FETOMATERNAL OUTCOME OF OBSTRUCTED LABOUR

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Abstract

ABSTRACT
Background: Obstructed labour is still a major preventable cause of fetomaternal morbidity and mortality in low income
countries like Pakistan.
Objective: To study the causes and fetomaternal outcome of pregnancy complicated by obstructed labour.
Methods: Total 84 cases admitted in emergency with the diagnosis of obstructed labour were studied. Detailed history,
examination and relevant investigations were done in each case. Various causes and fetomaternal outcome was noted
down.
Results: Total 84 cases were studied. Majority were unbooked 80 cases( 95.23%) and only 4 cases(4.76%) were
booked. Commonest cause was CPD (Cephalo Pelvic Disproportion) followed by malposition and malpresentation. 80
cases (95.23%) needed emergency C/S to relieve the obstruction and only 4 cases (4.76%) required IVD ( Instrumental
Vaginal Delivery). Commonest maternal complication was puerperal pyrexia found in 13 cases (15.47%) followed by
wound infection, PPH and UTI. Maternal mortality was found in 1.19% . 73 babies (86.90%) were live births and 11
babies(13.09%) were still births. Commonest fetal complication was birth asphyxia seen in 24 cases (28.57%) followed
by neonatal sepsis and jaundice. Perinatal mortality was 21.39%.
Conclusion: Obstructed labour is a preventable condition prevalent in developing countries. Majority were unbooked
patients who did not receive proper antenatal care and hence presented late in advanced labour with signs of obstruction.
Commonest cause of obstructed labour was CPD. Commonest maternal complication was puerperal pyrexia followed
by PPH and UTI. Commonest fetal complication was birth asphyxia followed by neonatal sepsis.
Key Words: obstructed labour, CPD, perinatal mortality and morbidity, maternal mortality and morbidity

Authors: 
ShaziaTabassum3
Sadia Shamsher
Rabeea Sadaf
Bushra Raouf
Iqbal Begum2
Journal Issue: 

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