Operative deliveries: indications and post operative complications at Mattu Karl Hospital, Oromia Regional State, south west Ethiopia

Abstract

INTRODUCTION: The normal mechanism of labour leads to spontaneous vaginal delivery in many mothers. Under some circumstances cesarean section, vacuum assisted, use of forceps and destructive deliveries are helpful interventions in saving the lives of the mother and the new born. There is paucity of information on complication of operative deliveries and indications at Mattu Karl Hospital OBJECTIVE: The main objective of this study is to determine the proportion, indications and postoperative complications of operative deliveries in Mattu Karl hospital. METHODS: The records of all mothers who delivered operatively and with cards of full information during the period from January 2011 to Jan2013 were reviewed using pre-prepared checklist. Binary Logistic regression analysis was used to see the statistical association of the variables. The significant factors were declared at p-value <0.05. RESULT: Out of the total 3346 deliveries during the study period there were 984 (29.4%) operative deliveries. Among 727 (73.9%) were cesarean section, vacuum 190(21.7%), Forceps 45(1.3%) and Destructive delivery 22(0.65%).The main indications for cesarean section were caphalopelvic disproportion 257 (26.1%). Mothers Who had malpresentation as an indication of operative deliveries are 65% less likely to have bad maternal outcome as compared to caphalopelvic disproportion with AOR: 0.35, 95% CI (0.144-0.856). CONCLUSION: prolonged second stage & HDP of labour were major factors associated with immediate neonatal outcome. All stake holders should work to reduce high maternal mortality and morbidity rates by increasing ANC antenatal care follow up.