Magnitude of Obstructed Labor and Associated Factors Among Women Who Delivered at Public Hospitals of Western Harerghe Zone, Oromia, Ethiopia
Clinical Medicine Research
Volume 7, Issue 6, November 2018, Pages: 135-142
Received: Aug. 3, 2018; Accepted: Nov. 23, 2018; Published: Dec. 28, 2018
Views 181      Downloads 37
Tizita Tamiru Wube, Department of Nursing, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
Birhanu Wondimeneh Demissie, Department of Nursing, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Zuriyash Mengistu Assen, Department of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia
Kelemu Abebe Gelaw, Department of Midwifery, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Robera Olana Fite, Department of Nursing, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Article Tools
Follow on us
Obstructed labor is one of the common preventable causes of maternal, perinatal morbidity and mortality in low income countries including Ethiopia. The prevalence is more common in communities in which under nutrition in childhood is dominant and where there is no access to health facilities. The common causes are cephalo pelvic disproportion, malpresentation and malposition. The objective of this study was to assess the magnitude of obstructed labor and associated factors among women who delivered at public hospitals in West Harerghe Zone, Oromia Region, Ethiopia. Institution based retrospective cross sectional study design was conducted from March 10, 2016 to April 10, 2016 in West Harerghe public hospitals. The data was collected by using structured pretested questionnaire check list. Systematic random sampling technique was used to select 385 delivered women. The data was checked, coded and entered to Epi-info version 3.1 and was exported to SPSS version 21 software. Binary and multiple Logistic regressions were used to analyze the association between the dependent and independent variables. Magnitude of obstructed labor was found to be 34.3% of the total delivered women. The identified independent risk factors for obstructed labor were distance (P-value=0.001, AOR=0.029, 95% CI 0.005-0.169), parthograph utilization (P-value=0.000, AOR=0.064, 95% CI 0.025-0.162) and source of referral (P-value=0.002, AOR=0.346, 95%CI 0.180-0.667). The magnitude of obstructed labor was high in the study area. Improved proper utilization of parthograph, antenatal care coverage, good referral system, and comprehensive obstetric care in nearby health institutions are recommended to prevent obstructed labor and its complications.
Magnitude, Obstructed Labor, Risk Factors
To cite this article
Tizita Tamiru Wube, Birhanu Wondimeneh Demissie, Zuriyash Mengistu Assen, Kelemu Abebe Gelaw, Robera Olana Fite, Magnitude of Obstructed Labor and Associated Factors Among Women Who Delivered at Public Hospitals of Western Harerghe Zone, Oromia, Ethiopia, Clinical Medicine Research. Vol. 7, No. 6, 2018, pp. 135-142. doi: 10.11648/j.cmr.20180706.11
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
BANK W. The World Banks reproductive health action plan 2010-2015. 2015;
Health LG. United Nations agencies report steady progress in saving mothers ’ lives. 2015; (May 2014).
Central Statistical Agency (CSA) [Ethiopia] and ICF. 2016. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF.
Abdella A. Maternal Mortality Trend in Ethiopia. J Heal Dev. 2010; 24(1): 115–22.
Say L, Chou D, Gemmill A, Tuncalp O, Moller AB, Daniels J, et al. Global causes of maternal death: A WHO systematic analysis. Lancet Glob Heal. 2014; 2(6): 323–33.
Ethiopia Ministry of Health. Federal Democratic Republic of Ethiopia Ministry of Health POLICY AND PRACTICE. 2014; 6(1).
Agency CS, Ababa A. Ethiopia Mini Demographic and Health Survey. 2014; (August).
Neilson JP, Lavender T, Quenby S, Wray S. Obstructed labour. 2015; 191–204.
Lancet Glob Health, Global causes of maternal death: a WHO systematic analysis2014.
Fantu S, Segni H, Alemseged F. Incidence, causes and outcome of obstructed labor in Jimma University Specialized Hospital. Ethiop J Health Sci. 2010; 20(3): 145–51.
Hospital G, West S, Henok A, Asefa A. Women ’ s Health Care Prevalence of Obstructed Labor among Mothers Delivered in Mizan-Aman. 2015; 4(5).
Gupta R, Porwal SK. Original article Obstructed Labour : Incidence , causes and outcome. 2012; 3(1): 2185–8.
Islam JA, Ara G, choudhury FR. Risk Factors and Outcome of Obstructed Labour at a tertiary care Hospital. J shaheed Suhrawardy Med coll,2012;4(2):43-46.
Shaikh SR, Memon KN, Usman G. Obstructed labor; risk factors & outcome among women delivered in a tertiary care hospital. Professional 2015; 22(5): 615-620.
Sabyasachi Mondal, Arunima Chaudhuri, Gourisankar Kamilya, Debojyoti SantraMedical Journal of Dr. D. Y. Patil University Fetomaternal outcome in obstructed labor in a peripheral tertiary care hospital 2013; ( 6).
Johannes Pieter Kip, The prevalence of obstructed labour among pregnant women at a selected hospital, west wollega, ethiopia. 2013; (June).
Khonje, M. Documentation of partograph and factors that prevent optimal utilization of the partograph. Perspectives of health workers at Bwaila and Ethel Mutharika maternity units in Lilongwe, Malawi. 2012.
Kiran A. A Clinical Study of Obstructed Labour and Its Fetomaternal Outcome. 2015; 6(2): 141–7.
Fawole. A and. Obstructed Labour in Ilorin, Nigeria-A One Year Prospective. Niger Med Pract. 2011; 38: 1–3.
Ahmed S. Incidence causes and outcome of obstructed labor 2013; 19(2): 40-43.
Khooharo Y, Yousfani JZ, Malik SH, Amber A, Malik NH, Pervez H, et al. Incidence and management of rupture uterus in obstructed labour. 2013; 25(December 2008): 149–51.
SundaAdeoye I. Obstructed Labor in South East Nigeria Revisited: A Multi-Centre Study on Maternal Socio-Demographic and Clinical Correlates. J Women’s Heal Care. 2014; 03(03): 10–2.
Sabyasachi Monda, Arunima Chaudhuri, Gourisankar Kamilya, Debojyoti Santra Medical Journal of Dr. D. Y. Patil University Fetomaternal outcome in obstructed labor in a peripheral tertiary care hospital 2013; ( 6).
Adhikari S, Sanghamita M DM. Management of obstructed labor : a retrospective study. J Obstet Gynecol India. 2005; 55(1): 48–51.
Shaikh S, Shaikh A, Shaikh S, Isran B. Frequency of Obstructed Labor in Teenage Pregnancy. Nepal J Obstet Gynaecol. 2013; 7(1): 37–40.
Science Publishing Group
NEW YORK, NY 10018
Tel: (001)347-983-5186