Nedamo Selamu Abose, Sakelo Amanuel Nuramo, Tirore Lire Lemma, Abate Ageze Abose
Department of Midwifery, College of Medicine and Health Sciences Wachemo University, Hossana, SNNPR, Ethiopia.
Department of Public Health, College of Medicine and Health Sciences, Wachemo University, Hosanna, SNNPR, Ethiopia.
Obstet Gynecol Int. 2023 Jun 16;2023:4214252. doi: 10.1155/2023/4214252. eCollection 2023.
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.
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 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 value of <0.05 with a 95% confidence interval was considered a significant variable. The results are presented using tables, figures, and texts.
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.
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.
手术助产是指使用产钳或真空吸引器等器械进行的阴道分娩。手术助产相关的产妇并发症仍是一个严重问题，但在埃塞俄比亚，尤其是在研究区域，这是研究最少的问题之一。困难增加归因于对如何预测该手术并发症缺乏了解。识别典型的手术助产并发症有助于医疗服务提供者早期发现并进行干预。本研究的目的是找出哪些特征会导致手术阴道分娩期间的产妇问题。
采用基于医疗机构的横断面研究设计。从2019年12月至2021年11月，使用简单随机抽样方法从总共1000份手术助产医疗记录中选取了326份母亲的手术助产医疗记录。使用清单收集数据。计算二元逻辑回归，并将二元逻辑回归中P值≤0.2的变量纳入多变量逻辑回归分析，以检验与结果变量的真实关系或统计关联。P值<0.05且置信区间为95%被视为显著变量。结果以表格、图表和文字形式呈现。
62例（19%）出现产妇并发症。所使用的手术助产器械类型（调整后比值比[AOR]=2.248；95%置信区间CI）、进行手术助产时先露部的位置（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)）以及第二产程持续时间（AOR=2.556；95%CI(1.039,6.284)）与手术助产的不良产妇结局显著相关。
研究区域的产妇并发症发生率较高。所使用的手术助产类型、第二产程持续时间、进行手术助产时先露部的位置以及新生儿出生体重均与产妇并发症显著相关。在使用器械时，应特别关注具有这些确定因素的母亲。
