Maternal Outcome of Operative Vaginal Delivery and associated factors in Nekemte Town Health facilities, East Wollega, Ethiopia.

Abstract

Background: Operative vaginal delivery (OVD) refers to a vaginal birth in which the operator uses forceps, a vacuum, or other devices to extract the fetus from the vagina, with or without assistance of maternal pushing. Every day in 2017, approximately 810 women died from preventable causes related to pregnancy and childbirth Skilled care before, during and after childbirth can save the lives of women and newborns. In country like Ethiopia, there is insufficient evidence which shows on the maternal outcome of OVD and associated factors. Hence this study is aimed to determine maternal outcome of OVD and associated factors among mother who gave birth in Nekemte town health facilities, East Wollega Zone, Oromia Region, Ethiopia. OBJECTIVE: The main aim of the study is to determine maternal outcome of operative vaginal delivery and associated factors among mothers who gave birth in Nekemte town health facilities, East Wollega Zone, Oromia Region, Ethiopia. MATERIALS AND METHODS: The study was conducted in Nekemte health facilities and cross-sectional study design was employed. All mothers who had operative vaginal deliveries were included in the study by Consecutive sampling technique until we get 406 mothers. All data was entered into Epi Data manager Version 4.1, and exported to Statistical Package for Social Science (SPSS) Version 26 software and further analysis was performed. Descriptive statistics was used to determine the frequency of dependent and independent variables. Bivariate and multi variable Logistic regression was used to examine the association between dependent and independent variables and variables whose p-value is <0.25 on bivariate analysis was assumed as candidate variable for multiple logistic regression. Finally variables with p<0.05, was fitted in the final model as factors affecting Maternal outcome of OVD. The study was conducted from November 10, 2021-December 25, 2021 and twenty one thousand and nine hundred fifty four Ethiopian Birr will be required to accomplish this study. Result: Sociodemographic and Economic Characteristics iv In the present study 406 mothers was participated making a response rate of 100%. Majority of the respondents (273, 67.2%) was from outside Nekemte town and the rest 133(32.8%) was Nekemte town residents. Majority of the respondents was housewife (353, 86.9%) by their occupation and married by their marital status (396, 97.5%). Respondents mean age was 24.3±3.3 and their average income was 3473.7±1271.01. Conclusion and discussion: In the current study, the magnitude of unfavorable maternal outcome among mothers who attended operative vaginal delivery was high. High fetal head station during delivery and having a neonatal birth weight of > 4kg was significant predictors of unfavorable maternal outcome and the finding of this study was recommended to nekemte town health facilities to arrange training for performance improvement to reduce death as a result of ovd.