Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study

Mohamed Gedi Sheikhow; Abdisamad Sheikh Yusuf; Abdirahman Mohamed Ahmed; Sadia Mohamud Mohamed; Yusuf Gedi Sheikhow

doi:doi:10.11648/j.jfmhc.20230901.13

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Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study

Mohamed Gedi Sheikhow, Abdisamad Sheikh Yusuf, Abdirahman Mohamed Ahmed, Sadia Mohamud Mohamed, Yusuf Gedi Sheikhow

Published in Journal of Family Medicine and Health Care (Volume 9, Issue 1)

Received: 6 January 2023 Accepted: 2 February 2023 Published: 16 February 2023

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Abstract

Obstructed labor (OL) is a typical reason for maternal morbidity and mortality in sub-Saharan Africa and Southeast Asia. A retrospective case-control study was conducted to determine the prevalence and risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu-Somalia. Methods: a retrospective case-control study was conducted to ascertain risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu- Somalia, from 1^stJuly 2020 to 30^thDecember 2020. The study site was one of the selected public hospitals in Mogadishu- Somalia, including Banadir, SOS, Madina Daynile, and Demartino public hospitals. The Maternal Sociodemographic factors, clinical factors, and complications associated with obstructed labor were obtained from selected public and clinical data. These variables were coded numerically and computerized using statistical analysis software called statistical package for social science (SPSS) version 24). Results: 143 out of 960 patients were obstructed Labor prevalence of 14.8%; according to age group, 22% were 15–19 years, over 47.2% were married, had educational levels (25.52%), and patients were illiterate. The majority (89.5%) of the patients were rural dwellers with (80.2%) who came from a distance between 30-59Km. Being nulliparous (first pregnancy) was the leading cause for the patients in obstructed labor (27.27%) of all the cases group. This was followed by being referred with Obstructed Labor (OL) (72.0%) and referred from Private health facilities alone, forming about (65.0%). The fetal risk factors observed in this study were Cephalo-pelvic disproportion, with a reported (71.1%), and fetal malpresentation, with (23.8%). The dominant maternal complication type reported in this study was ruptured uterus (43.3%) among obstructed labor. The most typical fetal complication was birth Asphyxia (40.5%), although there was a significant association between demographics, Obstetrical risk factors, and the developing obstructed labor. Conclusion: This study showed a high prevalence of obstructed labor, and sociodemographic attributes and obstetrical factors are causal factors to its development. The results of this study make it clear that the Ministry of Health and other healthcare stakeholders must seek to scale up present facility-based interventions to improve maternal outcomes and lessen the effects and incidences of obstructed labor.

Published in	Journal of Family Medicine and Health Care (Volume 9, Issue 1)
DOI	10.11648/j.jfmhc.20230901.13
Page(s)	15-22
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Prevalence, Risk Factors, Obstructed Labor, Somalia

References

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[3]	L. T. Q. S. W. S. Neilson JP, “Obstructed labor.,” in Obstructed labor., London, British Medical Bulletin, 2003, p. 191.
[4]	C. A. Carmen D, “Global burden of obstructed labor in the year,” World Health Organization, Geneva., 2003.
[5]	F. T. S. Marge K, Ethiopia journal of Reproductive Health, vol. 4, no. Pubmed Google Scholar, p. 1 4, 2010.
[6]	U. U. W. b. WHO, “Ternds of maternal mortality: 1,” WHO, Geneva., 2010.
[7]	L. T. Q. S. W. S. (Neilson JP, “Obstructed labor.,” in British Medical Bulletin, London, PMJ, 2003, pp. 191-204.
[8]	U. U. W. B. G. a. U. N. P. D. WHO, “Trends in Maternal Mortality.,” World Health organization., Geneva:, 1990 to 2015.
[9]	F. M. o. health, “Labor and delivery care Blended Learning module for health extension programme.,” FMOH, Addis Ababa Ethiopia, 2000.
[10]	O. P. T. E. M. P., K. Kabakyenge JK, Individual and health facility factors and the risk for obstructed labor and its adverse outcomes in south-western Uganda., Kampala: BMC pregnancy and child health, 2011.
[11]	A. Q. R. K. I. P. Memon S, Pattern of obstructed labor at public sector university hospital of sindh, Pakistan, Pushwar: BMJ, 2009.
[12]	P. S. Gupta R, Obstructed labor: incidence, causes and outcome, Pushwar: BMJ, 2012.
[13]	E. N. A. M. A. A. B. Melah GS, “Obstructed labor: a public health problem in Gombe, Gombe state, Nigeria.,” vol. 23, no. Obstet Gynaecol, pp. 369-367., 2003.
[14]	S. H. A. F. (Fantu S, “Incidence causes &outcome of obstructed labor in Jimma University specialized Hospital,” Ethiop J Health sci, vol. 20: 3, no. Google scholar, p. 24, 2010.
[15]	A. T. G. F. G. G. Gudina AT, “Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia.,” EHJ, vol. 4 (3), no. Google Scholar, p. 12–6., 2016; 4 (3): 12–6.
[16]	T. N. B. J. A. L. F. E. Barageine JK, “Risk factors for obstetric fistula in western uganda: A case control study,” PLoS One., vol. 9, no. https://doi.org/10.1371/journal.pone.0228856, p. 11, 2014.
[17]	E. E. B. J. M. A. T. R. W. P. Tetui M, “Quality of antenatal care services in eastern uganda: Implications for interventions,” Pan Afr Med J, vol. 13, no. Google Scholar, p. 1–15, 2012.

