埃塞俄比亚西南部NEMCS医院分娩妇女阴道手术分娩相关并发症及其相关因素

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Obstetrics and Gynecology International Pub Date : 2023-01-01 DOI:10.1155/2023/4214252
Selamu Abose Nedamo, Amanuel Nuramo Sakelo, Lire Lemma Tirore, Ageze Abose Abate
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引用次数: 0

摘要

背景:手术阴道分娩是指使用镊子或真空等器械进行阴道分娩。阴道手术分娩相关的产妇并发症仍然是一个严重的问题,但它们是埃塞俄比亚调查最少的问题之一,特别是在研究地区。越来越多的困难归因于缺乏对如何预测手术并发症的理解。确定典型的OVD并发症可以帮助卫生保健提供者及早发现和干预。本研究的目的是找出哪些特征有助于产妇问题在手术阴道分娩。方法:采用基于卫生设施的横断面研究设计。2019年12月至2021年11月,采用简单随机抽样的方法,从1000份OVD病历中选取326份母亲OVD病历。使用清单收集数据。计算二元逻辑回归,将二元逻辑回归中p值≤0.2的变量进行多元逻辑回归分析,检验其与结局变量的真实关系或统计相关性。结果:产妇并发症发生率为62例(19%)。阴道手术分娩器械类型(AOR = 2.248;95% CI(1.144, 4.416)),表现部位进行OVD的位置(AOR = 3.199;95% CI(1.359, 7.533)),新生儿出生体重(AOR = 3.342;95% CI(1.435, 7.787))和第二阶段持续时间(AOR = 2.556;95% CI(1.039, 6.284))与阴道手术分娩的不良产妇结局显著相关。结论:研究区产妇并发症发生率高。阴道分娩方式、第二阶段持续时间、剖宫产位、新生儿出生体重均与产妇并发症显著相关。在使用仪器时,应特别注意具有确定因素的母亲。
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Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia.

Background: Operative vaginal delivery refers to vaginal delivery performed with the use of instruments such as forceps or vacuum. Operative vaginal delivery-related maternal complications are still a serious problem, but they are one of the least investigated in Ethiopia, particularly in the study area. Increased difficulties have been attributed to a lack of understanding on how to anticipate the procedure's complications. Identifying typical OVD complications can assist health providers in detecting and intervening early. The goal of this study was to find out which characteristics contributed to maternal problems during surgical vaginal birth.

Methods: A health facility-based cross-sectional study design was used. From December 2019 to November 2021, a total of 326 mother's OVD medical records were selected from a total of 1000 OVD medical records using a simple random sampling method. A checklist was used to collect the data. Binary logistic regression was computed and variables with a p value ≤0.2 in the bivariate logistic regression were taken to multivariate logistic regression analysis to examine the real relationship or statistical association with the outcome variable. The p value of <0.05 with a 95% confidence interval was considered a significant variable. The results are presented using tables, figures, and texts.

Results: Maternal complications were prevalent in 62 of the cases (19%). The type of operative vaginal delivery instrument used (AOR = 2.248; 95% CI (1.144, 4.416)), the station of the presenting part at which the OVD was performed (AOR = 3.199; 95% CI (1.359, 7.533)), neonatal birth weight (AOR = 3.342; 95% CI (1.435, 7.787)), and duration of the second stage (AOR = 2.556; 95% CI (1.039, 6.284)) were significantly associated with the unfavorable maternal outcomes of operative vaginal delivery.

Conclusions: Maternal complications are high in the study area. The type of operative vaginal delivery used, the duration of the second stage, the station of the presenting part at which the OVD was performed, and neonatal birth weights were all significantly related to maternal complications. While using the instrument, mothers with the identified factors should be given special attention.

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来源期刊
Obstetrics and Gynecology International
Obstetrics and Gynecology International OBSTETRICS & GYNECOLOGY-
CiteScore
3.60
自引率
0.00%
发文量
26
审稿时长
19 weeks
期刊介绍: Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.
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