PROMOTING ACCESS TO AFRICAN RESEARCH

Ethiopian Journal of Health Development

Log in or Register to get access to full text downloads.

Remember me or Register

Obstructed Labour in Adigrat Zonal Hospital, Tigray Region, Ethiopia

Amanuel Gessessew, Mengiste Mesfin

Abstract


Background: Obstructed labour is a common cause of maternal and pernatal morbidity and mortality in developing countries. There are few data from Ethiopia, although the problem is believed to be common.


Objective: To describe the frequency, causes, complications and treatment outcome of mothers with obstructed labour.


Methods: a retrospective (April 1, 1993 – March 30, 2001) review of delivery registration books, operation theatre books and patients records. Results: Of 5,980 hospital deliveries during the study period 195(3.3%) were admitted for obstructed labour. Only 14.1% of all cases had received antenatal care, and the majority (88%) came from rural areas. Mean duration of labour was 45.4 hours for cases of obstructed labour. The most common cause of obstruction was cephalopelvic disproportion (64.9%) followed by malposition/malpresentation (32.5%). Caesarean section was performed in 88 of the 195 cases (46.1%), craniotomy in 31(16.2%), instrumental delivery in 27 (14.1%), hysterectomy in 28(14.6%) and repair of ruptured uterus in 17(8.9%). Maternal and neonatal fatality rates were 3.7% and 55.5% respectively. Serious complication increased with parity.


Conclusion: The incidence and complications of obstructed labour are remarkably high. To improve the situation better access to optimal antenatal and intrapartal care, together with early referral of high-risk patients must be facilitated.

Ethiop.J.Health Dev. 2003;17(3):175-180

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM




Ethiopian Journal of Health Development.   ISSN: 1021-6790
AJOL African Journals Online