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Volume 6, Issue 5 (Suppl) J Nurs Care
ISSN: 2167-1168 JNC, an open access journal Nurse Practitioner Conference 2017
September 28-29, 2017
conferenceseries.com
September 28-29, 2017 Dubai, UAE
23Rd World Nurse Practitioner Conference
Prevalence and associated factors of obstructed labor and its outcome among mothers delivered at
Gimbi Public Hospital, Wollega, Western Ethiopia, 2015: Retrospective cross-sectional study
Daniel Shiferaw
Mizan-Tepi University, Ethiopia
Introduction: Obstructed labor is a major cause of maternal morbidity and mortality and of adverse outcome for women and
newborns in developing countries, mainly the problem caused by maternal pelvis or the fetus or both.
Aim & Methods: A retrospective cross-sectional study was carried out to assess the magnitude and associated factors of
obstructed labor and its fetal and maternal outcome among women delivered in Gimbi Public Hospital, Wollega, Western
Ethiopia from February to March 2015. A total of 321 deliveries registered from 2012-2014 was reviewed. Single population
proportion formula was used to determine sample size. The study participants were selected by systematic sampling technique.
Bivariable and multivariable logistic regression analysis were applied. Independent variables with p<0.05 in multivariable
logistic regression analysis were considered as predictors of obstructed labor.
Results: Prevalence of obstructed labor was 18.1% and the main causes were cephalo pelvic disproportion 61.3% followed by
malpresentation 27.1%. Risk of obstructed labor was significantly associated with age, 15-19 year (AOR 11.22, 95% CI: 4.43-
28.42), 25-29 year (AOR 1.23, 95% CI: 0.07-2.56); parity (nulipara) (AOR 24.96, 95% CI: 10.73-56.85) and birth weight, 2.5-4
kg, (AOR 4.76, 95% CI: 1.20-18.90). The major maternal complications were post-partum hemorrhage, ruptured uterus and
puerperal sepsis. From the total obstructed deliveries 45 (78.9%) of them were live birth and 13 (21.1%) were still birth. Poor
perinatal outcome including perinatal mortality was higher among obstructed deliveries. Prenatal complication was related
with parity and prolonged duration of labor. The perinatal mortality rate was 310 per 1000 total births for women who had
obstructed labor and 42 per 1000 total births among women non obstructed group. Overall the perinatal mortality rate was 90
per 1000 total births.
Conclusion: The prevalence of obstructed labor was high. Age of the mother, parity and birth weight were significantly
associated with obstructed labor. Birth preparedness and complication readiness also need to be addressed within the health
system and the community level.
Biography
Daniel Shiferaw currently works at Mizan-Tepi University, Ethiopia.
Daniel Shiferaw, J Nurs Care 2017, 6:5 (Suppl)
DOI: 10.4172/2167-1168-C1-052