Preventing Adverse Maternal and Perinatal Events from Obstetric Interventions Given Women at Childbirth in Al-Sadaka Teaching Hospital, Aden, Yemen

Abstract

Aims: Any perinatal intervention during the childbirth may have significant impact on the outcome of the mother and her newborn. The aim of this study was to correlate the association between the occurrence of adverse events and appropriate intervention, health care providers' commitment to standards of services during labor and working time. Study Design: This cross-sectional study. Place and Duration of Study: Tertiary referral hospital-based in Aden city, Yemen. Methodology: A validated questionnaire and observational check list were used to collect the data along the six months study period. Women were included in the study according to criteria: vertex presentation, singleton fetus, and in an active labor. Data were analyzed using SPSS program and p value of <0.05 was considered as significant. Adjusted and unadjusted values were used to examine the association between different types of adverse events and related variables. Results: A total of 342 adverse event episodes were identified among both mother and newborn with overall prevalence of adverse events was12.7%. Prolonged (labor) second stage was found strongly associated as risk factor during childbirth with multiparousm others (p=001) as well as the use of uterine fundus pressure was detected as one of the intervention method during labor was associated with AEs among mothers (AOR:2.715; 95% CI: 1.223-6.029; P value: 0.014). Conclusion: Adverse events among mothers constituted the highest percentage in comparison to their occurrence among newborns or among both newborns and their mothers. Interventions such as uterine funds pressure and episiotomy were reported as having considerable adverse events mainly among newborns.