Fetomaternal Outcome in Obstructed Labour
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 3
Abstract
Background: Obstructed labour is still a major clinical problem of obstetrics seen in the developing countries which results from neglected watch on progress of labour, where vaginal delivery has not been possible[4] Aims and Objectives • To analyze the various factors leading to obstructed labour. • To study the complications and the management carried out in these cases. • To find out the incidence of maternal & perinatal mortality due to obstructed labour. • To discuss the ways and means of reducing the incidence of cases of obstructed labour with available facilities and resource. Materials & Methods The study was a cross-sectional study conducted at J.L.N medical college and hospital Ajmer from October 2016-October 2017 on 50 patients admitted with h/o prolonged labour and maternal distress with signs and symptoms of maternal exhaustion, dehydration, keto-acidosis, Bandl’s ring. Results Out of the 50 cases studied,obstructed labour was mostly seen in Primigravide(62%), Cephalopelvic disproportion (CPD) was the most common cause(65%), Abdominal delivery was carried out in 98% cases, most common maternal complication was Puerperal sepsis(40%). The still birth rate was 20% (10cases), NICU admission was 75%(30 cases). Most common fetal complication was birth asphyxia. Conclusion Regular antenatal checkups and improvement in maternal nutrition. Use of Partograph in labour, which is an inexpensive tool to monitor and prevent obstructed labour. 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.
Authors and Affiliations
Dr. Sheetal Shinde
Keywords
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