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VOL. 6, ISSUE 2 (2020)
Comparative study of outcome of obstructed labour between primi gravidae and multi gravidae: A study in Dhaka medical college hospital, Dhaka, Bangladesh
Authors
Shah Mohammad Hassanur Rahman, Ayesha Siddiquea, Abeda Sultana
Abstract
Introduction: Obstructed labour is one of the major causes of maternal mortality (8%) in Bangladesh1. It is also responsible for high rate of maternal and fetal morbidity, if we can identify causes of obstructed labour, determine the outcome & complications in our country it may be helpful to find out the way to prevent this disease.Objective: This study is a prospective observational study has been done in Dhaka Medical Collage Hospital, Dhaka from 1st July to 31st December 2007. Hundred patients who were admitted with obstructed labour during study period were included in this study.Methods: In this study incidence of obstructed labour was 2.65%. The clinical profile of the patients reveals, (53%) within 20-30 years, only 4-6% were on regular antenatal checkup, maximum (84-90%) patients came from poor socioeconomic condition, (88-96%) patients did not cross primary education level, most of them were housewife (82-92%) & maximum patients husband were daily labourer. On admission general examination revealed that majority were exhausted with rapid pulse, raised temperature, anaemic and were dehydratedResults: The medical causes of obstructed labour in the study population were cephalopelvic disproportion 42-46%, 50% cases were due to malposition & malpresentatron, mode of delivery were LSCS in 76-90%, craniotomy in 6-10%, Subtotal hysterectomy in 2-G%, repair of uterus with bilateral salphingo oophorectomy in 2-4%. The postoperative complications in my study population were postpartum hemorrhage 13-20%, puerperal sepsis 16-18%, paralytic ileus 20-24%, wound infection 36-44%, burst abdomen 2%, obstetric palsy 2% & V.V.F 4=8%. Maternal outcome was healthy 32-40%, mortality 4% and morbidity 56-64% perinatal outcome was healthy 54-62% & mortality 38-46%.Conclusion: So obstructed labour is a tragic consequence of pregnancy resulting from ignorance and negligence.
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Pages:34-41
How to cite this article:
Shah Mohammad Hassanur Rahman, Ayesha Siddiquea, Abeda Sultana "Comparative study of outcome of obstructed labour between primi gravidae and multi gravidae: A study in Dhaka medical college hospital, Dhaka, Bangladesh". International Journal of Medical and Health Research, Vol 6, Issue 2, 2020, Pages 34-41
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