Rumina Tabassum, Marium Ahmed, Sajeela Naureen, Nusrat H Khan.
Maternal morbidity in obstructed labor - retrospective descriptive study.
Med Channel Jan ;12(2):32-5.

OBJECTIVE: I. To determine the frequency of maternal morbidity in obstructed labour. 2. To counsel the family about the seriousness of the condition. DESIGN: Retrospective descriptive study. PLACE & DURATION: Obstetrics & Gynaecology Unit III, Dow Medical College & Civil Hospital Karachi, Dow University of Health Sciences. 1st January - 3rd December 2004. PATIENTS & METHODS: A total of 94 women with obstructed labour were included in the study. RESULT: More than half of the study group were primigravida & 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%) & 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%) & V. F. (1.06%). Maternal mortality was one (1.06%). CONCLUSION: The incidence of obstructed labour is almost unchanged in tertiaty level hospitals. This carries grave maternal morbidity & work load 011 the hospital.

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