ABSTRACT
The women of developing countries are at risk of pregnancy-related complications including pre-eclampsia/ eclampsia, obstructed labor, sepsis etc. Obstructed labor results due to three delays while woman is full term and is in labor. If detected and managed early and correctly, the pregnancies can be made safe and may result in birth of healthy babies. [1] To assess frequency of obstructed labor among pregnant women. [2]To determine socio-demographic risk factors associated with obstructed labor among study population. [3]To determine outcomes of obstructed labor among pregnant women. It was a hospital based descriptive cross sectional study. Two months. Department of Gynaecology and Obstetrics units I, II and III of Liaquat University Hospital [LUH] Hyderabad. To estimate the frequency, risk factors and outcomes of obstructed labor as of third trimester adverse pregnancy outcomes and to seek association of this adverse pregnancy outcome with the socio-demographic characteristics of the pregnant women i.e. their age, residence, parity, level of education and socio economic class. Out of total six hundred and nine women enrolled in the study, only 22 [3.61%] were in obstructed labor. 63.64% of them were of age > 30 years. More than 60% women in obstructed labor had reported from rural areas; and more than eighty percent of them were illiterate and belonged to lower socio-economic class. Only 4.55% of the women in obstructed labor were the booked cases. All the cases of obstructed labor were at full term. Cesarean section was done on 90.90% women. Not a single maternal mortality was reported among women enrolled in the study as obstructed labor. Neglected obstructed labor is a major public health issue. It can be avoided by addressing various socio-demographic determinants of pregnant women
ABSTRACT
Objectives: To estimate frequency of third trimester pregnancy adverse outcomes and to seek association of adverse pregnancy outcomes with the socio-demographic characteristics of pregnant women
Study design: A descriptive cross sectional study
Place and duration: Maternity wards of Liaquat University Hospital [LUH] Hyderabad. Study was conducted for duration of two months
Methodology: The study subjects were all pregnant women and data including demographic data was collected through questionnaire based interviews from pregnant women, duty doctors, history records regarding pregnancy outcomes and necessary laboratory investigation reports
Results: Frequency of adverse pregnancy outcomes was 15.44%. Ante-partum hemorrhage was the most frequently occurring event [36.17%]; while eclampsia was the second most commonly reported event [29.79%]. Maternal age did not reveal any statistical association [p= 0.06]; while educational status [p=0.05], rural residence [p=0.03], race [0.05], working status [0.02] were statistically significantly associated and low socio economic status was strongly associated with adverse pregnancy outcomes [p=0.001]
Conclusions: Ante-partum hemorrhage was the frequently reported adverse pregnancy outcome besides eclampsia, obstructed labour and preterm delivery. The maternal socio-demographic characteristics like low educational status, rural residence, low socioeconomic status, women's' working status were associated with these adverse pregnancy outcomes