Maternal morbidity in obstructed labour - retrospective descriptive study

ABSTRACT

I. To determine the frequency of maternal morbidity in obstructed labour. 2. To counsel the family about the seriousness of the condition. Retrospective descriptive study. Obstetrics and Gynaecology Unit III, Dow Medical College and Civil Hospital Karachi, Dow University of Health Sciences. 1st January - 3rd December 2004. A total of 94 women with obstructed labour were included in the study. More than half of the study group were primigravida and aged below 25 years. A total of 61 [64.89%] were primigravida. Peak cases were between 20- 25 years of age that was 42 [44.7%]. Mode of delivery was Caesarean section in 82 [87.23%] cases, abdominal delivery with repair of ruptured uterus was done in 10 of cases [10.63%] and Caesarean hysterectomy in 5 cases [5.31%]. Maternal morbidity varies with Puerperal sepsis [34.04%], cystitis [25.53%], wound sepsis [22.34%], ruptured uterus [11.7%], primary postpartum haemorrhage [8.51%] and V. F. [1.06%]. Maternal mortality was one [1.06%]. The incidence of obstructed labour is almost unchanged in tertiaty level hospitals. This carries grave maternal morbidity and work load 011 the hospital