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Pregnancy outcome in women presenting with obstructed labour at University Hospital of Sindh

Naushaba Rizwan, Ambreen Mughal.

Abstract
Objective:
To evaluate the frequency of early morbidity in women with obstructed labour and to analyze the factors leading to obstructed labour.
Methodology:
This hospital based retrospective study was conducted form 1st June 2014 to 30th November 2014 in the department of Gynecology & Obstetrics, Liaquat University Hospital, Jamshoro. All mothers who were admitted to the labour room during the period with obstructed labour were included in the study. Women with medical disorders, previous caesarean section and multiple pregnancies were excluded. The relevant information such as age, parity, antenatal care, causes, complications, treatment, maternal and neonatal outcome was collected. The statistical analysis was done in SPSS software version 17.0
Results:
During the study period a total 1650 deliveries occurred at Liaquat University Hospital and 107(6.4%) presented with obstructed labour. Majority (91.7%) had taken trial of labour by some TBA or local doctor. Postpartum haemorrhage with atony of uterus occurred in 19(17.8%). The most common maternal morbidity was UTI 39(36.4%) followed by extension of uterine incision 27(25.2%), 17(15.9%) with ruptured uterus 7(6.5%) and with ruptured bladder
Conclusion:
Obstructed labour remains a major cause of maternal and prenatal morbidity and mortality in our part of world.

Key words: Obstructed labour, early maternal morbidity, morbidity, early.



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