Maternal and Perinatal Outcome in Obstructed Labour

Abstract

Background: Obstructed labour comprises one of the five major causes of maternal mortality & morbidity in developing countries. It accounts for 5% of all maternal deaths in India unfortunately this preventable condition of obstructed labour still prevails in this part of our country. Our hospital M.K.C.G. medical college being a tertiary care hospital has maximum referred patients from rural areas, viewed in this context this prospective study has been undertaken in department of obstetrics and gynaecology to find out how far this condition prevails and its impact on the labour outcomes. Aims & objective: To study the cases of obstructed labour to evaluate maternal morbidity and mortality & perinatal morbidity and mortality. Methods: In this study 250 cases of obstructed labour were randomly selected. Each case was managed depending on her own merit. In all cases both the mother & neonate were followed up critically till their discharge from hospital. Result: Cephalopelvic disproportion was found to be the most common cause of obstructed labour. Caesarean section was the mode of management in 80.4% of cases. Maternal morbidity was seen in 86% of cases & puerperal pyrexia was the commonest followed by PPH. Maternal mortality was 1.6%. The perinatal mortality rate was 21.14% and birth asphyxia was the commonest neonatal morbidity. Conclusion: Early detection of risk factors and timely referral is the best approach in preventing the high maternal and perinatal morbidity & mortality due to obstructed labour.

Determinants of obstructed labour and its adverse outcomes among women who gave birth in Hawassa University referral Hospital: A case-control study

“…Besides, this study showed that OL resulted in 8.3% of maternal deaths among cases. This figure is higher than a study done in India, [53,54], Uganda, [26], Sudan, [29], Nigeria, [55], Tanzania, 2% [50], Bangladesh, [52] and Ethiopia, [20]. However, the findings of the current study were lower than a similar study in Sudan, [56].…”

“…The possible variation might be due to delays in referral and treatment of OL, prolonged labour, study setting, sample size and methodological differences between the studies. However, the finding of this study is lower than studies done in Bangladesh [52], India [53,54], Suhul hospital, Ethiopia [20], and Metu Karl hospital, Ethiopia [18]. This might be due to the commitment of the hospital to improve maternal healthcare provision, safe surgery with the senior obstetrician and EMONC service.…”

Effect of Implementing Intrapartum Digital versus Paper Partographs on Maternity Nurses' Performance and Birth Outcomes

“…It is well known that prolonged and obstructed labor are major contributors to the high rate of maternal mortality (Mohapatra et al, 2017). 44,000 women (about twice the seating capacity of Madison Square Garden) lose their lives every year because of complications during pregnancy, and all of them might have been avoided had they lived in a higher-income country (UNICEF, 2018).…”