Research Article

Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia

Table 4

Bivariate and multivariate logistic regression analysis of factors associated with the maternal outcomes of OVD at NEMMCS hospital, Hadiya zone, southwest Ethiopia, 2021.

VariablesMaternal complicationsCOR (95% CI)AOR (95% CI)
No n (%)Yes n (%)

ResidenceUrban40 (15.3%)222 (84.7%)11
Rural22 (34.4%)42 (65.6%)2.907 (1.570, 5.382)1.177 (0.503, 2.755)

Position of the fetal headOA22 (14.3%)132 (85.7%)11
OP29 (31.5%)63 (68.5%)2.762 (1.471, 5.187)1.821 (0.463, 7.168)
Unknown11 (13.8%)69 (86.2%)0.957 (0.438, 2.087)1.509 (0.606, 3.755)

Episiotomy for instrument applicationYes30 (14.9%)171 (85.1%)0.510 (0.292, 0.891)0.624 (0.329, 1.185)
No32 (25.6%)93 (74.4%)11

Station during OVD usedLow54 (23.3%)178 (76.7%)3.261 (1.486, 7.156)3.199 (1.359, 7.533)
Outlet8 (8.5%)86 (91.5%)11

Duration of 2nd stage of labor1-<2 hrs36 (15.8%)192 (84.2%)11
2-<3 hrs14 (23.3%)46 (76.7%)1.623 (0.809, 3.256)1.661 (0.714, 3.865)
≥312 (31.6%)26 (68.4%)2.462 (1.138, 5.322)2.556 (1.039, 6.284)

Neonatal weight (in gm)2500–3999 gm30 (13.8%)188 (86.2%)11
1500–24993 (11.5%)23 (88.5%)0.817 (0.231, 2.891)0.543 (0.122, 2.425)
≥4000 gm29 (35.4%)53 (64.6%)3.429 (1.892, 6.214)3.342 (1.435, 7.787)

Type of OVD usedVacuum33 (14.7%)191 (85.3%)11
Forceps29 (28.4%)73 (71.6%)2.299 (1.304, 4.054)2.248 (1.144, 4.416)

Prolonged 2nd stage of laborYes19 (30.2%)44 (69.8%)2.209 (1.177, 4.146)0.901 (0.399, 2.035)
No43 (16.3%)220 (83.7%)11

Fetal distressYes24 (13.1%)159 (86.9%)0.4171 (0.236, 0.736)0.608 (0.305, 1.212)
No38 (26.6%)105 (73.4%)11

Mal positionYes28 (31.5%)61 (68.5%)2.741 (1.540, 4.877)1.559 (0.392, 6.205)
No34 (14.3%)203 (85.7%)11

value set at ≤0.2 for binary logistic regression; value set at 0.05 for multilogistic regression.