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Related Experiment Videos

Obstructed labour - a preventable entity.

S Chhabra1, D Gandhi, M Jaiswal

  • 1Department of Obstetrics and Gynaecology, Mahatma Gandhi Institute of Medical Sciences, Maharashtra, India.

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
|October 30, 2004
PubMed
Summary
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Obstructed labor in rural India, often caused by malpresentation or cephalopelvic disproportion, led to high perinatal mortality. Prevention through timely diagnosis and partogram use is crucial.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Maternal-Fetal Medicine

Background:

  • Obstructed labor remains a significant challenge in resource-limited settings.
  • Understanding its causes and outcomes is vital for improving maternal and infant survival.

Purpose of the Study:

  • To analyze the incidence, causes, maternal morbidity, and perinatal mortality associated with obstructed labor in a rural Indian hospital.
  • To identify factors contributing to obstructed labor and suggest preventive strategies.

Main Methods:

  • A retrospective clinical study of 204 cases of obstructed labor over a 5-year period (1991-1997).
  • Data collected on patient demographics, causes of obstruction, interventions, maternal complications, and perinatal outcomes.

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Main Results:

  • Obstructed labor accounted for 1.9% of births, predominantly in young rural primigravidae.
  • Malpresentation (53.2%) and cephalopelvic disproportion (41.1%) were primary causes.
  • Maternal morbidity included uterine incision extension (14.0%) and sepsis (12.5%).
  • Perinatal mortality was high at 160/1000, with no maternal deaths.

Conclusions:

  • Timely diagnosis of malpresentation, pelvic contraction, and consistent partogram use are essential for preventing obstructed labor.
  • Judicious selection for cesarean section and avoidance of risky vaginal procedures are critical in managing obstructed labor cases.