N Saqib Qureshi, Faiqa Saleem, Saima Riaz.
Primigravidae with Non-Engaged Fetal Head at Term : An Audit of Delivery Outcome.
Ann King Edward Med Uni Jan ;5(2):177-9.

The objective of the study was to audit the delivery outcome in primigravidae with non-engaged fetal head at 37 completed weeks of gestation This study was prospectively performed at Fatima Memoral Hospital from 1st January 1998 to 30th june 1998. A total of 56 cases were studied over six months period .Out of 56 cases, 24(43%) had normal vaginal delivery, 30(53%) had Caesarean delivery and 2(4%) had instrumental delivery. Natural spontaneous onset of labour is the single most important predictor for normal vaginal delivery in such cases. Short maternal stature (<5 feet), induction of labour and fetal weight >3.5 Kg may lead to the Caesarean delivery .Primigravidae with non-engaged fetal head at term should be regarded as high risk cases. There is an increased risk of caesarean delivery in such cases. Labour should be allowed to establish naturally, if possible, to achieve normal vaginal delivery.

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