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Presentation and materno-foetal outcome in defaulters of obstetric procedures in state specialist hospital, Asubiaro, Osogbo, Osun state Nigeria.
Abstract
Background: Obstetric procedures are carried out to reduce or completely eliminate maternal and perinatal morbidities and mortalities.
Objectives: is to determine the mode of presentation and materno-foctal outcome in defaulters of obstetric procedures, the reasons for defaulting the obstetric procedurcs and to institute measures to reduce or completely eliminate them.
Materials and Methods: It is a prospective observational study. All the patients that defaulted obstetric procedures, mainly induction of labour and elective caesarean sections, but later represented in the hospital for management between February 2013 and January 2015 were recruited into the study. These patients and their babies were followed up till the first 7days postpatum
Results: During this study period, 66 patients represented after defaulting and managed accordingly. Majority of the patients aged 25-34 years (45 patients; 68.18%) presented after 40 weeks gestational age and were mainly of social class III (44 patients; 66.66%).Most of the defaulters, 43 patients (65.15%) had their last deliveries per vaginam and labour were spontaneously achieved, The commonest reasons for defaulting the earlier seheduled obstetric procedures were fear of the complications of the procedures and advice from friends and relations (45patients; 68: 18%). The 2 main obstetric proccdures evaluated were inductions of labour, 40 patients (60.61%) and elective caesarean sections, 26 patients (39.39%). The materno-foetal outcome considered were; birth asphyxia 26(39.39%), intrauterine foetal death, 12(18.18%). primary postpartum heamorrhage 12(18. 18%), ruptured uterus 2(3.03%), neonatal jaundice 1(1.52%), neonatal sepsis 1(1.52%), and early neonatal deaths 2(3.03%).
Conclusion: Social class of the patients, fear of complications from the procedures, advice from friends and relations and the mode of last delivery determines the acccptance of the planned obstetric procedures by the patients. Thus proper education during the antenatal clinic visits will make managing these patients easier.
Keywords: Social Class, Traditional Birth Attendants (TBA). Induction of labour (IOL), Elective Caesarean Section (ELCS), Emergency Caesarean Section (EMCS), Apgar Score (AS), Prolonged Pregnancy and Spontaneous Active Phase Labour (SAPL), Augmentation of Labour (AOL ),
