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A study of prolonged labour.

I Randhawa1, K B Gupta, M Kanwal

  • 1Department of Obstetrics and Gynaecology, Indira Gandhi Medical College, Kamla Nehru Hospital, Shimla.

Journal of the Indian Medical Association
|June 1, 1991
PubMed
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Prolonged labor, particularly in unbooked primipara, significantly increases maternal and perinatal mortality. Obstructed labor and longer labor duration are key risk factors for adverse outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Prolonged labor is a significant obstetric complication.
  • Understanding its incidence, causes, and outcomes is crucial for improving maternal and neonatal care.

Purpose of the Study:

  • To retrospectively review cases of prolonged labor.
  • To determine the incidence, etiological factors, and outcomes of prolonged labor.

Main Methods:

  • Retrospective review of 203 consecutive cases of prolonged labor.
  • Data collected from January 1984 to December 1986.
  • Analysis of delivery modes, maternal/perinatal mortality, and morbidity.

Main Results:

  • Incidence of prolonged labor was 4.39%.

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  • Common causes included uterine dysfunction (44.5%) and obstructive causes (26.1%).
  • Maternal mortality was 9.7/1000 births, perinatal mortality 165/1000 births, with higher rates in obstructed labor and longer durations.

    • Conclusions:

    • Prolonged labor is associated with increased maternal and perinatal morbidity and mortality.
    • Obstructed labor and extended labor duration are critical risk factors.
    • Urgent interventions and improved management strategies are needed for prolonged labor cases.