Determinant of Prolonged Second Stage Labor Among Mothers Who Give Birth in Dire Dawa City at Public Institution, Eastern, Ethiopia, Nov, 2021

Abstract Background Prolonged second stage of labor is a clinical dilemma in which controversy exists on whether extending labor in nulliparous women with epidural anesthesia decreases the incidence of cesarean delivery without increasing maternal or neonatal risks. This stage become prolonged often resulting to maternal and neonatal complications. Objective To determine the determinant of prolonged second stage among mothers who give birth in Dire Dawa city, Eastern, Ethiopia, NOV, 2021. Methods A Facility based unmatched Case control study was conducted among mothers who gave birth in health facilities in Dire Dawa city from NOV. 2021 to MAR. 2022. A total of 388 mothers who came for delivery care services in randomly selected health facility was included in the study. Data were collected using face to face interview, document review, and anthropometric measurement techniques. The data were entered into EPI INFO version 7.1 and exported to SPSS version 23 for analysis. Result A total of 388 women were included in the study, According to this finding factors shows an association for prolong second stage of labor were not perform physical exercise were AOR = 4.9 (2.1–11.3), nulliparous AOR = 2.6 (1.6–4.2), Inadequate uterine contraction AOR = 2.8 (1.7–4.5). Birth weight of ≥ 4000 gram AOR = 2.6(1.5–4.6)