Obstructed Labour, Barriers and Bridges in the Niger Delta Region of Nigeria

  • C I Akani
  • D K Pepple


An eleven-year retrospective analysis of all cases of obstructed labour at the University of Port Harcourt Teaching Hospital was carried out between 1989 and 1999. During this period, a total of 19,246 deliveries were conducted while 684 cases of obstructed labour were recorded, giving an incidence of 3.5%. Unbooked patients constituted 69.2% of cases and 62% of the patients were primigravida. Cephalo pelvic disproportion was the commonest cause of obstructed labour [45%]. Of this number 7.7% had Caesarean section previously. The main mode of relieving the obstruction was Caesarean delivery [81%], laparotomy for ruptured uterus was performed in 13% of patients and destructive operation was done in about 6% of cases. The commonest complication found in this study was sepsis affecting about 91% of cases. The maternal mortality ration was 81.8 per 1000 while perinatal mortality was 250 per 1000.

NQJHM Vol. 14 (1) 2004: pp. 21-25

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