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Research Article Open access CC BY 4.0

The Prevalence of Childbirth Adverse Events (AEs) and Related Factors among Yemeni Mothers and Newborns, Al-Sadaka Teaching Hospital, Aden, Yemen: A Hospital-based Cross-sectional Study

Iman Al- Nakeeb, Amen Ahmed Bawazir

Asian Journal of Pregnancy and Childbirth · pp. 104–117 · Published 27 Jun 2020

10.9734/ajpcb/2020/v3i131

Abstract

Background: The main objective of this study is to assess the prevalence of adverse events (AEs) and its related factors among mother and newborns during labor in Al-Sadaka Teaching Hospital, Aden City. Methods: A cross-sectional hospital-based study conducted at Al-Sadaka Teaching Hospital, Aden City among 2526 pregnant women who were consented and eligible to be included in the study. Quantitative date were collected over the study time (180 days on 3-time shifts) by interviewer administered questionnaire and a direct observation of the obstetric interventions during childbirth. Descriptive statistics were performed using the SPSS program and a p-value of <0.05 was considered significant at 95% Confidence Interval (CI).  Results: A total of 322 adverse event episodes were identified among both mothers and newborns with a prevalence of 12.7% (322/2526) in the study setting. Almost, the majority of the reported AEs were found among mothers (83.2%). Factors such as prolonged second stage labor was found strongly associated with nulliparous mothers during childbirth (P=001), while asphyxia and meconium aspiration as an AEs among newborns were found associated with the performance of episiotomy intervention during childbirth and fundal pressure (P=0.027, P=0.019, respectively). Conclusions: Prevalence of AEs among mothers and newborns were high in comparison to the international standard. Further nationwide study was recommended to investigate the different factors associated with AEs in health care services in Yemen and to avoid harmful practices as a key mechanism for improving mother safety.

Adverse events childbirth labor women newborn

References (36)

  1. 1 The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada [DOI]
  2. 2 International journal for quality in health care [DOI]
  3. 3 Incidence and types of preventable adverse events in elderly patients: population based review of medical records [DOI]
  4. 4 The incidence of adverse events in Swedish hospitals: a retrospective medical record review study [DOI]
  5. 5 Intervenções obstétricas durante o trabalho de parto e parto em mulheres brasileiras de risco habitual [DOI]
  6. 6 Global priorities for patient safety research [DOI]
  7. 7 Oxytocin during labour and risk of severe postpartum haemorrhage: a population-based, cohort-nested case–control study [DOI]
  8. 8 Postpartum hemorrhage: incidence, risk factors, and outcomes in a low-resource setting [DOI]
  9. 9 Estimating the incidence of adverse events in Portuguese hospitals: a contribution to improving quality and patient safety [DOI]
  10. 10 Length of the First Stage of Labor and Associated Perinatal Outcomes in Nulliparous Women [DOI]
  11. 11 Fundal pressure during the second stage of labor in a tertiary obstetric center: A prospective analysis [DOI]
  12. 12 Risk factors of birth asphyxia among newborns in public hospitals of Central Zone, Tigray, Ethiopia 2018 [DOI]
  13. 13 Rates and types of events reported to established incident reporting systems in two US hospitals [DOI]
  14. 14 Assessment of patient safety culture among healthcare providers at a teaching hospital in Cairo, Egypt [DOI]
  15. 15 Evidence-based obstetrics in four hospitals in China: An observational study to explore clinical practice, women's preferences and provider's views [DOI]
  16. 16 The Effect of Maternal Age on Adverse Birth Outcomes: Does Parity Matter? [DOI]
  17. 17 A prospective population-based study of maternal, fetal, and neonatal outcomes in the setting of prolonged labor, obstructed labor and failure to progress in low- and middle-income countries [DOI]
  18. 18 The Global Trigger Tool shows that one out of seven patients suffers harm in Palestinian hospitals: challenges for launching a strategic safety plan [DOI]
  19. 19 The association between stillbirth in the first pregnancy and subsequent adverse perinatal outcomes [DOI]
  20. 20 Risk factors of uterine rupture with a special interest to uterine fundal pressure [DOI]
  21. 21 Protecting patient safety in resource-poor settings [DOI]
  22. 22 Fatores de risco para a mortalidade perinatal no Recife, Pernambuco, Brasil, 2003 [DOI]
  23. 23 Maternal and fetal outcomes after uterine fundal pressure in spontaneous and assisted vaginal deliveries [DOI]
  24. 24 Magnitude of Postpartum Hemorrhage among Women Delivered at Dessie Referral Hospital, South Woll, Amhara Region, Ethiopia [DOI]
  25. 25 Clinical study of post partum haemorrhage from a teaching hospital in Maharashtra, India [DOI]
  26. 26 Utilization of Partograph during Labour and Birth Outcomes at Jimma University [DOI]
  27. 27 Maternal and neonatal outcomes of hospital vaginal deliveries in Tibet [DOI]
  28. 28 ASSESSMENT OF RISK FACTORS FOR PRIMARY POSTPARTUM HEMORRHAGE AT ZAGAZIG UNIVERSITY HOSPITALS [DOI]
  29. 29 Primary Postpartum Hemorrhage, Still a Big Challenge in Developing World (Experience in Tertiary care Hospitals, KSA versus Pakistan) [DOI]
  30. 30 The occurrence, management and outcomes of post partum haemorrhage in a teaching hospital in Sri Lanka [DOI]
  31. 31 NEONATAL OUTCOME IN MECONIUM STAINED DELIVERIES — A PROSPECTIVE STUDY [DOI]
  32. 32 Patient Safety in Obstetrics and Gynecology: An Agenda for the Future [DOI]
  33. 33 International Journal of Women's Health [DOI]
  34. 34 [Incidence of adverse events in hospitals. A retrospective study of medical records].
  35. 35 An observation checklist for facility-based normal labor and delivery practices: The Galaa study [DOI]
  36. 36 [Adverse events related to care in obstetric units].

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