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

PALANICHAMY, THANASEKARAN; WOYESSA, Ashenafi Habte; Cafo, Jote

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

Ashenafi Habte WOYESSA, (Wollega University, Institute of Health Sciences, school of Nursing and Midwifery, Department of Emergency and Critical Care Nursing, Nekemte, Ethiopia)

Jote Markos CAFO, (Wollega University, Institute of Health Sciences, school of Nursing and Midwifery, Department of Nursing, Nekemte, Ethiopia)

Thanasekaran PALANICHAMY (Wollega University, Institute of Health Sciences, school of Nursing, Department of Psychiatric Nursing, Nekemte, Ethiopia)

GORM:Gynecology Obstetrics & Reproductive Medicine

2 0

Yıl: 2020 Cilt: 26 Sayı: 2 Sayfa Aralığı: 101 - 109 Metin Dili: İngilizce İndeks Tarihi: 24-11-2020

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

Öz:

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 (adjusted odds ratio: 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 prehospital obstetric emergency services.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Buekens P. Is estimating maternal mortality useful? Bull World Health Organ. 2001;79(3):179.
2. UN and African Union Commission: Report on Progress in Achieving the Millennium Development Goals in Africa, Abidjan: Côte d’Ivoire (2013), p.41-53.
3. Chukwudebelu WO. Preventing maternal mortality in developing countries. In: Okonofua F, Odunsi K, editors. Contemporary Obstetrics and Gynaecology for developing countries. 1st ed. Benin City: Women's Health and Action Research Centre; 2003. p. 644-57.
4. Central Statistical Agency (CSA) [Ethiopia] and ICF, Ethiopia Demographic and Health Survey 2011: Key Indicators Report. Addis Ababa, Ethiopia, and Rockville, Maryland, USA. CSA and ICF.
5. Haines A, Cassels A. Can the millennium development goals be attained? BMJ. 2004;329(7462):394-7.
6. Tarekegn M, Lieberman LS, Giedraitis V. Determinants of maternal health service utilization in Ethiopia: analysis of the 2011 Ethiopian Demographic and Health Survey. BMC Pregnancy Childbirth. 2014;14:161.
7. Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387(10017):462-74.
8. Central Statistical Agency (CSA) [Ethiopia] and ICF. 2016. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF.
9. Chou D, Inoue M, Mathers C, Moller AB, Oestergaard M, Say L. Trends in maternal mortality: 1990-2010. Geneva: WHO, UNICEF, UNFPA and The World Bank estimates. 2012:12-29.
10. Drife J. Maternal mortality. In: Obstetrics and Gynecology and Evidence-Based Text for MRCOG. Lueslay DM, Baker PN, editors. Arnold Publishers, 1st edition, 2004. p. 196-204.
11. Birmeta K, Dibaba Y, Woldeyohannes D. Determinants of maternal health care utilization in Holeta town, central Ethiopia. BMC Health Serv Res. 2013;13:256.
12. Hogan CH, Foreman KJ, Naghavi M, Ahn SY, Wang M, Lopez AD, et al. Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet. 2010;375 (9726):1609-23.
13. Najam R, Gupta S, Chowdhury H. Pattern of obstetrical emergencies and fetal outcomes in a tertiary care center. Acta Med Int. 2015;2(1):124-30.
14. Catherin N, Anushila SR, Goud BR Obstetric emergencies presenting to a rural community maternity hospital, Southern Karnataka, India. Int J Curr Res Aca Rev. 2014;2(9):264-9.
15. Bhandari TR, Dangal G. Emergency obstetric care: strategy for reducing maternal mortality in developing countries. NJOG. 2014;9(1):8-16.
16. Nwobodo EL. Obstetric emergencies as seen in a tertiary health institution in North-Western Nigeria: maternal and fetal outcome. Nigerian Medical Practitioner. 2006; 49(3):54-5.
17. Najam R, Gupta S, Chowdhury H. Pattern of obstetrical emergencies and fetal outcomes in a tertiary care center. Acta Med Int. 2015;2(1):105-10.
18. Central Statistical Agency (CSA) [Ethiopia] and ICF. Ethiopia Demographic and Health Survey 2018: Key Indicators Report. Addis Ababa, Ethiopia, and Rockville, Maryland, USA. CSA and ICF, P 67-91.
19. Elzabeth W. The Maternal and fetal outcomes among women with obstetric emergencies referred to Kenyata National Hospital, Kenya, 2011, p.32-8.
20. Badal S, Acharya G, Singh R. Pattern of term obstetric emergencies referred from health centers to Rims. EJPMR. 2017;4(8):376-382.
21. Zhang WH, Alexander S, Bouvier-Colle MH, Macfarlane A. Incidence of severe pre-eclampsia, postpartum hemorrhage and sepsis as surrogate marker for severe maternal morbidity in a European –based study: MOMS survey. BJOG. 2005;112(1):89-96.
22. Berhan Y, Berhan A. Causes of Maternal Mortality in Ethiopia: A significant decline in abortion related death: Ethio J Health Sci. 2014;24 Suppl:15-28.
23. Legesse T, Abdulahi M, Dirar A. Trends and causes of maternal mortality in Jima University Specialized Hospital, south west Ethiopia: a matched case-control study. 2017;9:307-13.

APA	WOYESSA A, Cafo J, PALANICHAMY T (2020). Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia. , 101 - 109.
Chicago	WOYESSA Ashenafi Habte,Cafo Jote,PALANICHAMY THANASEKARAN Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia. (2020): 101 - 109.
MLA	WOYESSA Ashenafi Habte,Cafo Jote,PALANICHAMY THANASEKARAN Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia. , 2020, ss.101 - 109.
AMA	WOYESSA A,Cafo J,PALANICHAMY T Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia. . 2020; 101 - 109.
Vancouver	WOYESSA A,Cafo J,PALANICHAMY T Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia. . 2020; 101 - 109.
IEEE	WOYESSA A,Cafo J,PALANICHAMY T "Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia." , ss.101 - 109, 2020.
ISNAD	WOYESSA, Ashenafi Habte vd. "Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia". (2020), 101-109.

APA	WOYESSA A, Cafo J, PALANICHAMY T (2020). Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia. GORM:Gynecology Obstetrics & Reproductive Medicine, 26(2), 101 - 109.
Chicago	WOYESSA Ashenafi Habte,Cafo Jote,PALANICHAMY THANASEKARAN Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia. GORM:Gynecology Obstetrics & Reproductive Medicine 26, no.2 (2020): 101 - 109.
MLA	WOYESSA Ashenafi Habte,Cafo Jote,PALANICHAMY THANASEKARAN Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia. GORM:Gynecology Obstetrics & Reproductive Medicine, vol.26, no.2, 2020, ss.101 - 109.
AMA	WOYESSA A,Cafo J,PALANICHAMY T Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia. GORM:Gynecology Obstetrics & Reproductive Medicine. 2020; 26(2): 101 - 109.
Vancouver	WOYESSA A,Cafo J,PALANICHAMY T Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia. GORM:Gynecology Obstetrics & Reproductive Medicine. 2020; 26(2): 101 - 109.
IEEE	WOYESSA A,Cafo J,PALANICHAMY T "Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia." GORM:Gynecology Obstetrics & Reproductive Medicine, 26, ss.101 - 109, 2020.
ISNAD	WOYESSA, Ashenafi Habte vd. "Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia". GORM:Gynecology Obstetrics & Reproductive Medicine 26/2 (2020), 101-109.