ADVERSE FETOMATERNAL OUTCOMES AND ASSOCIATED FACTORS OF WOMEN AMONG INSTRUMENTAL VAGINAL DELIVERY AT HOSPITALS FOUND IN GURAGHE ZONE, 2023/2024

Abstract

Background: Due to instrumental delivery, mothers and their babies in underdeveloped nations like Ethiopia experience varying degrees of morbidity and even death.Unless it is performed by trained and experienced health workers.In our country Ethiopia there are only limited studies and no multi-institutional studies was done on adverse feto maternal outcome of IVD and the results may not be representative of target populations.However this study aimed to fill the existing gap, particularly in this study area. Objective: This study's objective was to assess adverse feto maternal outcomes and associated factors of women among instrumental vaginal delivery at hospitals found in Guraghe zone. Methods: A cross-sectional retrospective investigation was carried out at three hospitals in Guraghe Zone,and Systematic random sampling was employed to review 371 medical records of all women who had instrumental vaginal deliveries from January 1- March 30/2024.Incompletely filled charts were excluded during data review.a check list adapted from previous studies. The collected data was entered in to Epi data version 3.2, and exported to version 25 SPSS for analysis. Those variables with p<0.25 in the bi variable analyses were selected for multi variable logistic regression. Adjusted odds ratio (AOR) at 95% confidence interval (CI) with p < 0.05 was used to report statistically significant association during multi variable logistic regression. Results: In this study the magnitude of adverse feto maternal outcomes following IVD was found to be 199/ 53.6%(95%CI: 48.5-59.0).forceps delivery (AOR: 3.89; 95%CI: 1.07, 14.13),fetal heartbeat <120b/m (AOR: 2.37; 95%CI: 1.05, 5.31),induced labour (AOR: 8.11; 95%CI:1.58,41.55),GIIMSAF(AOR:5.35;95%CI:1.48,19.33),episiotomy during labour(AOR:0.32;95%CI:0.56,0.64) and weight <2500gm (AOR:7.58; 95%CI: 2.04,28.18) were significantly associated with adverse feto maternal outcomes of IVD.Conclusion and Recommendation:My study revealed that the overall adverse feto maternal outcomes during instrumental delivery are found to be relatively higher in Guraghe zone hospitals than in studies done at other places in Ethiopia In this study episiotomy found to be strongly protective for adverse feto maternal outcomes so liberal use of episiotomy during instrumental delivery is encourage. Vacuum is encouraged and has worldwide acceptance because of technical simplicity to apply and relatively less maternal trauma.And neonates with lower birth weight in IVD are more susceptible to birth injury,cesarean section is recommended to reduces the number of stillbirths and infant deaths.