A study on clinical outcome of obstructed labour

. Indra; Usharani N.; Mumtaz Bendigeri

doi:10.18203/2320-1770.ijrcog20170027

Authors

. Indra Department of Obstetrics and Gynecology Sri Siddhartha Medical College, Tumkur, Karnataka, India
Usharani N. Department of Obstetrics and Gynecology, VIMS, Bellary, Karnataka, India
Mumtaz Bendigeri Department of Obstetrics and Gynecology, VIMS, Bellary, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20170027

Keywords:

Maternal death, Obstructed labour, Perinatal morbidity

Abstract

Background: Obstructed labour accounts for 8% of maternal mortality in developing countries. Obstructed labour is the single most important cause of maternal death and is one of the three leading causes of perinatal mortality with the case fatality rate of 87-100%.

Methods: The 50 patients with prolonged labour and maternal distress with signs and symptoms of maternal exhaustion, dehydration, keto-acidosis, Bandl’s ring formed the study subjects.

Results: Out of the 50 cases studied the still birth rate was 24% (12 cases). This was due to delay in the referring the cases from peripheral centers.

Conclusions: Our peripheral hospital need appointment of qualified personnel and well trained staff, who can recognize any deviation from normal labour and recognize malpresentation and malposition at the earliest and refer such cases to higher centers.

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References

Adhikari SM, Dasgupta M. Management of obstructed labour: A retrospective study. The Journal of Obstetrics and Gynaecology of India. 2005;55(1):48-51.

Neilson JP, Lavender S. Obstructed labour. British Medical Bulletin. 2003;67(1):191-204.

EL-Hamamy E, Arulkumaran A. Poor progress of labour. Current Obstet Gynecol. 2005;15:1-8.

Lawson GB. Obstructed labour. In obstetrics and gynaecology in the tropics and developing countries. London .Edward Arnold Press. 1967:172-202.

Konje JC, Obisesan KA. Obstructed labour in Ibadan. Int J Gynecol and Obstet. 1992;39:17-21.

Dolea C, AbouZahr C. Global burden of obstructed labour. 2000.

AbouZahr C. Prolonged and Obstructed labour. In: Murray CJL and Lopez AD, Eds .Health Dimensions of sex and reproduction: the global burden of sexually transmitted diseases, maternal conditions, perinatal disorders and congenital anomalies WHO 1998.

McCarthy M. What’s going on at WHO? Lancet. 2002;360:1108-10

McCarthy M. A brief history of at WHO? Lancet. 2002;360:1111-2

Cron J. Lessons from the developing world: Obstructed labour and the vesico vaginal fistula Obs Gyn and Womens Health Medscape General Medicine. 2003;5(3).

Weeks A, Lavender T. Personal accounts of “near miss” maternal mortalities in Kampala, Uganda. BJOG. 2005;112 (9):1302-7.

Mekbib T, Kassaye E, Getachew A. FIGO Save the mothers Initiative. Ethiopia-Sweden Collaboration. Int J Gynaec Obstet. 2003;81(1):93-102.

Kumar R, Sharma K. Maternal mortality inquiry in all rural community in northern India. Int J Gynecol Obstet.1986;29(4):313-9.

Ara A. Outcome of Obstructed labour. Int J Gynaec Obstet Original. 2011;18(3).

Rather SY, Qureshi A, Praveen S. Obstructed labor-current scenario in a developing country. The Internet Journal of Gynecology and Obstetrics. 2010;13(2).

Joud DOE. Dystocia: a study of its frequency and risk factors in 7 cities of West Africa. Int J Obsteric Gynecol. 2001;74:171-8.