Research Article

Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia

Table 2

Obstetric characteristics and maternal outcomes among mothers who gave birth by OVD at NEMMCS hospital, Hadiya zone, southwest Ethiopia, 2021 (n −  326).

VariablesMaternal complicationTotal n (%)
No n (%)Yes n (%)

Parity1151 (82.5%)32 (17.5%)183 (100.0%)
2–4106 (78.5%)29 (21.5%)135 (100.0%)
≥57 (87.5%)1 (12.5%)8 (100.0%)

Gestational age<37 weeks26 (76.5%)8 (23.5%)34 (100.0%)
37–42 weeks210 (81.4%)48 (18.6%)258 (100.0%)
>42 weeks28 (82.4%)6 (17.6%)34 (100.0%)

Gestational age evidenced byLNMP186 (83.8%)36 (16.2%)222 (100.0%)
Ultrasound29 (78.4%)8 (21.6%)37 (100.0%)
Fundal height49 (74.2%)17 (25.8%)66 (100.0%)
Other0 (0.0%)1 (100.0%)1 (100.0%)

Number of ANC follow-up visitsNo ANC visits26 (86.7%)4 (13.3%)30 (100.0%)
1–3 visits86 (78.2%)24 (21.8%)110 (100.0%)
4 or more visits152 (81.7%)34 (18.3%)186 (100.0%)

Health institution where ANC attendedPrimary hospital109 (83.2%)22 (16.8%)131 (100.0%)
NEMMCSH51 (76.1%)16 (23.9%)67 (100.0%)
Health center68 (80.0%)17 (20.0%)85 (100.0%)
Private medium clinic10 (83.3%)2 (16.7%)12 (100.0%)
Other0 (0.0%)1 (100.0%)1 (100.0%)

Position of the fetal headOA132 (85.7%)22 (14.3%)154 (100.0%)
OP63 (68.5%)29 (31.5%)92 (100.0%)
Unknown69 (86.2%)11 (13.8%)80 (100.0%)

Episiotomy doneYes171 (85.1%)30 (14.9%)201 (100.0%)
No93 (74.4%)32 (25.6%)125 (100.0%)

Station during OVD applicationLow178 (76.7%)54 (23.3%)232 (100.0%)
Outlet86 (91.5%)8 (8.5%)94 (100.0%)

Duration of 2nd stage of labor1-<2 hrs192 (84.2%)36 (15.8%)228 (100.0%)
2-<3 hrs46 (76.7%)14 (23.3%)60 (100.0%)
≥3 hrs26 (68.4%)12 (31.6%)38 (100.0%)

Weight of the newborn in gram2500–3999 gm188 (86.2%)30 (13.8%)218 (100.0%)
1500–249923 (88.5%)3 (11.5%)26 (100.0%)
≥4000 gm53 (64.6%)29 (35.4%)82 (100.0%)

Types of OVD usedVacuum191 (85.3%)33 (14.7%)224 (100.0%)
Forceps73 (71.6%)29 (28.4%)102 (100.0%)

Previous place of delivery in the health institutionYes97 (78.2%)27 (21.8%)124 (100.0%)
No167 (82.7%)35 (17.3%)202 (100.0%)

Previous mode of deliverySVD59 (80.8%)14 (19.2%)73 (100.0%)
OVD29 (74.4%)10 (25.6%)39 (100.0%)
C/s9 (75.0%)3 (25.0%)12 (100.0%)

SVD, spontaneous vaginal delivery; OVD, operative vaginal delivery; C/s, cesarean section; ANC, antenatal care.