Analysis of Labours complicated by persistent occipito Posterior position

Abstract

In a prospective study fifty five cases of labours complicated by persistent occipito posterior position were identified among 2170 deliveries at the gynae unit B HSTH in 1996. in 24(43.63%) cases persistent occipito posterior position complicated labours in primigravida and in 50(90%) cases pregnancy was between 36 - 40 weeks. common associated obstetric problem were small maternal pelvis, fetal macrosomia PROM, previous caesarean section, cord around neck and twins. 45(81.18%) cases were nonbooked and 37(56.35%) cases had a prolong labour. 31(56.46%) cases had instrumental delivery, and caesarean section was done in 13(23.63%) cases maternal morbidity was 34$ and mortality was 1.8%.