A Research Peper To Be Submitted To The Department Of Obstetrics And Gynecology, Faculty Of Medical Science, Institute Of Health,Jimma University In Partial Fulfillment Of The Requirements For Specialty Certificate In Of Obstetrics And Gynecology

Abstract

Background: Non-reassuring fetal heart rate status (NRFHRS) is an abnormal fetal heart rate monitoring which necessitates immediate intervention. Globally, approximately one-quarter of all newborn deaths are caused by birth asphyxia; survivors can suffer permanent brain damage and irreversible damage of other organs. Non reassuring fetal heart rate is one of the common indications for caesarean and operative vaginal deliveries. There is paucity of researches done in the country in general and no research done in the study area in particular. Objective: The study was assessed proportion and factors associated with nonreasoning fetal heart rate pattern among mothers who gave birth at Jimma Medical Center, South-west Ethiopia from April to may 2023. Method: An institutional based cross-sectional study was conducted on mothers who gave birth at jimma medical center 2023.the study subject was selected by conventional sampling method. Data was collected using interviewer administered pretested semi structured questionnaire. Data was analyzed by SPSS version 26.00 and result was presented using tables, graphs and pie chart. Then the study result was discussed in comparison with other similar study. Results: The proportion of non-reassuring fetal heart rate pattern was 19.6% (95% CI= 16.22-22.58%).).post term[AOR=3.02(0.71,7.54))],G2MSAF[AOR=3.59(1.889,5.754) G3MSAF(AOR 4.5(CI 4.5(2.876,7.113)),induced labor [AOR= 4.2(95% CI 1.65,8.13)],augmented labor [AOR=3.33(95% CI 1.40,6.22)].referral from other health facilities [AOR 4.2(1.087,5.90] . all were significantly associated with NRFHRP. Conclusion; This study found that proportion of fetal heart rate abnormality was higher. Post term, being referred ,meconium stained amniotic fluid, induced and augmented labors were significantly associated with the NRFHRPS