Objective: The objective of the study was to determine the frequency of maternal outcome in obstructed labour. Study Design: Descriptive Case Series. Setting: Labour Ward of Nishtar Hospital Multan, Pakistan. Period: 01-11-2018 to 30-04-2019. Material & Methods: Two hundred and forty two clinically diagnosed cases of obstructed labour admitted in labour ward of Nishtar Hospital Multan were enrolled for the study. Patients were monitored till delivery (vaginal/caesarean section) and complication of pregnancy were assessed till six week postpartum. Outcome variables i.e. complications like sepsis, uterine rupture, bladder rupture, vesicovaginal fistula, postpartum haemorrhage, and mortality was noted. Data was analyzed by using SPSS version 10.0. Results: The majority of women was in age group 20-29 years i.e. 42.97% and were primigravida. Sepsis was the most frequent maternal complication observed i.e. in 22.31% of cases. Postpartum haemorrhage was next in line i.e. in 19.42% of cases. Uterine and bladder rupture was a finding in 16.94% and 7.02% of cases respectively. Vesicovaginal fistula was recorded in 12 (4.95%) patients and there were 1 (4.54%) maternal deaths during the study period. Conclusion: Obstructed labour is an important and preventable cause of both maternal morbidity and mortality and needs to be addressed adequately with provision of better antenatal, intrapartum, and postnatal care.
Complex Vesicovaginal Fistula Repair with Gracilis Muscle Interposition Flap - Case Series of 5 Patients and Review of Literature
