ABSTRACT
The purpose of this study was to find out the frequency of complicated labor in cases which are referred to Abbasi Shaheed Hospital and Qatar Hospital, and to identify the risk factors and the fetal outcome. It was a descriptive cross sectional study, conducted in gynea and obstetric wards of Abbasi Shaheed Hospital and Qatar Hospital. Non-probability convenient sample of 100 referred cases was considered. Questionnaire were filled by interviewing patients and from their records too. Out of 100 referred cases, complication of labor occurred in 77% cases. Major complications were obstructed labor 24 [31.2%] cases, post partum hemorrhage [PPH] 16 [20.8%] cases, premature rupture of membrane [PROM] 8 [10.4%] cases and purpeural sepsis 6 [7.8%] cases. Age of the patient, bleeding during pregnancy, previous C.section, any instrumentation, and complication during previous parturition are found to be the risk factors associated with complicated labor [p-value <0.05]. 88% of the fetus survived in all the referred cases and 87% in complicated cases. A considerable proportion of referred cases had complicated labor. Most common complication were obstructed labor, PPH. Maternal age, bleeding during pregnancy, any instrumentation, history of Cesarean section and any complication during previous parturition were found to be the important predisposing factors that must be considered during pregnancy