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APA Style

Mohamed Gedi Sheikhow, Abdisamad Sheikh Yusuf, Abdirahman Mohamed Ahmed, Sadia Mohamud Mohamed, Yusuf Gedi Sheikhow. (2023). Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study. Journal of Family Medicine and Health Care, 9(1), 15-22. https://doi.org/10.11648/j.jfmhc.20230901.13

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ACS Style

Mohamed Gedi Sheikhow; Abdisamad Sheikh Yusuf; Abdirahman Mohamed Ahmed; Sadia Mohamud Mohamed; Yusuf Gedi Sheikhow. Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study. J. Fam. Med. Health Care 2023, 9(1), 15-22. doi: 10.11648/j.jfmhc.20230901.13

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AMA Style

Mohamed Gedi Sheikhow, Abdisamad Sheikh Yusuf, Abdirahman Mohamed Ahmed, Sadia Mohamud Mohamed, Yusuf Gedi Sheikhow. Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study. J Fam Med Health Care. 2023;9(1):15-22. doi: 10.11648/j.jfmhc.20230901.13

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@article{10.11648/j.jfmhc.20230901.13,
  author = {Mohamed Gedi Sheikhow and Abdisamad Sheikh Yusuf and Abdirahman Mohamed Ahmed and Sadia Mohamud Mohamed and Yusuf Gedi Sheikhow},
  title = {Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study},
  journal = {Journal of Family Medicine and Health Care},
  volume = {9},
  number = {1},
  pages = {15-22},
  doi = {10.11648/j.jfmhc.20230901.13},
  url = {https://doi.org/10.11648/j.jfmhc.20230901.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20230901.13},
  abstract = {Obstructed labor (OL) is a typical reason for maternal morbidity and mortality in sub-Saharan Africa and Southeast Asia. A retrospective case-control study was conducted to determine the prevalence and risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu-Somalia. Methods: a retrospective case-control study was conducted to ascertain risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu- Somalia, from 1st July 2020 to 30th December 2020. The study site was one of the selected public hospitals in Mogadishu- Somalia, including Banadir, SOS, Madina Daynile, and Demartino public hospitals. The Maternal Sociodemographic factors, clinical factors, and complications associated with obstructed labor were obtained from selected public and clinical data. These variables were coded numerically and computerized using statistical analysis software called statistical package for social science (SPSS) version 24). Results: 143 out of 960 patients were obstructed Labor prevalence of 14.8%; according to age group, 22% were 15–19 years, over 47.2% were married, had educational levels (25.52%), and patients were illiterate. The majority (89.5%) of the patients were rural dwellers with (80.2%) who came from a distance between 30-59Km. Being nulliparous (first pregnancy) was the leading cause for the patients in obstructed labor (27.27%) of all the cases group. This was followed by being referred with Obstructed Labor (OL) (72.0%) and referred from Private health facilities alone, forming about (65.0%). The fetal risk factors observed in this study were Cephalo-pelvic disproportion, with a reported (71.1%), and fetal malpresentation, with (23.8%). The dominant maternal complication type reported in this study was ruptured uterus (43.3%) among obstructed labor. The most typical fetal complication was birth Asphyxia (40.5%), although there was a significant association between demographics, Obstetrical risk factors, and the developing obstructed labor. Conclusion: This study showed a high prevalence of obstructed labor, and sociodemographic attributes and obstetrical factors are causal factors to its development. The results of this study make it clear that the Ministry of Health and other healthcare stakeholders must seek to scale up present facility-based interventions to improve maternal outcomes and lessen the effects and incidences of obstructed labor.},
 year = {2023}
}

