Asian Research Journal of Gynaecology and Obstetrics

This study assessed pregnancy outcomes and patterns of delivery among pregnant women attending tertiary healthcare facilities in Port Harcourt metropolis, Rivers State. The research design was a health facility-based cross-sectional study. The study population consisted of all pregnant women admitted during the period under study. The sample size for this study of 339 was obtained using Cochrane formula. The proforma title was Pregnancy Outcomes and Pattern of Delivery (POPD). Data collected were analyzed using Statistical Product for Service Solution (SPSS) version 27.0. The result indicated a moderate positive correlation (R = 0.531) between instrumental delivery and delivery pattern. The result depicted a moderate positive correlation (R = 0.443) between cesarean section and delivery pattern, with cesarean section accounting for 20.8% of delivery patterns (R² = 0.208) among pregnant women. The result also illustrated that a strong, significant positive relationship exists between vaginal delivery and delivery pattern, indicating 41% of delivery patterns (R² = 0.410). The result indicated a strong positive correlation (R = 0.631) between maternal age and pregnancy outcomes, with maternal age indicating 39% of pregnancy outcomes (R² = 0.390). The outcome of the study also indicated that the delivery pattern was statistically significant with maternal complications (F = 110.30, p < 0.005). The findings show a strong, significant relationship between birth weight and pregnancy outcomes, with birth weight accounting for approximately 53.4% of pregnancy outcomes (R² = 0.534). The result indicated a moderate positive correlation (R = 0.531) between instrumental delivery and delivery pattern, with instrumental delivery depict 23% of delivery patterns (R² = 0.230). The result depicted a moderate positive correlation (R = 0.443) between cesarean section and delivery pattern, with cesarean section accounting for 20.8% of the variance in delivery patterns (R² = 0.208) among pregnant women. The result also illustrated that a strong positive correlation (R = 0.711) between vaginal delivery and delivery pattern, with vaginal delivery which indicated 41% of delivery patterns (R² = 0.410). It was concluded that pregnancy outcomes such as live birth, still birth, underweight birth and maternal age were determined by several maternal and infant-related factors which determine delivery patterns. Based on the findings of this study, the following recommendations were made among others pregnant women should prioritise their health by ensuring that they visit and receive healthcare services for at least four (4) times before delivery as determine by world health organization.