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Please use this identifier to cite or link to this item: http://hdl.handle.net/10625/49677

Title: Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda
Authors: Kabakyenga, Jerome K
Östergren, Per-Olof
Turyakira, Eleanor
Mukasa, Peter K
Pettersson, Karen Odberg
Keywords: LABOR COMPLICATIONS
UGANDA
SOCIAL DETERMINANTS OF HEALTH
MATERNAL HEALTH SERVICES
OBSTRUCTED LABOR
PREGNANCY
Issue Date: 14-Oct-2011
Citation: Kabakyenga, J. K., Östergren, P., Turyakira, E., Mukasa, P. K., & Pettersson, K. O. (2011). Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda. BMC Pregnancy and Childbirth, 11 (73). doi:10.1186/1471-2393-11-73
Abstract: Background: 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. Methods: 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. Results: 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%. Conclusions: 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.
URI: http://hdl.handle.net/10625/49677
Project Number: 103460
Project Title: Teasdale-Corti Global Health Research Partnership
Appears in Collections:IDRC Research Results / Résultats de recherches du CRDI
Research Results (GHRI) / Résultats de recherches (IRSM)
Teasdale-Corti Global Health Research Partnership (TC) / partenariat Teasdale-Corti de recherche en santé mondiale
Maternal, Newborn, and Child Health (MNCH) / la santé de la mère, du nouveau-né, et de l’enfant
Health Systems Research / recherche sur les systèmes de santé
2010-2019 / Années 2010-2019

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