ArticleBMC pregnancy and childbirth2011
Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda.
Article in BMC pregnancy and childbirth, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Obstructed labor and its effect on adverse maternal and fetal outcomes in Ethiopia: A systematic review and meta-analysis.PloS one · 2022Pooled it
- Incidence, causes, and maternofetal outcomes of obstructed labor in Ethiopia: systematic review and meta-analysis.Reproductive health · 2021Pooled it
- Partograph utilization as a decision-making tool and associated factors among obstetric care providers in Ethiopia: a systematic review and meta-analysis.Systematic reviews · 2020Pooled it
- A meta-analysis of socio-demographic factors for perinatal mortality in developing countries: a subgroup analysis of the national surveys and small scale studies.Ethiopian journal of health sciences · 2014Pooled it
- Trial
- Organ Size and Metabolic Rate Co-Vary with Dimensions of the Obstetric Pelvis: The Metabolic Coordination of Childbirth Hypothesis.American journal of biological anthropology · 2026Article
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- Inter-facility transfers for emergency obstetrical and neonatal care in rural Madagascar: a cost-effectiveness analysis.BMJ open · 2024Article
- One-sixth of women experienced obstructed labor among those delivered at public hospitals in Southern Ethiopia: A multicenter study.SAGE open medicine · 2023Article
- Article
- Determinants for Perinatal Mortality in South China: A Prospective Cohort Study.Frontiers in pediatrics · 2022Article
- Emerging Predictors of Obstructed Labour in a Single Nigerian Centre Population of a Low Resource Setting.Trends in medical research · 2022Article
- Article
- Perinatal death in Northern Uganda: incidence and risk factors in a community-based prospective cohort study.Global health action · 2021Article
- Pre- and during- labour predictors of dystocia in active phase of labour: a case-control study.BMC pregnancy and childbirth · 2020Article
- Obstetric fistulas in Uganda: scoping review using a determinant of health approach to provide a framework for health policy improvement.BMC pregnancy and childbirth · 2020Article
- Article
- Article
- Women's recommendations: vacuum extraction or caesarean section for prolonged second stage of labour, a prospective cohort study in Uganda.Tropical medicine & international health : TM & IH · 2019Article
- Maternofetal outcomes of obstructed labor among women who gave birth at general hospital in Ethiopia.BMC research notes · 2019Article
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5 authors.
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Abstract
backgroundObstructed 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.
methodsA 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.
resultsPrevalence 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%.
conclusionsIndividual 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.
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