Interestingly, in this particular study, twin pregnancies were at lower risk of developing obstructed labor
. It could be due to the presence of other obstetrics complications that make these patients visit health facility before they develop obstructed labor
Among the 16 patients who were delivered by LSCS, placenta previa, transverse lie, and obstructed labor
constitute 4 patients each (25%), followed by failed induction which constitutes 2 patients (12.5%), 2 patients (12.5%) presented with rupture uterus which can be attributed to obstructed labor
The reasons for this are not well understood, although experts have hypothesized that women with OF have higher rates of preterm birth because of severe cervical damage and avulsion that occur during prolonged obstructed labor
, which leads to cervical insufficiency .
from Sierra Leone reported a neglected case of conjoined twins presented with obstructed labor
after delivery of one head where delivery is finally achieved by caesarean section after repositioning of the born head .
is diagnosed in women presenting with features of prolonged or complicated labor, such as labor duration >24 hours, distended bladder, Bandl's ring in the lower uterine segment, fetal distress or death, edematous vulva or cervix, fetal caput or significant skull molding, and foul smelling vaginal discharge or amniotic fluid .
The participants were also exposed to surgery of patients suffering from fistula which occurs due to obstructed labor
after gynecological surgical procedures.
The major causes of maternal mortality world over are hemorrhage, hypertensive disorders, sepsis, obstructed labor
An obstetric fistula is a hole in the birth canal caused by prolonged, obstructed labor
The major causes of maternal deaths are hemorrhage, puerperal sepsis, toxemia of pregnancy and obstructed labor
, he informed and added that several studies on maternal mortality have identified the need for addressing delays in accessing emergency obstetric care and for integrated efforts for saving mothers' lives both at the community and hospital level.
Table 1: Maternal Death in Relation to Causes Direct Causes--197 (70.61%) Indirect Causes--82 (29.39%) Hypertension--105 (37.63%) * APE--53 (18.99%) Severe anaemia--69 (24.73%) * PPE--11 (3.94%) * HTN-41(14.70%) Infection--41 (14.70%) Septic abortion-12 (4.30%) Jaundice-4 (1.43%) Puerperal sepsis-29 (10.39) Hemorrhage--36 (12.90%) CNS disorder-5 (1.79%) * APH--13 (4.66%) * Myasthenia graves--01 * PPH--15 (5.38%) * Meningitis--01 * Ectopic-5 (1.79%) * Epilepsy-01 * Abortion 3 (1.08%) * GBS-01 * Quadriplegia--01 Obstructed labor
10 (3.58%) Heart disease--01 (0.36%) Embolism 04(1.43%) Anaphylaxis due to blood transfusion--01 (0.36%) Anesthetic complication-01(0.36%) Acute respiratory distress syndrome--02 (0.72%) Table 2: No.
WHO's new Safe Childbirth Checklist and Implementation Guide targets the major causes of maternal and newborn complications and deaths, including post-partum haemorrhage, infection, obstructed labor
, preeclampsia and birth asphyxia.
Lessons from the developing world: obstructed labor
and the vesico-vaginal fistula.