埃塞俄比亚南部哈拉巴特区哈拉巴库利托初级医院分娩妇女难产的程度和相关因素

R. Abdo, Hassen Mosa Halil
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引用次数: 5

摘要

背景:难产仍然是孕产妇发病和死亡的主要原因,在低收入国家出现不良分娩。难产问题是目前埃塞俄比亚尚未解决的问题。目的:本研究旨在评估在埃塞俄比亚南部哈拉巴特区哈拉巴库利托初级医院分娩的妇女难产的程度和相关因素。方法:于2015年3月1-21日在Halaba Kulito初级医院进行以医院为基础的横断面研究。采用系统抽样技术,从送货登记簿中抽取344件送货件。使用预先测试的检查表从产妇的分娩卡中检索数据。数据录入Epi数据version-3.1,采用SPSS version-21软件进行分析。为了确定独立因素,进行了双变量和多重二元逻辑回归。采用p值<0.05判定变量间的相关性具有统计学意义。结果:难产发生率为18.6%。以下因素与难产显著相关:产前护理随访(AOR=3.1, 95% CI:1.5, 6.4),女性年龄小于20岁(AOR=6.9, 95% CI(2.2, 21.6)和胎位不良(AOR=10, 95% CI: 3.7, 27.5)。结论:难产在研究区十分常见。产前检查、产妇年龄和产位不良是难产的相关因素。扭转难产相关问题,全面改善产前及产时护理。
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Magnitude and Factors Associated With Obstructed Labor among Women Delivered at Halaba Kulito Primary Hospital, Halaba Special District, Southern Ethiopia
Background: Obstructed labor is still major cause of maternal morbidity and mortality, and adverse birth out comes in low income countries. The issue of obstructed labor is unsolved problem in Ethiopia so far.Objective: This study aimed to assess magnitude and factors associated with obstruct labor among women delivered at Halaba Kulito Primary Hospital, Halaba Special District, Southern Ethiopia.Methods: A hospital based cross-sectional study was employed from March 1-21, 2015 at Halaba Kulito Primary Hospital. Systematic sampling technique was used to select 344 deliveries from delivery registration book. A pretested checklist was used to retrieve data from delivery card of the women. Data were entered Epi data version-3.1 and analyzed using SPSS version-21 software. To identify independent factors, bivariate and multiple binary logistic regressions were undertaken. A p-value<0.05 was used to determine association between variables was consideredstatistically significant.Results: The magnitude of obstructed labor was 18.6%.The following factors were significantly associated with obstructed labor:o-antenatal care follow up (AOR=3.1, 95% CI:1.5, 6.4), women age less than 20 years (AOR=6.9, 95% CI (2.2, 21.6) and malpresentation (AOR=10, 95% CI: 3.7, 27.5).Conclusion: Obstructed labor was very common in the study area. Antenatal care visit, maternal age and malpresentation were associated factors of obstructed labor. To reverse obstructed labor related problems, overall improvement in antenatal and intrapartum care.
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