Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda
| dc.contributor.author | Kabakyenga, Jerome K. | |
| dc.contributor.author | Östergren, Per-Olof | |
| dc.contributor.author | Turyakira, Eleanor | |
| dc.contributor.author | Mukasa, Peter K. | |
| dc.contributor.author | Pettersson, Karen O. | |
| dc.date.accessioned | 2022-12-14T09:34:08Z | |
| dc.date.available | 2022-12-14T09:34:08Z | |
| dc.date.issued | 2011 | |
| dc.description.abstract | 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. | en_US |
| dc.identifier.citation | Kabakyenga, J. K., Östergren, P. O., 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(1), 1-10. | en_US |
| dc.identifier.uri | https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-11-73 | |
| dc.identifier.uri | https://nru.uncst.go.ug/handle/123456789/6282 | |
| dc.language.iso | en | en_US |
| dc.publisher | BMC pregnancy and childbirth | en_US |
| dc.subject | health facility | en_US |
| dc.subject | obstructed labour | en_US |
| dc.subject | Uganda | en_US |
| dc.title | Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda | en_US |
| dc.type | Article | en_US |