Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia

Objective: In Ethiopia very little or probably nothing is known about the significance of obstetric emergencies. This study was therefore aimed at assessing magnitude, characteristics, and outcomes of obstetric emergencies in western Ethiopia. Study Design: Institution based prospective cohort stu...

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Main Authors: Ashenafi Habte Woyessa, Jote Markos Caffo, Thanasekaran Palanichamy
Format: Article
Language:English
Published: Medical Network 2020-08-01
Series:Gynecology Obstetrics & Reproductive Medicine
Subjects:
Online Access:https://gorm.com.tr/index.php/GORM/article/view/936
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author Ashenafi Habte Woyessa
Jote Markos Caffo
Thanasekaran Palanichamy
author_facet Ashenafi Habte Woyessa
Jote Markos Caffo
Thanasekaran Palanichamy
author_sort Ashenafi Habte Woyessa
collection DOAJ
description Objective: In Ethiopia very little or probably nothing is known about the significance of obstetric emergencies. This study was therefore aimed at assessing magnitude, characteristics, and outcomes of obstetric emergencies in western Ethiopia. Study Design: Institution based prospective cohort study was employed from January to June 2017. To select the hospitals, area sampling technique was used. Total of 567 pregnant women with obstetric emergencies presented and treated in respective hospitals during the study periods and met the inclusion criteria were consecutively included. Results: Majority (91.7%) of the identified obstetric emergencies have led to termination of pregnancy. Significant proportions of pregnant women (11%) who reached health facility died of obstetric emergencies. Pregnant women with obstetric emergencies traveled to facility carried by people were found to have died about 8 times more likely as compared to those who were transported by ambulance. While 29.21% of women gave birth to normal life births, stillbirth and neonatal death were 8.02% and 7.4% respectively. Higher number of neonatal death was also observed among mothers in whom final mode of delivery was a cesarean section (AOR: 0.19(0.05, 0.62)) compared to spontaneous vaginal delivery. Conclusion: This study has revealed that obstetric emergencies are responsible for the significant number of maternal and perinatal death. If the women have been accessed early and received optimum emergency care, many cases of the occurred death would have been prevented. Better outcome can be achieved through maximum utilization of quality and comprehensive antenatal care and organized pre-hospital obstetric emergency services.
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publishDate 2020-08-01
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series Gynecology Obstetrics & Reproductive Medicine
spelling doaj-art-e7f3052eeb8d4ceca68fc79823cca7122025-02-11T21:27:14ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182020-08-0126210.21613/GORM.2019.936746Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, EthiopiaAshenafi Habte Woyessa0Jote Markos Caffo1Thanasekaran Palanichamy2Wollega UniversityWollega UniversityWollega University Objective: In Ethiopia very little or probably nothing is known about the significance of obstetric emergencies. This study was therefore aimed at assessing magnitude, characteristics, and outcomes of obstetric emergencies in western Ethiopia. Study Design: Institution based prospective cohort study was employed from January to June 2017. To select the hospitals, area sampling technique was used. Total of 567 pregnant women with obstetric emergencies presented and treated in respective hospitals during the study periods and met the inclusion criteria were consecutively included. Results: Majority (91.7%) of the identified obstetric emergencies have led to termination of pregnancy. Significant proportions of pregnant women (11%) who reached health facility died of obstetric emergencies. Pregnant women with obstetric emergencies traveled to facility carried by people were found to have died about 8 times more likely as compared to those who were transported by ambulance. While 29.21% of women gave birth to normal life births, stillbirth and neonatal death were 8.02% and 7.4% respectively. Higher number of neonatal death was also observed among mothers in whom final mode of delivery was a cesarean section (AOR: 0.19(0.05, 0.62)) compared to spontaneous vaginal delivery. Conclusion: This study has revealed that obstetric emergencies are responsible for the significant number of maternal and perinatal death. If the women have been accessed early and received optimum emergency care, many cases of the occurred death would have been prevented. Better outcome can be achieved through maximum utilization of quality and comprehensive antenatal care and organized pre-hospital obstetric emergency services. https://gorm.com.tr/index.php/GORM/article/view/936Feto-neonatalMaternalObstetric emergenciesOutcomeWestern Ethiopia
spellingShingle Ashenafi Habte Woyessa
Jote Markos Caffo
Thanasekaran Palanichamy
Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia
Gynecology Obstetrics & Reproductive Medicine
Feto-neonatal
Maternal
Obstetric emergencies
Outcome
Western Ethiopia
title Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia
title_full Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia
title_fullStr Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia
title_full_unstemmed Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia
title_short Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia
title_sort magnitude characteristics maternal and feto neonatal outcomes of obstetric emergencies in western ethiopia nekemte ethiopia
topic Feto-neonatal
Maternal
Obstetric emergencies
Outcome
Western Ethiopia
url https://gorm.com.tr/index.php/GORM/article/view/936
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AT jotemarkoscaffo magnitudecharacteristicsmaternalandfetoneonataloutcomesofobstetricemergenciesinwesternethiopianekemteethiopia
AT thanasekaranpalanichamy magnitudecharacteristicsmaternalandfetoneonataloutcomesofobstetricemergenciesinwesternethiopianekemteethiopia