Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Dec 7;1(4):e41.
doi: 10.1002/puh2.41. eCollection 2022 Dec.

Predictors of adverse perinatal and maternal outcomes of instrumental vaginal delivery at a tertiary setting in Ethiopia: A cross-sectional study

Abraham Fessehaye Sium  1 , Wondimu Gudu  1 , Don Eliseo Iii Lucero-Prisno  2   3 , Aida Tilahun  1
Affiliations

Predictors of adverse perinatal and maternal outcomes of instrumental vaginal delivery at a tertiary setting in Ethiopia: A cross-sectional study

Abraham Fessehaye Sium et al. Public Health Chall. .

Abstract

Objective: To determine the rate of instrumental vaginal delivery (IVD) and the predictors of adverse maternal and fetal outcomes associated with it in an Ethiopian setting.

Methods: A cross-sectional study was conducted from October 1, 2018, to January 31, 2019, at St. Paul's Hospital Millennium Medical College (SPHMMC) (Addis Ababa, Ethiopia). Data on obstetric characteristics, perinatal and maternal outcomes of women who delivered through IVD were collected prospectively, using a structured questionnaire. Data were analyzed using SPSS version 22 and descriptive analysis was applied to analyze baseline characteristics. Multivariable logistic regression model was fitted to predict the association between short-term complications of IVD and their determinants. Odds ratio, 95% CI, and p-value < 0.05 were used to present significance of study findings.

Results: There were 3165 deliveries during the study period, out of which 241 (7.6%) were instrumental vaginal deliveries. Sequential use of instrumental delivery (AOR = 4.82 [95% CI = 2.10-27.29] and AOR = 6.43 [95% CI = 1.19-34.73], for maternal and fetal complications, respectively) was associated with increased both maternal and fetal complications. Three number of pulls during the extraction was associated with increased fetal complications (AOR = 1.19 [95% CI = 1.05-1.67]).

Conclusion: The rate of instrumental delivery rate in our setting is high with sequential use of instrumental delivery found to be associated with increased adverse maternal and fetal outcomes while three number of pulls were associated with increased fetal adverse outcomes.

Keywords: forceps delivery; instrumental delivery; perinatal complications; vacuum delivery.

PubMed Disclaimer

Conflict of interest statement

The authors declares that they have no financial or non‐financial competing interests. AFS is an Editorial Board member of Public Health Challenges and co‐author of this article. DEL is editor in chief of Public Health Challenges and co‐author of this article. They were excluded from editorial decision‐making related to the acceptance of this article for publication in the journal.

Figures

FIGURE 1
FIGURE 1
Maternal complications of instrumental vaginal delivery (IVD) (n = 37)
FIGURE 2
FIGURE 2
Fetal complications among fetuses delivered via instrumental vaginal delivery (n = 67)
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Betran AP, Ye J, Moller A‐B, et al. Trends and projections of caesarean section rates: global and regional estimates. BMJ Global Health. 2021; 6: e005671. - PMC - PubMed
    1. Bahl R, Strachan B, Murphy DJ. Outcome of subsequent pregnancy three years after previous operative delivery in the second stage of labour: cohort study. BMJ. 2004; 328: 311. - PMC - PubMed
    1. Bailey PE. The disappearing art of instrumental delivery: time to reverse the trend. Int J Gynecol Obstet. 2005; 91: 89‐96. - PubMed
    1. The Information Centre, Community Health Statistics. NHS Maternity Statistics, England: 2004–05. The Information Centre. ISBN: 1‐84636‐056‐0. Accessed 25 February 2007. Available at http://www.ic.nhs.uk/pubs/maternityeng2005/maternitystats06/file
    1. Lumbiganon P, Laopaiboon M, Gulmezoglu AM, et al. Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health 2007–08. Lancet. 2010; 375: 490‐499. - PubMed

LinkOut - more resources