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Prevalence and associated factors of maternal birth trauma following vaginal delivery at University of Gondar Comprehensive Specialized Hospital, North-West Ethiopia, 2022.
Addis, Nigat Amsalu; Abraham, Demelash; Getnet, Mihret; Bishaw, Alehegn; Mengistu, Zelalem.
Afiliação
  • Addis NA; Department of Gynecology and Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Abraham D; Department of Gynecology and Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Getnet M; Department of Human Physiology, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. mihretgetnet1@gmail.com.
  • Bishaw A; Department of Epidemiology and biostatistics, Institute of public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. mihretgetnet1@gmail.com.
  • Mengistu Z; Department of Reproductive and Child Health, Institute of public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Pregnancy Childbirth ; 24(1): 445, 2024 Jun 27.
Article em En | MEDLINE | ID: mdl-38937688
ABSTRACT

BACKGROUND:

Maternal injury with any form of perineal trauma following vaginal delivery is very common which ranges globally from 16.2 to 90.4%. The frequency of Obstetric anal sphincter Injuries and the incidence of cervical laceration increases rapidly. However, in Ethiopia, there is limited evidence on the prevalence of maternal birth trauma and its determinant factors after vaginal delivery.

OBJECTIVE:

To assess the magnitude and associated factors of Maternal Birth Trauma after vaginal delivery at University of Gondar Comprehensive Specialized Hospital, Gondar, North-West Ethiopia, 2022.

METHODS:

An Institution based cross-sectional study was conducted among mothers with singleton vaginal delivery at University of Gondar Comprehensive Specialized Hospital from 9th May to 9th August 2022 among 424 study participants. Pre-tested semi-structured questioner was utilized. Epi-Data version 4.6 was used for data entry and exported to SPSS version 25 for data management and analysis. To identify the determinant factors, binary logistic regression model was fitted and variables with p-value < 0.2 were considered for the multivariable binary logistic regression analysis. In the multivariable binary logistic regression analysis, Variables with P-value < 0.05 were considered to have statistical significant association with the outcome variable. The Adjusted Odds Ratio (AOR) with 95% CI was reported to declare the statistical significance and strength of association between Maternal Birth Trauma and independent variables.

RESULTS:

A total of 424 mothers who delivered vaginally were included. The mean age of participants was 26.83 years (± 5.220 years). The proportion of birth trauma among mothers after vaginal delivery was47.4% (95%CI 43.1, 51.7). Of different forms of perineal trauma, First degree tear in 42.8%, OASIs in 1.5% and Cervical laceration in 2.5% study participants. In the multivariable binary logistic regression analysis being primiparous (AOR = 3.00; 95%CI 1.68, 5.38), Gestational age ≥ 39 weeks at delivery (AOR = 2.96; 95%CI 1.57, 5.57), heavier birth weight (AOR = 12.3; 95%CI 7.21, 40.1), bigger head circumference (AOR = 5.45; 95%CI 2.62, 11.31), operative vaginal delivery (AOR = 6.59; 95%CI 1.44, 30.03) and delivery without perineum and/or fetal head support (AOR = 6.30; 95%CI 2.21, 17.94) were significantly associated with the presence of maternal birth trauma. CONCLUSION AND RECOMMENDATION Maternal birth trauma following vaginal delivery was relatively high in this study. Prim parity, gestational age beyond 39 weeks at delivery, heavier birth weight, bigger head circumference, operative vaginal delivery and delivery without perineum and/or fetal head supported were factors affecting perineal outcome. The Ministry of Health of Ethiopia should provide regular interventional training as to reduce maternal birth trauma.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Parto Obstétrico Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: Africa Idioma: En Revista: BMC Pregnancy Childbirth / BMC pregnancy and childbirth / BMC pregnancy childbirth Assunto da revista: OBSTETRICIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Etiópia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Parto Obstétrico Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: Africa Idioma: En Revista: BMC Pregnancy Childbirth / BMC pregnancy and childbirth / BMC pregnancy childbirth Assunto da revista: OBSTETRICIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Etiópia