Outcome of Obstructed Labour in Kano, Nigeria

Omole-Ohonsi, A; Belga, Francis

doi:10.3126/njog.v5i2.5077

Cited by 3 publications

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“…Out of 44 mothers diagnosed with obstructed labor, 39(88.6%) of them have developed at least one complication, PPH and puerperal sepsis being the most common complication each encountered in more than half of the Pakistan where PPH was the main complication of OL cases followed by puerperal sepsis (Shirin and Nahar 2013). It is also similar with a study done in India where PPH and puerperal sepsis were the main complication among patients with obstructed labour (Omole-Ohonsi and Belga, 2010). This could be due to the fact that women with obstructed labor had been in labor for longer periods after rupture of membrane leading to assessing infection.…”

Section: Discussionsupporting

confidence: 76%

“…In this study uterine rupture has occurred in 11(25%) of OL cases. This figure is higher than study done in India where only 7.1% of OL cases have developed uterine rupture (Omole-Ohonsi and Belga, 2010). It is however; lower than findings from a study done in Jimma Specialized Hospital in Ethiopia, where uterine rupture has complicated 45.1% of OL cases (Fantu et al, 2010).…”

Section: Discussioncontrasting

confidence: 54%

“…Eighteen (40.9%) of the babies were stillbirths or died immediately after delivery. This is lower than findings from studies done in Nigeria, Pakistan and Jimma Specialized Hospital in Ethiopia where the rate of perinatal loss among OL cases ranged from 50 to 62% (Fantu et al, 2010;Omole-Ohonsi and Belga, 2010;Gupta and Porwal, 2012;Shaikh et al, 2013;Shazia, et al, 2013). However; it is higher than findings from study conducted in six Ugandan hospitals where the rate was 14% (Kabakyenga et al, 2011).…”

Section: Discussioncontrasting

confidence: 54%

“…This is similar to Pakistani study where maternal mortality rate among OL cases was 2% (Shaikh et al, 2013). However; it is slightly higher than Nigerian study and another Pakistani studies where the rate was 1% (Omole-Ohonsi and Belga, 2010;Shazia et al, 2013). This could probably be due to the state at which the patient has admitted to the hospital or availability of drugs and blood products on the day of admission.…”

Section: Discussionsupporting

confidence: 38%

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Feto-maternal outcomes in obstructed labor in Suhul General Hospital, North Ethiopia

Ukke¹,

Gudayu²,

Gurara³

et al. 2017

Int. J. Nurs. Midwifery

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Ethiopia is one of the countries with the highest maternal mortality rates, obstructed labor and its complications being the leading causes of maternal deaths in the country. This study was aimed at assessing feto-maternal outcomes in obstructed labor in Suhul General Hospital, North Ethiopia. Institution based cross-sectional study was carried out from May 1 to August 31, 2014 in Suhul General Hospital. All mothers who had given birth in the hospital during the study period were included in the study. Data were collected by using a pre tested structured questionnaire and checklists, entered into Epi Info version 7.1.2.0 and finally transported in to SPSS version 20 software package for analysis. A total of 660 mothers had given birth in the hospital during the study period out of which 44(6.7%) were diagnosed as obstructed labor cases. More than 89% of the mothers with obstructed labor and about 93% of the babies born to them had developed at least one complication. Eighteen (40.9%) of the babies were stillbirths or had died immediately after delivery. Postpartum hemorrhaged and puerperal sepsis 25(56.8%) each and uterine rupture 11(25%) were the main maternal complications among the mothers with obstructed labor. Cesarean birth (68%), hysterectomy (20%), destructive delivery (7%) and repair of the ruptured uterus with bilateral tubal ligation in 5% were interventions done for the mothers with obstructed labor. Inaccessibility of vehicle road and time the women stayed at health centers before they were referred to the hospital have shown association with poor maternal outcomes in Fisher's Exact test. Prevalence of obstructed labor in Suhul general hospital is high with high rate of maternal and fetal complications. Improving vehicle road accessibility and giving training for health centers delivery case teams on when to refer laboring mother to the hospitals is needed in order to decease proportion of Obstructed labor and it sequels.

