Deep Pressure Sores Complicating Labour; A Case Report

Abstract

In the late 1960s and the mid 1970s the reproductive health indices from the developing countries, particularly the sub-Saharan Africa, were alarming and worrisome. The maternal and prenatal mortality rates were unacceptably high. Over 80% of all deliveries in these countries are attended to by untrained birth attendants. The United Nation, through its organ World Health Organization [W.H.O.] then conceived the programme of training Traditional birth attendants to care for delivery services of women at the grassroot. The strategy was to reduce maternal and neonatal mortality in communities with shortages of midwives and where pre-natal care and delivery services were lacking. To date, evidence in support of TBAs remains limited and conflicting. The maternal and prenatal indices continue to worsen and majority of these morbidities and mortalities are traceable to errors of judgments by TBAs during conducts of deliveries. Miss AA is here by presented to demonstrate an example of errors of judgments by TBAs during conducts of labour and deliveries resulting in deep pressure sores in the gluteal and sacral areas and obstetric fistula.

Keywords: Deep Pressure Sores, Labour, Traditional Birth Attendants [Tbas]