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A Four Year Review of Foetal Outcome of Obstructed Labour in Jos, Nigeria
Abstract
Background: In developed parts of the world, obstructed labour and its attendant sequelae are almost nonexistent. In most developing countries however, the situation is quite different. Obstructed labour occurs with high frequency and is associated with poor obstetrical outcome. The aim of this study was to assess the foetal outcome of obstructed labour in Jos, Nigeria.
Methodology: The records of 390 patients with obstructed labour managed over 4-years in Jos University Teaching Hospital (JUTH) out of the 8840 women who delivered during the period were retrieved and studied retrospectively. The data were analyzed using descriptive statistics with Microsoft Excel 2007.
Result: The women were aged 16 to 40 years, 52.8% of them were below the ages of 20 years. Majority of the women (42%) were primigravidae. The incidence of obstructed labour was 4.98%. Most of the babies (70%) weighed more than 3.4kg. The perinatal mortality rate was 46.9%.
Conclusion: Obstructed labour is quite common in Jos and is associated with very high foetal wastage. Reducing early marriages and expanding access to emergency obstetrics services for women with childbirth emergencies will improve maternal and foetal outcome among women with obstructed labour.
Methodology: The records of 390 patients with obstructed labour managed over 4-years in Jos University Teaching Hospital (JUTH) out of the 8840 women who delivered during the period were retrieved and studied retrospectively. The data were analyzed using descriptive statistics with Microsoft Excel 2007.
Result: The women were aged 16 to 40 years, 52.8% of them were below the ages of 20 years. Majority of the women (42%) were primigravidae. The incidence of obstructed labour was 4.98%. Most of the babies (70%) weighed more than 3.4kg. The perinatal mortality rate was 46.9%.
Conclusion: Obstructed labour is quite common in Jos and is associated with very high foetal wastage. Reducing early marriages and expanding access to emergency obstetrics services for women with childbirth emergencies will improve maternal and foetal outcome among women with obstructed labour.
