FETOMATERNAL COMPLICATIONS IN PATIENTS OF OBSTRUCTED LABOUR PRESENTING TO GYNAE B UNIT HAYATABAD MEDICAL COMPLEX, PESHAWAR
Main Article Content
Keywords
Pregnancy, Obstructed labour, Fetomaternal complications
Abstract
Introduction: Obstructed labor results from failure to descent of presenting part in the birth canal due to mechanical reasons despite adequate uterine contraction. It is a life threatening obstetric complication with significant maternal and perinatal morbidity.
Objective: To determine the frequency of fetomaternal complications in women with obstructed labour presenting to Hayatabad Medical Complex, Peshawar.
Study Design: Descriptive Study.
Study Setting: Department of Obstetrics and Gynaecology, Hayatabad Medical Complex, Peshawar.
Duration of Study: This study was conducted from 10th September 2020 to 10th March 2021.
Subjects and Methods: A total of 110 pregnant women with obstructed labour were included in the study. All women were followed till delivery and 5 days postpartum period and fetomaternal complications were noted.
Results: Postpartum hemorrhage was seen in 15.5% patients, ruptured uterus 20%, caesarean section 60%, paralytic ileus 33.6%, abdominal wound infection 16.4%, still birth 12.7%, birth asphyxia 28.2%, neonatal sepsis 20% and neonatal jaundice was 19.1%.
Conclusion: In our study, almost all of the cases with obstructed labor had developed maternal and/or fetal complications.
Objective: To determine the frequency of fetomaternal complications in women with obstructed labour presenting to Hayatabad Medical Complex, Peshawar.
Study Design: Descriptive Study.
Study Setting: Department of Obstetrics and Gynaecology, Hayatabad Medical Complex, Peshawar.
Duration of Study: This study was conducted from 10th September 2020 to 10th March 2021.
Subjects and Methods: A total of 110 pregnant women with obstructed labour were included in the study. All women were followed till delivery and 5 days postpartum period and fetomaternal complications were noted.
Results: Postpartum hemorrhage was seen in 15.5% patients, ruptured uterus 20%, caesarean section 60%, paralytic ileus 33.6%, abdominal wound infection 16.4%, still birth 12.7%, birth asphyxia 28.2%, neonatal sepsis 20% and neonatal jaundice was 19.1%.
Conclusion: In our study, almost all of the cases with obstructed labor had developed maternal and/or fetal complications.
References
1. Pavličev M, Romero R, Mitteroecker P. Evolution of the human pelvis and obstructed labor: new explanations of an old obstetrical dilemma. Am J Obstet Gynecol. 2020;222(1):3-16.
2. Fischer B, Mitteroecker P. Covariation between human pelvis shape, stature, and head size alleviates the obstetric dilemma. Proc Natl Acad Sci U S A. 2015;112(18):5655-60.
3. Henok A, Asefa A. Prevalence of obstructed labor among mothers delivered in Mizan-aman general hospital, south west Ethiopia: a retrospective study. J Women’s Health Care. 2015;4:250.
4. Musaba MW, Ndeezi G, Barageine JK. Risk factors for obstructed labour in Eastern Uganda: a case control study. PLoS One. 2020;15(2):e0228856.
5. Mgaya AH, Kidanto HL, Nystrom L, Essén B. Improving standards of care in obstructed labour: a criteria-based audit at a referral hospital in a low-resource setting in Tanzania. PLoS One. 2016;11(11):e0166619.
6. Ranjana T, Sinha A. Incidence, causes and feto-maternal outcomes of obstructed labour in a tertiary health care centre. Int J Reprod Contracept Obstet Gynecol. 2017;6:2817-21.
7. Gessessew A, Mesfin M. Obstructed labour in Adigrat Zonal Hospital, Tigray Region. Ethiopia. Ethiop J Health Dev. 2002;17:175–180.
8. World Health Organization . The World health report: make every mother and child count. Geneva: World Health Organization; 2005.
