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Basic indices for labour and delivery management in Nigeria
Abstract
Objectives: To determine the mean cervical dilatation at presentation, the mean presentation-delivery interval and the mean cervical dilatation rate of women who presented in active labour at the health facilities.
Materials and Methods: This was a 6 year prospective cross-sectional study of deliveries in 60 secondary health facilities in Nigeria from 1st July, 2003- 31st July, 2008 using the Emergency Obstetric care Register.
Results: Out of the 1,176 deliveries, 909 (77.3%), 120 (10.2%) and 147 (12.5%) were spontaneous vaginal deliveries, dystocic vaginal deliveries and Caesarean sections respectively. The mean cervical dilatation, presentation-delivery interval and the cervical dilatation rate were 7.05cm, 3 hours 29 minutes and 1.36cm/hr respectively. The mean cervical dilatation rate for spontaneous deliveries, assisted deliveries, and caesarean sections were 1.6, 0.7 and 0.5 cm/h respectively.
Conclusion: Adequate labour monitoring by the junior obstetric team for early detection/management of slow progress and review of all women that have not delivered within 6 hours of labour by the experienced obstetric staff will prevent prolonged labour.
Keywords: Labour, Basic delivery indices, Nigeria
Trop J Obstet Gynaecol, 30 (1), April 2013
