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Obstructed labour (OL) risk factors in Eastern Uganda include referral from lower facilities, prime parity, and herbal medicine use. Marriage, delivery plans, and educated partners were protective against OL.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Epidemiology

Background:

  • Obstructed labour (OL) is a significant cause of maternal and perinatal morbidity and mortality globally.
  • Risk factors for OL are often context-specific, necessitating localized epidemiological studies.
  • No prior epidemiological study had documented the risk factors for OL in Eastern Uganda.

Purpose of the Study:

  • To identify the specific risk factors associated with obstructed labour (OL) in Mbale Regional Referral and Teaching Hospital, Eastern Uganda.
  • To provide data that can inform targeted interventions to reduce OL incidence and its adverse outcomes in the region.

Main Methods:

  • A case-control study was conducted involving 270 women with OL (cases) and 270 women without OL (controls).
  • Data was collected through face-to-face interviews and patient record reviews between July 2018 and February 2019.
  • Logistic regression analysis was employed to determine the odds ratios for identified risk factors.

Main Results:

  • Key risk factors identified for OL included being referred from a lower health facility (AOR 6.80), prime parity (AOR 2.15), and the use of herbal medicines during active labour (AOR 2.72).
  • Conversely, being married (AOR 0.59), having a delivery plan (AOR 0.56), and having an educated partner (AOR 0.57) were found to be protective against OL.
  • No significant association was found between four or more antenatal care (ANC) visits and OL (AOR 0.96).

Conclusions:

  • Prime parity, referral from lower health facilities, and use of herbal medicines during labour are significant risk factors for obstructed labour in this Ugandan population.
  • Marital status, having a delivery plan, and partner's education level demonstrate a protective effect against OL.
  • Increased frequency of ANC attendance did not show a protective effect against obstructed labour in the studied population.