Determinants of Uterine Rupture and Its Management Outcomes among Mothers Who Gave Birth at Public Hospitals of Tigrai, North Ethiopia: An Unmatched Case Control Study
Table 3
Labor and delivery distributions of cases and controls who gave birth at public hospitals of Tigrai, North Ethiopia.
Variable
Category
Cases
Controls
Total
COR (95% CI)
Place of delivery
Health center
8 (5.9)
1 (0.4)
9 (2.2)
16.94 (2.09, 130.09)
Hospital
127 (94.1)
269 (99.6)
396 (97.8)
1
Partograph use
No
118 (87.4)
61 (22.6)
179 (44.2)
23.78 (13.23, 42.60)
Yes
17 (12.6)
209 (77.4)
226 (55.6)
1
Duration of labor
More than 18 h
16 (11.9)
1 (0.4)
17 (4.2)
10.19 (1.32, 78.54)
Obstructed labor
Yes
80 (59.3)
28 (10.4)
108 (26.7)
12.57 (7.47, 21.15)
Malpresentations
Yes
18 (13.3)
17 (6.3)
35 (8.6)
0.44 (0.21, 0.88)
Instrumental delivery
No
130 (96.3)
258 (95.6)
388 (95.8)
1
Yes
5 (3.7)
12 (4.4)
17 (4.2)
1.51 (0.48, 4.77)
Labor started spontaneously
No
21 (15.6)
14 (5.2)
35 (8.6)
3.37 (1.65, 6.86)
Yes
114 (84.4)
256 (94.8)
370 (91.4)
1
Trial of labor after CS
No
122 (90.4)
267 (98.9)
389 (96)
1
Yes
13 (9.6)
3 (1.1)
13 (9.6)
9.48 (2.65, 33.89)
Congenital anomaly of baby
No
126 (93.3)
267 (98.9)
393 (97)
1
Yes
9 (6.7)
3 (1.1)
12 (3)
6.36 (1.69, 23.89)
Birth weight
<4
106 (78.5)
252 (93.3)
358 (88.4)
1
≥4
29 (21.5)
18 (6.7)
47 (11.6)
3.83 (2.04, 7.19)
Obstructed labor: attending physician diagnosed using American College of Obstetricians and Gynecologists (ACOG) obstructed labor as arrest of labor during the first and second stages of labor despite adequate uterine contraction because of mechanical obstruction manifested by signs of severe obstruction: caput and moulding formation, Bandl’s ring, and edematous vulva.
