Fetomaternal Outcomes in Women Presenting with Obstructive Labour at Tertiary Care Hospital
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Abstract
Objective: To determine the fetomaternal outcomes in women presenting with obstructed labour at tertiary care hospital, Hayatabad Medical Complex.
Methodology: This study included 130 women aged 18 to 40 years with singleton pregnancy at term, who were diagnosed with obstructed labour. Patients having bleeding disorders, medical disorders ( e.g. gestational hypertension and diabetes), and those having period of gestation less than 37 weeks were excluded. Fetomaternal outcomes such as postpartum hemorrhage (PPH), NICU admission, pyrexia, low APGAR score and uterine rupture were recorded. Data was analyzed with SPSS version 27.
Results: The mean age of women was 27.57 ± 6.24 years, with mean gestational age 40.26 ± 1.37 weeks. The majority of the women were from rural areas (62.3%), were illiterate (56.2%), unemployed (70.0%), and from lower socioeconomic class (47.7%). Regarding fetomaternal outcomes, neonatal intensive care unit admission was observed in 27.7% neonates, low Apgar score was observed in 31.5% neonates. Postpartum hemorrhage was noted in 10.0% cases, pyrexia in 12.3%, and uterine rupture in 5.4% cases.
Conclusion: Obstructed labour is associated with a significant burden of fetomaternal complications, the present study found that most frequent complications were low APGAR score, NICU admission and PPH, followed by pyrexia and uterine rupture.
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