{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T02:04:55Z","timestamp":1773021895521,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2024,4,14]],"date-time":"2024-04-14T00:00:00Z","timestamp":1713052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,4,14]],"date-time":"2024-04-14T00:00:00Z","timestamp":1713052800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To estimate the prevalence of obstructed labour, associated risk factors and outcomes across a network of referral hospitals in Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A total of 54 referral\u2010level hospitals across the six geopolitical regions of Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>Pregnant women who were diagnosed with obstructed labour during childbirth and subsequently underwent an emergency caesarean section between 1 September 2019 and 31 August 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Secondary analysis of routine maternity care data sets. Random\u2010effects multivariable logistic regression was used to ascertain the factors associated with obstructed labour.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Risk factors for obstructed labour and related postpartum complications, including intrapartum stillbirth, maternal death, uterine rupture, postpartum haemorrhage and sepsis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Obstructed labour was diagnosed in 1186 (1.7%) women. Among these women, 31 (2.6%) cases resulted in maternal death and 199 (16.8%) cases resulted in postpartum complications. Women under 20\u2009years of age (OR\u20092.03, 95%\u2009CI 1.50\u20132.75), who lacked formal education (OR\u20091.88, 95%\u2009CI 1.55\u20132.30), were unemployed (OR\u20091.94, 95%\u2009CI 1.57\u20132.41), were nulliparous (OR\u20092.11, 95%\u2009CI 1.83\u20132.43), did not receive antenatal care (OR\u20093.34, 95%\u2009CI 2.53\u20134.41) or received antenatal care in an informal healthcare setting (OR\u20098.18, 95%\u2009CI 4.41\u201315.14) were more likely to experience obstructed labour. Ineffective referral systems were identified as a major contributor to maternal death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Modifiable factors contributing to the prevalence of obstructed labour and associated adverse outcomes in Nigeria can be addressed through targeted policies and clinical interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.17826","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T02:34:15Z","timestamp":1713148455000},"page":"55-63","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Determinants of obstructed labour and associated outcomes in referral hospitals in Nigeria"],"prefix":"10.1111","volume":"131","author":[{"given":"Samuel","family":"Adelaiye","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Federal Medical Centre  Azare Bauchi State Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ishaya","family":"Wanonyi","sequence":"additional","affiliation":[{"name":"Federal Medical Centre  Jalingo Taraba State Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abiodun","family":"Adanikin","sequence":"additional","affiliation":[{"name":"Centre for Healthcare and Communities Institute of Health and Wellbeing, Coventry University  Coventry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulkarim","family":"Mairiga","sequence":"additional","affiliation":[{"name":"University of Maiduguri Teaching Hospital  Maiduguri Borno State Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abubakar","family":"Kadas","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology Department Abubakar Tafawa Balewa University Teaching Hospital  Bauchi 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