E-ISSN 2149-2018 editor@ejmamr.online


Applied Medical Research. 2018; 5(1):(54-107)


Frequency of maternal morbidity in women with obstructed labor: A study at Liaquat University Hospital Hyderabad Sindh

Naushaba Rizwan, Ambreen Mughal

Abstract
Objective: To determine the frequency of early morbidity in women with obstructed labor. Methodology: This hospital-based retrospective study was conducted from 1 June 2014 to 30 November 2014 in the Department of Gynecology and Obstetrics, Liaquat University Hospital, Jamshoro. All mothers who were admitted to the labor room during the period with obstructed labor were included in the study. Women with medical disorders, previous cesarean section, and multiple pregnancies were excluded. Demographics and confounder were analyzed by SPSS software version 17.0. Results: During the study period, there were a total of 1,650 deliveries occurred at Liaquat University Hospital and 107 (6.4%) were presented with obstructed labor. Majority (91.7%) had taken a trial of labor by some traditional birth attendant or local doctor. Postpartum hemorrhage with atony of uterus occurred in 19 (17.8%) cases. The commonest morbidity was urinary tract infection 39 (36.4%) followed by extension of uterine incision 27 (25.2%), 17 (15.9%) with ruptured uterus, and 7 (6.5%) with ruptured bladder. Conclusion: Obstructed labor remains a major cause of maternal and prenatal morbidity and mortality in rural Sindh Pakistan
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