A Clinical Study of 100 Cases of Obstructed Labour and Its Fetomaternal Outcome

Kiran, A; Singh, Rakesh; Sinha, Anant Narayan

doi:10.5296/jbls.v6i2.7564

Cited by 3 publications

(7 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This finding is in agreement with previous studies reporting a statistical association between prolonged labour and low socioeconomic level and being a pregnant woman living in a rural area. 37 Poor roads and long distances to a health facility are risk factors for prolonged labour/dystocia. 33 Arriving at a health facility with cervical dilation grade of less than 6 cm and being nulliparous were factors associated with CS due to prolonged labour/dystocia.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of pregnancy-related complications and course of labour of surviving women who gave birth in selected health facilities in Rwanda: a health facility-based, cross-sectional study

et al. 2017

View full text Add to dashboard Cite

ObjectivesThis study estimated health facility-based prevalence for pre-eclampsia/eclampsia, postpartum haemorrhage and caesarean section (CS) due to prolonged labour/dystocia. The background characteristics of Rwandan pregnant women, the course of labour and the level of healthcare were investigated in relation to pregnancy and delivery outcomes.MethodsThis is health facility-based study and data were collected in 2014–2015 through structured interviews and medical records (n=817) in Kigali and Northern Province, Rwanda. Frequencies and prevalence were used to describe participants’ background factors, labour and delivery-related characteristics. Bivariable and multivariable logistic regression models were performed for different background factors and pregnancy/delivery outcomes.ResultsPre-eclampsia/eclampsia, postpartum haemorrhage and CS due to prolonged labour/dystocia represented 1%, 2.7% and 5.4% of all participants, respectively. In total, 56.4% of the participants were transferred from facilities with low levels to those with higher levels of healthcare, and the majority were transferred from health centres to district hospitals, with CS as the main reason for transfer. Participants who arrived at the health facility with cervical dilation grade of ≤3 cm spent more hours in maternity ward than those who arrived with cervical dilatation grade of ≥4 cm. Risk factors for CS due to prolonged labour or dystocia were poor households, nulliparity and residence far from health facility.ConclusionsThe estimated health facility-based prevalence of pregnancy-related complications was relatively low in this sample from Rwanda. CS was the main reason for the transfer of pregnant women from health centres to district hospitals. Upgrading the capacity of health centres in the management of pregnant women in Rwanda may improve maternal and fetal health.

show abstract

Section: Discussionmentioning

confidence: 99%

“…It has been reported previously that less advanced cervical dilation grade at admission and nulliparity are risk factors for prolonged labour. 37 38 …”

Section: Discussionmentioning

confidence: 99%

Prevalence of pregnancy-related complications and course of labour of surviving women who gave birth in selected health facilities in Rwanda: a health facility-based, cross-sectional study

et al. 2017

View full text Add to dashboard Cite

show abstract

“…These findings have been corroborated by Kiran et al, as well as other authors. 2,8,17 Cephalopelvic disproportion occurs more among primigravidae, who constituted the highest parturient group in this study. 2,5,18 The reason for this is largely attributed to the fact that the primigravid pelvis is untested, and may also be underdeveloped.…”

Section: Discussionmentioning

confidence: 53%

“…2,8,17 Cephalopelvic disproportion occurs more among primigravidae, who constituted the highest parturient group in this study. 2,5,18 The reason for this is largely attributed to the fact that the primigravid pelvis is untested, and may also be underdeveloped. 1,2 C-section is the treatment of choice when the foetus is alive, and most of the women in this study presented with live foetuses.…”

Section: Discussionmentioning

confidence: 53%

“…Labour is said to be obstructed when there is failure of progress of labour despite adequate uterine contractions, due to a mechanical factor, which if unrelieved, will lead to various maternal and/or foetal complications. [1][2][3] Obstructed labour is an obstetric entity which is alien to developed countries but remains very prevalent in developing countries, where it contributes significantly to maternal and perinatal morbidity and mortality. [4][5][6] Illiteracy, ignorance, poverty, belief in home deliveries under the supervision of traditional birth attendants (TBAs), lack of good transportation systems, ill-equipped health facilities, poor access to available health facilities, poor emergency obstetric care services, and aversion to surgery, are some of the factors responsible for the high incidence of obstructed labour in developing countries.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Obstructed labour in a Nigerian tertiary health facility: a mixed-method study

