ABSTRACT
To find out complications and foetomaternal outcome in the instrumental [forceps and vacuum] vaginal delivery of the primiparus patients. Observational study. This study was conducted at Gynecological Department of Liaquat University Hospital Hyderabad and Gynecological Department of Isra University Hospital Hyderabad from August 2012 to April 2013. This study contained total 100 number of cases All the perimigravid womens were included in the study and after the admission all require able laboratory investigation were carried out. Forceps and vacuum were used in delivery and this choice between two options [forceps and vacuum] is usually been based on training and traditions. All the instrumental complications and affects on foetomarnal in parimiparus patients were noted during and after delivery and were documented on the attached Performa. Present study was contains 100 of the cases, forceps was applied on the 68% of the cases while vacuum assisted deliveries were done in 32% cases. In the forceps assisted deliveries from the maternal complications perineal tear and vaginal trauma were most common as 27% and 20% respectively, while maternal complications associated to vacuum were UTI, Perineal tear, Cervical tear, Vaginal trauma and Heavy bleeding were with percentage as, 06.0%, 06.0%, 05.0%, 04.0% and 12.0% respectively. Neonatal trauma and cephalic hematoma were most common and no deaths were recorded and in the vacuum assisted deliveries, and no deaths were recorded along with 12% neonatal trauma and 10% cephalic hematomas in forceps deliveries. In the conclusion of this study vacuum having less complication as compare to forceps deliveries but there is no highly difference so the operator should use the instrument according to situation
ABSTRACT
The objective of this study is to find out the maternal mortality rate in our setup and found the preventable causes of maternal mortality rate. Descriptive study. In obstetric ward of Liaquat university hospital Hyderabad from 10th Feb 2011 to 10th Jan 2014. All the women who were died due to pregnancy complications were included in the study while women who were not died due to pregnancy complications and maternal deaths due to accidental or incidental causes during pregnancy were excluded from the study. Details of patient's history especially age, parity, socioeconomic condition, reason of death, antenatal status, and distance from hospital were recorded on predesigned proforma. Total 48563 deliveries were conducted during the study period. Out of these, 103 women died, so the maternal mortality rate was 212.09/ 100,000 live birth. Majority of women i.e. 43[41.74%] died; belong from age group of 31-40 years. Majority of women i.e. 78[75.72%] belonged to poor socioeconomic group and 83[80.58%] women had not received antenatal care. Most common cause of maternal mortality in this study was hypertensive disorder which was seen in 43[41.74%] followed by APH in 39[37.86%] and PPH seen in 6[5.82%] patients .The most common cause of delay in seeking health care facility was lack of transport reported by 43[41.74%] patients and familial taboos reported by 36[34.95%] patients. Most important cause of maternal mortality in our study was hypertensive disorders, APH and PPH. Maternal mortality was highest in advancing age, increased parity and in unbooked patients