STUDY TO EVALUATE THE FREQUENCY, AETIOLOGIES, MATERNAL AND PERINATAL OUTCOME AND COMPLICATIONS OF OBSTRUCTED LABOUR: AN OBSERVATIONAL STUDY
Keywords:cephalopelvic disproportion, malpresentation, obstructed labour
Aim: To study the frequency, aetiologies, maternal and perinatal outcome and complications of obstructed labour.
Methods: This cross-sectional study was carried out in the Department of Obstetrics and Gynecology at Government Medical College and Hospital, Bettiah, Bihar, India from June 2018 to Jan 2020. Total 200 patients with features of obstructed labour were enrolled consecutively in this study.
Results: The total number of 4200 deliveries was occurred during this study period of which obstructed labour was accounted for 200 cases and was given an incidence of 4.76%. The highest frequency was found among the 25-30 years of age group 107(53.5%) and the least frequency among those >35 years was 6 (3%). The mean age was 25±4.38 years, 47.5% case was unbooked and 49.5% had primary education only. The highest frequency (51.5.%) was found among the primigararida while the least was among the multigravide. The commonest cause of obstructed labour was cephalopelvic disproportion (46.5%) followed by malposition (24%), malpresentation mostly shoulder presentation (11.5%) and breech presentation (10%). Fetal abnormality was found mostly severe hydrocephalous (2.5%).
Conclusions: The commonest cause of obstructed labour is the cephalopelvic disproportion, malposition and malpresentation of which shoulder presentation & breech presentation are the most common. Severe hydrocephalous is the most common fetal abnormality found in this study.
Keywords: cephalopelvic disproportion, malpresentation, obstructed labour
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