Ubom

Ijarotimi

Ogunduyile

et al. 2021

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Obstructed labour remains a leading cause of maternal and perinatal mortality and morbidity in sub-Saharan Africa. This study aimed to determine the incidence, causes, complications and outcomes of obstructed labour at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, Osun state, Nigeria.Methods: A mixed methods approach was employed for this study. A 10-year retrospective review of all cases of obstructed labour managed at the OAUTHC, between January 1, 2008, and December 31, 2017, was done. Ten in-depth interviews were conducted for some selected patients. The quantitative data was analysed using SPSS version 24, while the qualitative data was analyzed with NVivo version 12.Results: The incidence of obstructed labour was 1.99%. Most of the patients were unbooked (217, 90.4%), primigravid (138, 57.5%), and either had no formal or only primary/secondary education (120, 50%). Cephalopelvic disproportion (CPD) was the commonest cause of obstructed labour (227, 94.6%). The most common maternal complication was wound infection (48, 20%). There were three maternal deaths, giving a case fatality rate of 1.25%. The most common foetal complication was birth asphyxia (85, 34.7%). The perinatal mortality rate was 18.8 %. From the qualitative arm of the study, reasons given by parturients who suffered obstructed labour, for avoiding hospitals for delivery, included religion, finance, fear of hospitals, faith/belief in mission homes/maternity houses, and proximity.Conclusions: Obstructed labour remains an important obstetric problem in our environment, contributing significantly to the burden of maternal and perinatal mortality and morbidity.

show abstract

Obstructed labor and its effect on adverse maternal and fetal outcomes in Ethiopia: A systematic review and meta-analysis

2022

View full text Add to dashboard Cite

Background Obstructed labor is one of the five major causes of maternal mortality and morbidity in developing countries. In Ethiopia, it accounts for 19.1% of maternal death. The current review aimed to assess maternal and perinatal outcomes of obstructed labor in Ethiopia. Methods Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed for this systematic review and meta-analysis. A literature search was made using PubMed/MEDLINE, CINAHL, Summon country-specific search, and Cochrane Libraries’ online databases. Search terms were adverse outcome, obstructed labor, maternal outcome, fetal outcome, and Ethiopia. The Newcastle-Ottawa scale (NOS), based on a star scoring system, was used to assess the quality of the included studies. The meta-analysis was conducted using STATA 16 software. The pooled prevalence of an adverse maternal outcome, fetal outcome, and association between adverse outcome and obstructed labor was calculated using a random-effects model. Egger’s test and funnel plot were used to evaluate publication bias. Result Eighty-seven studies were included in this review, with an overall sample size of 104259 women and 4952 newborns. The pooled incidence of maternal death was estimated to be 14.4% [14.14 (6.91–21.37). The pooled prevalence of uterine rupture and maternal near-miss was 41.18% (95% CI: 19.83, 62.54) and 30.5% [30.5 (11.40, 49.59) respectively. Other complications such as postpartum hemorrhage, sepsis, obstetric fistula, hysterectomy, bladder injury, cesarean section, and labor abnormalities were also reported. The pooled prevalence of perinatal death was 26.4% (26.4 (95% CI 15.18, 37.7). In addition, the association of obstructed labor with stillbirth, perinatal asphyxia, and meconium-stained amniotic fluid was also demonstrated. Conclusions In Ethiopia, the incidence of perinatal and maternal mortality among pregnant women with obstructed labor was high. The rate of maternal death and maternal near miss reported in this review was higher than incidences reported from high-income and most low and middle-income countries. Uterine rupture, postpartum hemorrhage, sepsis, fistula, hysterectomy, and bladder injury were also commonly reported. To improve the health outcomes of obstructed labor, it is recommended to address the three delay models: enhancing communities’ health-seeking behavior, enhancing transportation for an obstetric emergency with different stakeholders, and strengthening the capacity of health facilities to handle obstetric emergencies.

show abstract

A Clinical Study of 100 Cases of Obstructed Labour and Its Fetomaternal Outcome

Cited by 3 publications

References 5 publications

Prevalence of pregnancy-related complications and course of labour of surviving women who gave birth in selected health facilities in Rwanda: a health facility-based, cross-sectional study

Prevalence of pregnancy-related complications and course of labour of surviving women who gave birth in selected health facilities in Rwanda: a health facility-based, cross-sectional study

Obstructed labour in a Nigerian tertiary health facility: a mixed-method study

Obstructed labor and its effect on adverse maternal and fetal outcomes in Ethiopia: A systematic review and meta-analysis

Contact Info

Product

Resources

About