LABOUR OUTCOME IN NULLIPARAS WITH UN-ENGAGED FETAL HEAD AT TERM PREGNANCY IN KHYBER TEACHING HOSPITAL, PESHAWAR

the outcome of unengaged fetal head in nulliparous women at term pregnancy at Khyber
Teaching Hospital, Peshawar.
Material and Methods: This descriptive case series was conducted at department of Gynae and Obstetrics,Khyber
Teaching Hospital,Peshawar from December 2014 to May 2015 with a sample size total of 111 patients were included
in the study using 16.89% proportion of caesarean section 95% confidence level and 7% margin of error. Sampling
technique was non probability sampling. All the maternal data was collected in predesigned Performa. All women of
age 19-35 years, nulliparous, singleton pregnancy, full term and with no medical illness were included.
Results: In this study, patients were in age range 19-35 years and heights of the patients were 140-160cm. Amongst
111 patients, normal vaginal delivery occurred in 71.71% patients , instrumental delivery in 10.8% and 16.89% patients
underwent low segment caesarean section.
Conclusion: Our study concluded that unegaged fetal head in term pregnant women admitted are subjected to more
obstetric interventions. An increase in total duration of labor can also be expected in these cases. If the attitude of watchful
expectancy and timely interventions used in these cases in which no significant etiological factor is found, by plotting a
progressive labor on a partogram and using oxytocin judiciously when labor appears to be taking a protracted course,
most of these will deliver vaginally with minimal maternal and fetal morbidity. There is a need to produce guidelines on
management of women admitted to tertiary care in full term to reduce the risk of unnecessary interventions
Key Words: unengaged, nullipara, term.