9. Chhabra S, Gandhi D, Jaiswal M. Obstructed labour—a preventable entity. J Obstet Gynaecol. 2000;20(2):151–153. doi: 10.1080/01443610062913.
10. Memon S, Qazi RA, Malhi P, Khushk IA. Pattern of obstructed labour at a public sector university hospital of Sindh, Pakistan. J Liaquat Univ Med Health Sci. 2009;8:60–64.
11. Ozumba BC, Uchegbu H. Incidence and Management of Obstructed Labour in Eastern Nigeria. Aust N Z J Obstet Gynaecol. 1991;31(3):213– 216. doi: 10.1111/j.1479-828X.1991.tb02783.x.
12. Kabakyenga JK, Östergren PO, Turyakira E, Mukasa PK, Pettersson KO. Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda. BMC Pregnancy Childbirth. 2011;11:73. doi: 10.1186/1471-2393-11-73.
13. Islam JA, Ara G, Choudhury FR. Risk factors and outcome of obstructed labour at a tertiary care hospital. J Shaheed Suhrawardy Med Coll. 2012;4(2):43–46. doi: 10.3329/jssmc.v4i2.14401.
14. Khooharo Y, Majeed T, Khawaja MA, Majeed N, Majeed N, Malik MN, et al. Even in 21st century still obstructed labor remains life threatening condition. Ann King Edw Med Univ. 2012;18(3):279.
15. Bailey PE, Awoonor-Williams JK, Lebrun V, Keyes E, Chen M, Aboagye P, et al. Referral patterns through the lens of health facility readiness to manage obstetric complications: national facility-based results from Ghana. Reprod Health. 2019;16(1):19. doi: 10.1186/s12978- 019-0684-y.
16. Musaba MWNG, Barageine JK, Weeks A, Nankabirwa V, Wamono F, et al. Risk factors for obstructed labour in Eastern Uganda: a case control study. PLoS ONE. 2020;15:e0228856.
17. Nwogu-Ikojo EE, Nweze SO, Ezegwui HU. Obstructed labour in Enugu, Nigeria. J Obstet Gynaecol. 2008;28(6):596–599.
18. Kadowa I. Ruptured uterus in rural Uganda: prevalence, predisposing factors and outcomes. Singapore Med J. 2010;51(1):35.
19. Hofmeyr GJ, Say L, Gülmezoglu AM. WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture. BJOG. 2005;112(9):1221–1228. doi: 10.1111/j.1471-0528.2005.00725.x.
20. Vangeenderhuysen C, Prual A, Ould el Joud D. Obstetric fistulae: incidence estimates for sub-Saharan Africa. Int J Gynaecol Obstet. 2001 Apr; 73(1):65-6.
2. Fischer B, Mitteroecker P. Covariation between human pelvis shape, stature, and head size alleviates the obstetric dilemma. Proc Natl Acad Sci U S A. 2015;112(18):5655-60.
3. Henok A, Asefa A. Prevalence of obstructed labor among mothers delivered in Mizan-aman general hospital, south west Ethiopia: a retrospective study. J Women’s Health Care. 2015;4:250.
4. Musaba MW, Ndeezi G, Barageine JK. Risk factors for obstructed labour in Eastern Uganda: a case control study. PLoS One. 2020;15(2):e0228856.
5. Mgaya AH, Kidanto HL, Nystrom L, Essén B. Improving standards of care in obstructed labour: a criteria-based audit at a referral hospital in a low-resource setting in Tanzania. PLoS One. 2016;11(11):e0166619.
6. Ranjana T, Sinha A. Incidence, causes and feto-maternal outcomes of obstructed labour in a tertiary health care centre. Int J Reprod Contracept Obstet Gynecol. 2017;6:2817-21.
7. Gessessew A, Mesfin M. Obstructed labour in Adigrat Zonal Hospital, Tigray Region. Ethiopia. Ethiop J Health Dev. 2002;17:175–180.
8. World Health Organization . The World health report: make every mother and child count. Geneva: World Health Organization; 2005.
9. Chhabra S, Gandhi D, Jaiswal M. Obstructed labour—a preventable entity. J Obstet Gynaecol. 2000;20(2):151–153. doi: 10.1080/01443610062913.