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TY  - JOUR
T1  - Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study
AU  - Mohamed Gedi Sheikhow
AU  - Abdisamad Sheikh Yusuf
AU  - Abdirahman Mohamed Ahmed
AU  - Sadia Mohamud Mohamed
AU  - Yusuf Gedi Sheikhow
Y1  - 2023/02/16
PY  - 2023
N1  - https://doi.org/10.11648/j.jfmhc.20230901.13
DO  - 10.11648/j.jfmhc.20230901.13
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 15
EP  - 22
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20230901.13
AB  - Obstructed labor (OL) is a typical reason for maternal morbidity and mortality in sub-Saharan Africa and Southeast Asia. A retrospective case-control study was conducted to determine the prevalence and risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu-Somalia. Methods: a retrospective case-control study was conducted to ascertain risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu- Somalia, from 1st July 2020 to 30th December 2020. The study site was one of the selected public hospitals in Mogadishu- Somalia, including Banadir, SOS, Madina Daynile, and Demartino public hospitals. The Maternal Sociodemographic factors, clinical factors, and complications associated with obstructed labor were obtained from selected public and clinical data. These variables were coded numerically and computerized using statistical analysis software called statistical package for social science (SPSS) version 24). Results: 143 out of 960 patients were obstructed Labor prevalence of 14.8%; according to age group, 22% were 15–19 years, over 47.2% were married, had educational levels (25.52%), and patients were illiterate. The majority (89.5%) of the patients were rural dwellers with (80.2%) who came from a distance between 30-59Km. Being nulliparous (first pregnancy) was the leading cause for the patients in obstructed labor (27.27%) of all the cases group. This was followed by being referred with Obstructed Labor (OL) (72.0%) and referred from Private health facilities alone, forming about (65.0%). The fetal risk factors observed in this study were Cephalo-pelvic disproportion, with a reported (71.1%), and fetal malpresentation, with (23.8%). The dominant maternal complication type reported in this study was ruptured uterus (43.3%) among obstructed labor. The most typical fetal complication was birth Asphyxia (40.5%), although there was a significant association between demographics, Obstetrical risk factors, and the developing obstructed labor. Conclusion: This study showed a high prevalence of obstructed labor, and sociodemographic attributes and obstetrical factors are causal factors to its development. The results of this study make it clear that the Ministry of Health and other healthcare stakeholders must seek to scale up present facility-based interventions to improve maternal outcomes and lessen the effects and incidences of obstructed labor.
VL  - 9
IS  - 1
ER  -

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Author Information

Mohamed Gedi Sheikhow

School of Medicine and Surgery, Somaville University, Mogadishu, Somalia
Abdisamad Sheikh Yusuf

School of Medicine and Surgery, Somaville University, Mogadishu, Somalia
Abdirahman Mohamed Ahmed

Pediatirct and Neonatology Department, University of Somalia Hospital, Mogadishu, Somalia
Sadia Mohamud Mohamed

Obsteric Department, Banadir Hospital, Mogadishu, Somalia
Yusuf Gedi Sheikhow

School of Medicine and Surgery, Somaville University, Mogadishu, Somalia

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APA Style

Mohamed Gedi Sheikhow, Abdisamad Sheikh Yusuf, Abdirahman Mohamed Ahmed, Sadia Mohamud Mohamed, Yusuf Gedi Sheikhow. (2023). Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study. Journal of Family Medicine and Health Care, 9(1), 15-22. https://doi.org/10.11648/j.jfmhc.20230901.13

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ACS Style

Mohamed Gedi Sheikhow; Abdisamad Sheikh Yusuf; Abdirahman Mohamed Ahmed; Sadia Mohamud Mohamed; Yusuf Gedi Sheikhow. Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study. J. Fam. Med. Health Care 2023, 9(1), 15-22. doi: 10.11648/j.jfmhc.20230901.13

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AMA Style

Mohamed Gedi Sheikhow, Abdisamad Sheikh Yusuf, Abdirahman Mohamed Ahmed, Sadia Mohamud Mohamed, Yusuf Gedi Sheikhow. Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study. J Fam Med Health Care. 2023;9(1):15-22. doi: 10.11648/j.jfmhc.20230901.13

