Abstract:
ABSTRACT
Introduction: Cephalopelvic disproportion (CPD) is the failure of the head to descend through the
pelvis even with strong uterine contractions due to either by maternal or fetal problems. In Southeast
Asian countries its magnitude accounts for 6.3%, In Africa, it ranged from 1.4% to 8.5% and
its magnitude in Ethiopia ranged from 2.2%-11% but is not studied as a separate case but it is as one
cause of Obstructed Labor. In Nigeria, there were 2101 per 100,000 maternal mortality rates due to
obstructed labor and the main cause of obstructed labor was CPD. There were many factors associated
with the occurrence of CPD like Sociodemographic factors, maternal anthropometric measurements,
fetal parameters, and obstetric factors.
Objectives: To assess the prevalence and associated factors of Cephalopelvic Disproportion among
pregnant women visiting Wachemo University Nigist Elleni Mohammed Memorial Teaching Referral
Hospital for delivery service.
Methods: An institutional-based cross-sectional study design was implemented. The study was
conducted from March 2020 to May 2020 in Wachemo University Nigist Elleni Mohammed memorial
teaching referral hospital. A total of 273 women were included in the study. Then data was entered into
Epi-data and exported to SPSS version 25. Descriptive statistics and bivariate and multivariable logistic
regression was carried out. Finally the result was presented by tables, words, graphs, and charts.
Results: The prevalence of cephalopelvic disproportion was 15.4%. For every unit increase of maternal
height, there would be an 8.431 times decrease in the occurrence of cephalopelvic disproportion. A unit
increase in fetal head circumference had 0.636 odds of having cephalopelvic disproportion. The odds of
developing cephalopelvic disproportion were 0.284 times greater among actual birth weight >4000g as
compared to actual birth weight <4000g. And the odds of having cephalopelvic disproportion were
0.301 times greater among women who have a history of previous caesarean section as compared to the
women have no history previous of caesarean section.
Conclusion: The prevalence of cephalopelvic disproportion was 15.4%. Previous history of a caesarean
section, birth weight, maternal height and head circumference of new born were significantly associated
with cephalopelvic disproportion.
Keywords: Associated factor, Cephalopelvic Disproportion, Clinical Estimation of Fetal Weight,
Maternal Anthropometric Measurements, Southern Ethiopia
