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Obstructed Labour: Can the Outcome be Improved  
Author(s) Name:

Bushra Shaheen

Address of Correspondence

Assistant Professor Obs/GynBannu Medical College

Abstract

Objectives: To observe maternal and fetal outcome associated with obstructed labour and to explore the avoidable factors contributing towards the outcome.
Setting:  Women and Children Teaching Hospital, Bannu.
Methodology: This prospective cross sectional observational study (from 1st Jan 2009 to 31st Dec 2009) included all the patients who developed obstructed labour (either admitted with or developed in the unit) .Patients and their attendants were interviewed along with collection of clinical and socio-demographic data to evaluate the outcome and the root cause underlying the adverse outcome in certain cases. The data was analyzed and conclusion drawn. Main Outcome Measures: Maternal and perinatal mortality and morbidity.
Results: During the study period 54 patients had obstructed labour out of 2990 total deliveries (frequency: 1.8%). Majority (62.5%) of the patients were referred by other health professionals. In majority (78%) of these women labour was induced or augmented. About (60%) of these women were grand multiparas and 87% were unbooked. Postpartum hemorrhage was the most frequent complication of obstructed labour. Perinatal mortality was 50% and case fatality rate (CFR) was 3.7%.
Conclusion: Obstructed labour still very common in remote areas of our country. Thus it is suggested that health education of the community along with regular and prompt training programs for those health professionals taking care of parturients will be the first step if we want to save our mothers and babies from death and disability. In this regard proper implementation of guidelines and audit system along with strict legislation by health regulating bodies is essential to stop the fatal practices.
Key Words: Obstructed labour, Maternal morbidity, Maternal mortality, Perinatal mortality.

 

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