–34.73], for maternal and fetal complications, respectively) was associated with increased both maternal and fetal complications. Three number of pulls during the extraction was associated with increased fetal complications (AOR = 1.19 [95% CI = 1.05–1.67]). Conclusion The rate of instrumental delivery rate in our setting is high with sequential use of instrumental delivery found to be associated with increased adverse maternal and fetal outcomes while three number of pulls were associated with increased fetal adverse outcomes.https://doi.org/10.1002/puh2.41forceps deliveryinstrumental deliveryperinatal complicationsvacuum delivery |
| spellingShingle | Abraham Fessehaye Sium Wondimu Gudu Don Eliseo III Lucero‐Prisno Aida Tilahun Predictors of adverse perinatal and maternal outcomes of instrumental vaginal delivery at a tertiary setting in Ethiopia: A cross‐sectional study Public Health Challenges forceps delivery instrumental delivery perinatal complications vacuum delivery |
| title | Predictors of adverse perinatal and maternal outcomes of instrumental vaginal delivery at a tertiary setting in Ethiopia: A cross‐sectional study |
| title_full | Predictors of adverse perinatal and maternal outcomes of instrumental vaginal delivery at a tertiary setting in Ethiopia: A cross‐sectional study |
| title_fullStr | Predictors of adverse perinatal and maternal outcomes of instrumental vaginal delivery at a tertiary setting in Ethiopia: A cross‐sectional study |
| title_full_unstemmed | Predictors of adverse perinatal and maternal outcomes of instrumental vaginal delivery at a tertiary setting in Ethiopia: A cross‐sectional study |
| title_short | Predictors of adverse perinatal and maternal outcomes of instrumental vaginal delivery at a tertiary setting in Ethiopia: A cross‐sectional study |
| title_sort | predictors of adverse perinatal and maternal outcomes of instrumental vaginal delivery at a tertiary setting in ethiopia a cross sectional study |
| topic | forceps delivery instrumental delivery perinatal complications vacuum delivery |
| url | https://doi.org/10.1002/puh2.41 |
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