干旱区生态环境知识资源中心(Arid): Prevalence and associated factors of maternal birth trauma following vaginal delivery at University of Gondar Comprehensive Specialized Hospital, North-West Ethiopia, 2022

Arid

DOI	10.1186/s12884-024-06635-4
	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
通讯作者	Getnet, M
来源期刊	BMC PREGNANCY AND CHILDBIRTH
EISSN	1471-2393
出版年	2024
卷号	24 期号:1
英文摘要	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.
英文关键词	Cervical laceration OASIs Perineal trauma Vaginal delivery Ethiopia
类型	Article
语种	英语
开放获取类型	gold, Green Published
收录类别	SCI-E
WOS记录号	WOS:001258086600001
WOS关键词	ANAL-SPHINCTER DISRUPTION ; SEVERE PERINEAL TRAUMA ; INJURY RISK-FACTORS ; RETROSPECTIVE COHORT ; URINARY-INCONTINENCE ; POSITION ; LACERATIONS ; CHILDBIRTH ; OUTCOMES ; RUPTURE
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/403063
推荐引用方式 GB/T 7714	Addis, Nigat Amsalu,Abraham, Demelash,Getnet, Mihret,et al. Prevalence and associated factors of maternal birth trauma following vaginal delivery at University of Gondar Comprehensive Specialized Hospital, North-West Ethiopia, 2022[J],2024,24(1).
APA	Addis, Nigat Amsalu,Abraham, Demelash,Getnet, Mihret,Bishaw, Alehegn,&Mengistu, Zelalem.(2024).Prevalence and associated factors of maternal birth trauma following vaginal delivery at University of Gondar Comprehensive Specialized Hospital, North-West Ethiopia, 2022.BMC PREGNANCY AND CHILDBIRTH,24(1).
MLA	Addis, Nigat Amsalu,et al."Prevalence and associated factors of maternal birth trauma following vaginal delivery at University of Gondar Comprehensive Specialized Hospital, North-West Ethiopia, 2022".BMC PREGNANCY AND CHILDBIRTH 24.1(2024).