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Section: Discussionsupporting

confidence: 76%

Section: Discussioncontrasting

confidence: 54%

Section: Discussioncontrasting

confidence: 54%

Section: Discussionsupporting

confidence: 38%

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Feto-maternal outcomes in obstructed labor in Suhul General Hospital, North Ethiopia

Ukke¹,

Gudayu²,

Gurara³

et al. 2017

Int. J. Nurs. Midwifery

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“…Ignorance, poverty and socioeconomic deprivation, and early girl marriage and childbearing which is common in developing countries 21 , may explain why primigravidity, low socioeconomic class and unbooked status were significant risk factors in this study and other studies from developing countries 3,4,[20][21][22][23] . The high prevalence of unbooked status and young maternal age, may explain why pre-eclampsia is an independent risk factor of preterm delivery in this study, and other studies from developing countries 5 .…”

Section: Discussionmentioning

confidence: 84%

Factors Associated with Spontaneous Preterm Delivery in a Nigerian Teaching Hospital

Abiodun

Francis²

2016

Bangladesh J Obstet Gynaecol

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Objective (s): To determine the aetiological factors of preterm deliveries at Aminu Kano Teaching Hospital, Kano, Nigeria..Materials and methods: This case-control study was conducted between 1st June 2006 and 31st May 2007.One hundred and forty eight women with preterm deliveries (cases) were compared with seven hundred and forty women who delivered at term (control). Data analysis was done using Epi- Info software (6.0 CDC Atlanta Georgia, USA). Univariate and multivariate logistic regression analysis were performed and the results were expressed as odds ratio (OR) with 95% confidence interval (CI). The contribution of the risk factors were estimated using chi square test and a p-value of < 0.05 was taken as significant.Results: The period incidence of preterm deliveries was 69 per 1000 births. Unbooked and low socioeconomic statuses, primigravidity, previous preterm deliveries, multiple pregnancies, pre-eclampsia, and malaria in pregnancy were significant risk factors that were associated with preterm delivery. These associations were still demonstrable after adjusting for confounding variables.Conclusion: Early girl marriage and childbearing and spontaneous pre-labour rupture of membranes not to be independent risk factors in this study. Women with risk factors should be managed in specialist hospitals.Bangladesh J Obstet Gynaecol, 2014; Vol. 29(1) : 9-14

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A 5-year review of obstructed labour and its sequalae in the Federal Medical Centre, Yenagoa, South-South, Nigeria

Oriji¹,

Allagoa²,

Dc³

et al. 2021

Int. J. Clin. Obstet. Gynaecol.

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Background: Obstructed labour is associated with significant maternal and perinatal morbidity and mortality. Objective: To determine the incidence of obstructed labour and its maternal and perinatal outcomes. Materials and Methods: This retrospective survey was carried out between 1st January, 2016 and 31st December, 2020. Data were retrieved, entered into a pre-designed proforma, and analysed using IBM SPSS version 23.0. Results were presented in frequencies and percentages. Results: The case incidence of obstructed labour from this study was 1.1%. Unbooked status and nulliparity featured prominently in the demographics of the women. The commonest cause of obstructed labour was cephalopelvic disproportion (84.6%). Of all the women, 76.9% were referred from traditional birth attendant's homes. There was a case of maternal mortality. Conclusion:In view of the significant maternal and perinatal morbidity and mortality observed in our study, the approach to this scourge of obstructed labour should be directed towards prevention.

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Outcome of Obstructed Labour in Kano, Nigeria

Abstract: DOI: http://dx.doi.org/10.3126/njog.v5i2.5077NJOG 2010 Nov-Dec; 5(2): 38-42

Cited by 3 publications

References 0 publications

Feto-maternal outcomes in obstructed labor in Suhul General Hospital, North Ethiopia

Feto-maternal outcomes in obstructed labor in Suhul General Hospital, North Ethiopia

Factors Associated with Spontaneous Preterm Delivery in a Nigerian Teaching Hospital

A 5-year review of obstructed labour and its sequalae in the Federal Medical Centre, Yenagoa, South-South, Nigeria

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