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Risk factors for obstructed labour in Eastern Uganda: A case control study.
Musaba, Milton W; Ndeezi, Grace; Barageine, Justus K; Weeks, Andrew; Nankabirwa, Victoria; Wamono, Felix; Semakula, Daniel; Tumwine, James K; Wandabwa, Julius N.
Afiliação
  • Musaba MW; Department of Obstetrics and Gynaecology, Mbale Regional Referral and Teaching Hospital, Mbale, Uganda.
  • Ndeezi G; Department of Obstetrics and Gynaecology, Busitema University Faculty of Health Sciences, Mbale, Uganda.
  • Barageine JK; Department of Paediatrics and Child Health, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
  • Weeks A; Department of Paediatrics and Child Health, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
  • Nankabirwa V; Department of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
  • Wamono F; Africa Centre for Systematic Reviews and Knowledge Translation, Makerere University College of Health Sciences, Kampala, Uganda.
  • Semakula D; Sanyu Research Unit, University of Liverpool, University of Liverpool/Liverpool Women's Hospital, Liverpool, England, United Kingdom.
  • Tumwine JK; Department of Epidemiology and Biostatistics, School of Public Health, Makerere University, Kampala, Uganda.
  • Wandabwa JN; Centre for Intervention Science and Maternal Child Health (CISMAC), Centre for International health, University of Bergen, Bergen, Norway.
PLoS One ; 15(2): e0228856, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32040542
ABSTRACT

INTRODUCTION:

Obstructed labour (OL) is an important clinical and public health problem because of the associated maternal and perinatal morbidity and mortality. Risk factors for OL and its associated obstetric squeal are usually context specific. No epidemiological study has documented the risk factors for OL in Eastern Uganda. This study was conducted to identify the risk factors for OL in Mbale Hospital.

OBJECTIVE:

To identify the risk factors for OL in Mbale Regional Referral and Teaching Hospital, Eastern Uganda.

METHODS:

We conducted a case control study with 270 cases of women with OL and 270 controls of women without OL. We consecutively enrolled eligible cases between July 2018 and February 2019. For each case, we randomly selected one eligible control admitted in the same 24-hour period. Data was collected using face-to-face interviews and a review of patient notes. Logistic regression was used to identify the risk factors for OL.

RESULTS:

The risk factors for OL were, being a referral from a lower health facility (AOR 6.80, 95% CI 4.20-11.00), prime parity (AOR 2.15 95% CI 1.26-3.66) and use of herbal medicines in active labour (AOR 2.72 95% CI 1.49-4.96). Married participants (AOR 0.59 95% CI 0.35-0.97) with a delivery plan (AOR 0.56 95% CI 0.35-0.90) and educated partners (AOR 0.57 95% CI 0.33-0.98) were less likely to have OL. In the adjusted analysis, there was no association between four or more ANC visits and OL, adjusted odds ratio [(AOR) 0.96 95% CI 0.57-1.63)].

CONCLUSIONS:

Prime parity, use of herbal medicines in labour and being a referral from a lower health facility were identified as risk factors. Being married with a delivery plan and an educated partner were protective of OL. Increased frequency of ANC attendance was not protective against obstructed labour.
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas / ODS3 - Saúde e Bem-Estar Tema em saúde: Objetivo 9: Redução de doenças não transmissíveis / Meta 3.1: Reduzir a mortalidade materna Base de dados: MEDLINE Assunto principal: Distocia Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Pesquisa qualitativa / Fatores de risco Limite: Adulto / Feminino / Humanos / Gravidez / Jovem adulto País/Região como assunto: África Idioma: Inglês Revista: PLoS One Assunto da revista: Ciência / Medicina Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Uganda

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Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas / ODS3 - Saúde e Bem-Estar Tema em saúde: Objetivo 9: Redução de doenças não transmissíveis / Meta 3.1: Reduzir a mortalidade materna Base de dados: MEDLINE Assunto principal: Distocia Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Pesquisa qualitativa / Fatores de risco Limite: Adulto / Feminino / Humanos / Gravidez / Jovem adulto País/Região como assunto: África Idioma: Inglês Revista: PLoS One Assunto da revista: Ciência / Medicina Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Uganda
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