Prevalence and factors associated with operative abdominal deliveries among women in saint luke catholic hospital and college of nursing in woliso town, southwest Ethiopia

Abstract

Background: Operative delivery is an important component of obstetrical care. Operative Abdominal delivery, a vital component of basic emergency obstetric care worldwide remains an integral part of the obstetrician′s duties. However there is no information on this study subject. Thus, this study aims to review the Prevalence and Factors Associated With Operative Abdominal Delivery in St. Luke Hospital with a view to suggest evidence-based practices that will help to achieve the goals of safe motherhood. Objective: To determine prevalence and factors associated with operative abdominal delivery among women in St. Luke Catholic Hospital, Woliso town, January 2013- December 2013 GC. Methods: A one year Facility based cross-sectional study was conducted from September to Jun 2014 at St. Luke Catholic Hospital, Woliso town. Secondary data was collected using structured questioners by trained data collectors. Data was analyzed by using SPSS window version 20.0. All variables with pvalue <0.05 was declared predictors of Operative Abdominal Delivery and was considered statistical significance association on multivariable regression model. The result of the study was presented in tables, graphs and manual thematic analysis. Results: Out of the 463 study subjects, 330 were delivered with Operative Abdominal Delivery. giving an overall Operative Abdominal Delivery prevalence of 71.3% (95%CI: 67.3, 75.4%).The commonest indications of Operative Vaginal Delivery was prolonged 2nd stage of labour 74 (64.9%).A multivariable logistic regression analyses carried out to identify the independent effects of the different covariates on Operative Abdominal Delivery showed that lack of ANC follow-up (AOR=23.9 , 95%CI= 5.8,98.7),fully cervical dilatation,(AOR=0.03, 95%CI= 0.004,0.2),low station,(AOR=0.003,95%CI=0.001,0.02)and high birth weight baby,(AOR=18.4, 95%CI= 2.3,149.2), were independent predictors of Operative Abdominal Delivery. Conclusions and Recommendations: according to the findings of this study, Operative Abdominal Delivery was highly prevalent in the study area. Lack of ANC follow-up and high birth weight baby were independently associated with increased odds of Operative Abdominal Delivery, while fully cervical dilatation and low station were independently associated with reduced odds of Operative Abdominal Delivery. Stakeholders should due attention to the indication of Operative Abdominal Delivery to avoid unnecessary cesarean. These highlights the need to strengthen interventions aimed at improving obstetric care and outcome.