Table 4.
Multivariable regression on determinants of uterine rupture among pregnant mothers who gave birth at the University of Gondar comprehensive specialized hospital, Northwest Ethiopia, 2023
| Variables | Uterine rupture | COR; 95% CI | p-value | AOR;95%CI | P-value | |
|---|---|---|---|---|---|---|
| Cases | control | |||||
| Maternal Age | ||||||
| 18 -24years | 19 | 50 | 0 | 0 | ||
| 25–34 years | 57 | 193 | 0.9(0.5,1.9) | 0.98 | 1.19(1.17-8) | 0.85 |
| ≥ 35 years | 66 | 35 | 1.7(0.9,3.1) | 0.06 | 0.37(0.05–2.7) | 0.33 |
| Residence | ||||||
| Urban | 33 | 183 | 0 | 0 | ||
| Rural | 109 | 95 | 0.15(0.09,0.2) | 0.000 | 4.8(1.15–19.4) | 0.03* |
| Distance from the hospital | ||||||
| < 10 km | 20 | 216 | 0 | 0 | ||
| ≥ 10 km | 122 | 62 | 21.2(12,36) | 0.000 | 11.2(2.6–47.3) | 0.001* |
| Parity | ||||||
| Primi para | 18 | 50 | 0 | 0 | ||
| Multi para | 82 | 205 | 1.1(0.6,2.0) | 0.72 | 3.6(0.3–42) | 0.29 |
| Grand multi para | 42 | 23 | 5.1(2.4,10.6) | 0.000 | 3.2(0.16-65) | 0.43 |
| Referral from health center | ||||||
| Yes | 117 | 69 | 0 | 0 | ||
| No | 25 | 209 | 0.07(0.04,0.1) | 0.000 | 0.17(0.04–0.7) | 0.01* |
| Gynecologic history | ||||||
| Yes | 6 | 5 | 0 | 0 | ||
| No | 136 | 273 | 0.08(0.00,0.6) | 0.02 | 0.59(0.04–7.2) | 0.68 |
| Multiple pregnancy | ||||||
| Yes | 32 | 23 | ||||
| No | 142 | 320 | 0.4(0.1,1.5) | 0.000 | 0.35(0.02–5.3) | 0.45 |
| ANC follow up | ||||||
| Yes | 5 | 6 | ||||
| No | 137 | 272 | 2.8(1.3,5.4) | 0.000 | 3.7(1.2–16) | 0.000* |
| CPD | ||||||
| Yes | 95 | 7 | 0 | 0 | ||
| No | 47 | 271 | 0.007(0.002,0.2) | 0.000 | 0.01(0.02–0.1) | 0.000* |
| Obstructed labor | ||||||
| Yes | 79 | 5 | ||||
| No | 63 | 273 | 0.01(0.005,0.03) | 0.000 | 1.17(1.10–15) | 0.83 |
| Malposition | ||||||
| Yes | 67 | 5 | ||||
| No | 75 | 273 | 0.02(0.007,0.05) | 0.000 | 0.4(0.08–1.8) | 0.243 |
| Use partograph | ||||||
| Yes | 29 | 262 | 0 | 0 | ||
| No | 113 | 16 | 6.8(3.3,22) | 0.000 | 3.9(1.9–12) | 0.000* |
| Fetal weight | ||||||
| < 4 kg | 120 | 269 | 0 | 0 | ||
| ≥ 4 kg | 22 | 9 | 5.4(2.4,12.2) | 0.000 | 2.21(8.6–50) | 0.53 |
| Duration of labor | ||||||
| < 24 h | 123 | 272 | 0 | 0 | ||
| ≥ 24 h | 19 | 6 | 23.9(5,5,103) | 0.000 | 4.2(0.05- 30) | 0.67 |