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Obstructed labor in Ibadan.

J C Konje1, K A Obisesan, O A Ladipo

  • 1Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|September 1, 1992
PubMed
Summary

Obstructed labor, often caused by poor prenatal and intrapartum care, significantly increases labor duration and complication risks. Improving healthcare access and education is crucial for prevention.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Maternal Health

Background:

  • Obstructed labor remains a significant challenge in maternal healthcare.
  • Contributing factors include inadequate prenatal and intrapartum care, particularly in peripheral settings.

Purpose of the Study:

  • To analyze the incidence, causes, complications, and outcomes of obstructed labor.
  • To identify key factors contributing to obstructed labor and propose preventive strategies.

Main Methods:

  • Retrospective analysis of 380 cases of obstructed labor over a 13-year period (39,456 deliveries).
  • Evaluation of contributing factors, labor duration, interventions, and associated complications.

Main Results:

  • Obstructed labor cases averaged three times longer labor duration than normal deliveries.

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  • 82% of obstructed labor cases required emergency cesarean sections; 10% underwent destructive operations.
  • Unrecognized positional disproportion was the primary etiological factor, leading to high rates of ruptured uterus and sepsis.

    • Conclusions:

    • High maternal and perinatal morbidity and mortality are associated with obstructed labor.
    • Enhanced health education, integration of traditional birth attendants, and increased healthcare facilities are recommended to reduce obstructed labor incidence.