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DESCRIPTIVE STUDY TO KNOW ABOUT MOTHER-CHILD COMPLICATED CASES REFERRED TO TERRITORY CARE HOSPITAL AFTER TRIAL OF LABOUR

Rubab Zahra, Muhammad Haris Kareem, Fayzan Farooq

Background: All pregnant women are at a risk of developing complications during childbirth such difficulties often occur during labor. Lady health visitors, trained birth attendants and nurses contributing to most home deliveries may be responsible for these complications. Objectives: The aim of this study was to know about mother-child complicated cases referred to territory care hospital after trial of labour. Design of study: Descriptive case series Duration: Time period for this study was 1 year. Patients and Methods: This study was done in Services Hospital Lahore from March, 2018 to Feb 2019. Total 240 patients were selected who had labour trial outside hospital. The data regarding complication during labour was collected and analyzed in SPSS version 21. Result: Out of 240 patients, 40 (16%) were giving birth 5th time or more while 118 (49%) were giving birth for 1st time. Almost 90% patient never had any checkup before birth. There was prolonged labour in 128 (53.3%) primary postpartum hemorrhage in 30 (12.5%) obstructed labour in 76 abnormal presentations in 50 (20.83%) and prolonged rupture of membrane in 60 patients. Due to ruptured uterus, there were two maternal deaths. 24 babies died during first 12 hours. 64 still birth were observed with 102 patients had below 5 Apgar score at 5 minutes. Conclusion: Adverse outcomes are shown if complication during labour are not timely diagnosed and treated properly. Keywords: Labor, Childbirth, Obstetrics, Risk, Emergency Medical Services, Midwifery, Delivery.

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