Journal ArticleDOI
Incidence and management of obstructed labour in eastern Nigeria.
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The discussion provides a rare insight into the difficulties which occur in obstetric practice in other lands; even booked patients may refuse to go into hospital until it is too late to deliver them safely.Abstract:
Over a five year period (1985-1989) 527 cases of obstructed labour were recorded while 11,299 deliveries were conducted giving an incidence of 4.7%. The majority of the patients (59%) were primigravidae. The incidence of obstructed labour was much higher for the unbooked patients (33%) than for the booked patients (1.7%). Cephalopelvic disproportion was the greatest cause of obstructed labour (67%), while Caesarean section was the main method of delivery (85%). The leading complications of obstructed labour were puerperal sepsis (57%), post partum haemorrhage (15%), uterine rupture (14%), and genital tract laceration (14%). A maternal mortality rate of 32 per 1000 and a perinatal mortality rate of 294 per 1000 were recorded. Education of primary health providers and traditional birth attendants on the dangers of obstructed labour and the need for early referral is suggested to reduce the incidence of this condition. Governmental assistance is also required to improve existing health facilities so that antenatal and delivery services will be affordable to all pregnant women in the society.read more
Citations
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Journal ArticleDOI
The obstetric vesicovaginal fistula in the developing world.
TL;DR: "In vast areas of the world, in South East Asia, in Burma, in India, 'in parts of Central America, South America and Africa 50 million women will bring forth their children this year in sorrow, as in ancient Biblical times, and exposed to grave dangers.'"
Journal ArticleDOI
Incidence, Causes and Outcome of Obstructed Labor in Jimma University Specialized Hospital
TL;DR: The incidence of obstructed labor in Jimma University Specialized Hospital was high with high rate of complications and the antenatal care follow-up practice was also found to be low.
Journal ArticleDOI
Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda
Jerome Kabakyenga,Jerome Kabakyenga,Per-Olof Östergren,Eleanor Turyakira,Peter K Mukasa,Karen Odberg Pettersson +5 more
TL;DR: Individual socio-demographic and health system factors are strongly associated with obstructed labour and its adverse outcome in south-western Uganda and provides baseline information which may be used by policy makers and implementers to improve implementation of safe motherhood programmes.
Journal ArticleDOI
A framework for analyzing the determinants of obstetric fistula formation.
TL;DR: This study assesses the obstetric fistula problem using a framework originally developed to analyze the determinants of maternal mortality, and identifies three sets of determinants: the general socioeconomic milieu in which such injuries occur; intermediate factors; and the acute clinical factors that determine the ultimate outcome of any particular case of obstructed labor.
Journal Article
Puerperal sepsis - still a major threat for parturient.
TL;DR: Puerperal sepsis is an important public health problem contributing to maternal morbidity and mortality and Optimal antiseptic measures and careful monitoring are needed throughout the process of labour.
References
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Journal ArticleDOI
Caesarean and post-partum hysterectomy 1968-1983.
D. W. Sturdee,D. I. Rushton +1 more
TL;DR: There have been 47 caesarean or post‐partum hysterectomies over a period of 15 years at Birmingham Maternity Hospital, a frequency of 7 per 10 000 deliveries, with the commonest cause of uncontrollable bleeding a morbidly adherent placenta.
Journal ArticleDOI
Obstructed labour: a series of 320 cases occurring in 4 years in a hospital in Southern Nigeria.
TL;DR: The patients in this series were seen late in the second stage of labour with established obstruction and immediate delivery imperative, and the majority were diagnosed before or early in labour and were delivered before obstruction could develop.
Journal Article
Birth-canal injuries.
TL;DR: Indigenous gynecological procedures are responsible for severe stenosis of the genital tract in some tropical countries and the high incidence of contracted pelvis in many tropical areas where maternity services are inadequate makes vasicovaginals of obstetric origin a major public health problem.
Journal ArticleDOI
Mortality and morbidity of emergency obstetric hysterectomy
TL;DR: Sixty-one patients had emergency obstetric hysterectomy for ruptured uterus, postpartum haemorrhage and sepsis, and the overall maternal mortality was 26.2 per cent.