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@article{10.11648/j.jfmhc.20230901.13,
  author = {Mohamed Gedi Sheikhow and Abdisamad Sheikh Yusuf and Abdirahman Mohamed Ahmed and Sadia Mohamud Mohamed and Yusuf Gedi Sheikhow},
  title = {Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study},
  journal = {Journal of Family Medicine and Health Care},
  volume = {9},
  number = {1},
  pages = {15-22},
  doi = {10.11648/j.jfmhc.20230901.13},
  url = {https://doi.org/10.11648/j.jfmhc.20230901.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20230901.13},
  abstract = {Obstructed labor (OL) is a typical reason for maternal morbidity and mortality in sub-Saharan Africa and Southeast Asia. A retrospective case-control study was conducted to determine the prevalence and risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu-Somalia. Methods: a retrospective case-control study was conducted to ascertain risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu- Somalia, from 1st July 2020 to 30th December 2020. The study site was one of the selected public hospitals in Mogadishu- Somalia, including Banadir, SOS, Madina Daynile, and Demartino public hospitals. The Maternal Sociodemographic factors, clinical factors, and complications associated with obstructed labor were obtained from selected public and clinical data. These variables were coded numerically and computerized using statistical analysis software called statistical package for social science (SPSS) version 24). Results: 143 out of 960 patients were obstructed Labor prevalence of 14.8%; according to age group, 22% were 15–19 years, over 47.2% were married, had educational levels (25.52%), and patients were illiterate. The majority (89.5%) of the patients were rural dwellers with (80.2%) who came from a distance between 30-59Km. Being nulliparous (first pregnancy) was the leading cause for the patients in obstructed labor (27.27%) of all the cases group. This was followed by being referred with Obstructed Labor (OL) (72.0%) and referred from Private health facilities alone, forming about (65.0%). The fetal risk factors observed in this study were Cephalo-pelvic disproportion, with a reported (71.1%), and fetal malpresentation, with (23.8%). The dominant maternal complication type reported in this study was ruptured uterus (43.3%) among obstructed labor. The most typical fetal complication was birth Asphyxia (40.5%), although there was a significant association between demographics, Obstetrical risk factors, and the developing obstructed labor. Conclusion: This study showed a high prevalence of obstructed labor, and sociodemographic attributes and obstetrical factors are causal factors to its development. The results of this study make it clear that the Ministry of Health and other healthcare stakeholders must seek to scale up present facility-based interventions to improve maternal outcomes and lessen the effects and incidences of obstructed labor.},
 year = {2023}
}

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TY  - JOUR
T1  - Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study
AU  - Mohamed Gedi Sheikhow
AU  - Abdisamad Sheikh Yusuf
AU  - Abdirahman Mohamed Ahmed
AU  - Sadia Mohamud Mohamed
AU  - Yusuf Gedi Sheikhow
Y1  - 2023/02/16
PY  - 2023
N1  - https://doi.org/10.11648/j.jfmhc.20230901.13
DO  - 10.11648/j.jfmhc.20230901.13
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 15
EP  - 22
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20230901.13
AB  - Obstructed labor (OL) is a typical reason for maternal morbidity and mortality in sub-Saharan Africa and Southeast Asia. A retrospective case-control study was conducted to determine the prevalence and risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu-Somalia. Methods: a retrospective case-control study was conducted to ascertain risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu- Somalia, from 1st July 2020 to 30th December 2020. The study site was one of the selected public hospitals in Mogadishu- Somalia, including Banadir, SOS, Madina Daynile, and Demartino public hospitals. The Maternal Sociodemographic factors, clinical factors, and complications associated with obstructed labor were obtained from selected public and clinical data. These variables were coded numerically and computerized using statistical analysis software called statistical package for social science (SPSS) version 24). Results: 143 out of 960 patients were obstructed Labor prevalence of 14.8%; according to age group, 22% were 15–19 years, over 47.2% were married, had educational levels (25.52%), and patients were illiterate. The majority (89.5%) of the patients were rural dwellers with (80.2%) who came from a distance between 30-59Km. Being nulliparous (first pregnancy) was the leading cause for the patients in obstructed labor (27.27%) of all the cases group. This was followed by being referred with Obstructed Labor (OL) (72.0%) and referred from Private health facilities alone, forming about (65.0%). The fetal risk factors observed in this study were Cephalo-pelvic disproportion, with a reported (71.1%), and fetal malpresentation, with (23.8%). The dominant maternal complication type reported in this study was ruptured uterus (43.3%) among obstructed labor. The most typical fetal complication was birth Asphyxia (40.5%), although there was a significant association between demographics, Obstetrical risk factors, and the developing obstructed labor. Conclusion: This study showed a high prevalence of obstructed labor, and sociodemographic attributes and obstetrical factors are causal factors to its development. The results of this study make it clear that the Ministry of Health and other healthcare stakeholders must seek to scale up present facility-based interventions to improve maternal outcomes and lessen the effects and incidences of obstructed labor.
VL  - 9
IS  - 1
ER  -

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