10. Memon S, Qazi RA, Malhi P, Khushk IA. Pattern of obstructed labour at a public sector university hospital of Sindh, Pakistan. J Liaquat Univ Med Health Sci. 2009;8:60–64.
11. Ozumba BC, Uchegbu H. Incidence and Management of Obstructed Labour in Eastern Nigeria. Aust N Z J Obstet Gynaecol. 1991;31(3):213– 216. doi: 10.1111/j.1479-828X.1991.tb02783.x.
12. Kabakyenga JK, Östergren PO, Turyakira E, Mukasa PK, Pettersson KO. Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda. BMC Pregnancy Childbirth. 2011;11:73. doi: 10.1186/1471-2393-11-73.
13. Islam JA, Ara G, Choudhury FR. Risk factors and outcome of obstructed labour at a tertiary care hospital. J Shaheed Suhrawardy Med Coll. 2012;4(2):43–46. doi: 10.3329/jssmc.v4i2.14401.
14. Khooharo Y, Majeed T, Khawaja MA, Majeed N, Majeed N, Malik MN, et al. Even in 21st century still obstructed labor remains life threatening condition. Ann King Edw Med Univ. 2012;18(3):279.
15. Bailey PE, Awoonor-Williams JK, Lebrun V, Keyes E, Chen M, Aboagye P, et al. Referral patterns through the lens of health facility readiness to manage obstetric complications: national facility-based results from Ghana. Reprod Health. 2019;16(1):19. doi: 10.1186/s12978- 019-0684-y.
16. Musaba MWNG, Barageine JK, Weeks A, Nankabirwa V, Wamono F, et al. Risk factors for obstructed labour in Eastern Uganda: a case control study. PLoS ONE. 2020;15:e0228856.
17. Nwogu-Ikojo EE, Nweze SO, Ezegwui HU. Obstructed labour in Enugu, Nigeria. J Obstet Gynaecol. 2008;28(6):596–599.
18. Kadowa I. Ruptured uterus in rural Uganda: prevalence, predisposing factors and outcomes. Singapore Med J. 2010;51(1):35.
19. Hofmeyr GJ, Say L, Gülmezoglu AM. WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture. BJOG. 2005;112(9):1221–1228. doi: 10.1111/j.1471-0528.2005.00725.x.
20. Vangeenderhuysen C, Prual A, Ould el Joud D. Obstetric fistulae: incidence estimates for sub-Saharan Africa. Int J Gynaecol Obstet. 2001 Apr; 73(1):65-6.
Article Sidebar
Published
Aug 22, 2024
Article Details
How to Cite
Afshan Jehan Zeb, Sana Khan, & Laila Wajid. (2024). FETOMATERNAL COMPLICATIONS IN PATIENTS OF OBSTRUCTED LABOUR PRESENTING TO GYNAE B UNIT HAYATABAD MEDICAL COMPLEX, PESHAWAR. Journal of Population Therapeutics and Clinical Pharmacology, 31(8), 1178-1185. https://doi.org/10.53555/jptcp.v31i8.7550
Section
Articles
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Author Biographies
Afshan Jehan Zeb
Medical Officer Obs and Gynae Unit Cat D Hospital, Gara Tajik, Kochian Warsak Road, Peshawar
Sana Khan
Medical Officer Obs and Gynae Unit, Women and children Hospital, Rajjar Charsadda
Laila Wajid
Medical Officer Obs and Gynae Unit, District Headquarter Hospital, Landikotal
How to Cite
Afshan Jehan Zeb, Sana Khan, & Laila Wajid. (2024). FETOMATERNAL COMPLICATIONS IN PATIENTS OF OBSTRUCTED LABOUR PRESENTING TO GYNAE B UNIT HAYATABAD MEDICAL COMPLEX, PESHAWAR. Journal of Population Therapeutics and Clinical Pharmacology, 31(8), 1178-1185. https://doi.org/10.53555/jptcp.v31i8.7550