Descriptive study of Feto maternal outcomes of obstructed labour in a tertiary care hospital

Abstract

Introduction: Labour is considered abnormal when the presenting part of the foetus cannot progress in to the birth canal, despite strong uterine contractions which leads to various maternal or foetal complications. Obstructed labour accounts for about 8% of all maternal deaths in developing countries like India. Obstructed labour is the single most important cause of maternal death and is one of the leading causes of perinatal mortality. Materials and methods: This prospective study of obstructed labour was conducted from September 2021 to May 2022 (9 months) in the Department of obstetrics and Gynaecology of M.G.M Medical College, Jamshedpur. All patients admitted with obstructed labour were included in the study. Detailed history regarding age, socioeconomic status, parity, previous obstetric history, past history, antenatal care, duration of labour, details of referral and management were recorded. During admission, the general condition of mother was assessed as well as fetal lie, presentation, position and heart sounds were recorded. Results: During the 9 months study period, there were total of 5845 deliveries of which 100 cases were diagnosed to have obstructed labour, incidence being 1.71%.