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Background and objectives: To ascertain the prevalence of obstructed labour and to research numerous risk variables that affect obstructed labour To research the problems related to pregnancy and birth and, investigate about maternal and perinatal deaths in addition to the numerous variables that contribute to these losses. To Discuss methods for reducing obstructed labour with the available resources. Methods: A prospective study was carried out for a full year, from January 2020 to December 2020, in the Obstetrics and Gynaecology Department at Kurnool Medical College, Kurnool, Andhra Pradesh, India, in which all term pregnant women with obstructed labour who attend labour room emergency referred from outlying health care facilities were included. Results: In the present study, 69% of the cases were 21 to 30 years old, followed by 19% aged 21 and 12% aged 31 and older. Mean height was 142.7+ 4.0 cm. 59.5% of the pregnant women were primigravida, followed by second (16.7%) and third (11.9%) gravidas. 14.7% of cases with a labour duration of 24 hours had PPH and 62.5% of cases with a labour duration >24 hours had PPH. 11.8% of cases with a duration of labour 24 hours and 50% of cases with a duration of labour >24 hours had APGAR of 0, and 50% of cases with a duration of labour 24 hours and 0% of cases with a duration of labour >24 hours had APGAR of 10. Conclusion: Even though obstructed labour is preventable, it still significantly increases mother and infant morbidity in our country. As a result, prevention is better than treatment. Enhancing remote healthcare can reduce incidence. [ABSTRACT FROM AUTHOR]

Aims & Objectives: To compare the incidence of placenta previa in current pregnancy in women with previously scarred and unscarred uterus. To compare the differences in incidence of placenta previa in current pregnancy in women with previously scarred and unscarred uterus; To compare the difference in maternal complications in current pregnancy in women with previously scarred and unscarred uterus; To compare the difference in fetal complications in current pregnancy in women with previously scarred and unscarred uterus. Methods: This was a Prospective cohort study conducted at Department. of Obstetrics and Gynecology, Kurnool Medical College and associated hospital, Kurnool from March 2021 to March 2022. Results: There were a total 1000 participants in the trial, of which 500 had a history of vaginal delivery in the past (Control Group PVD) and 500 had a history of uterine scarring in the past (Study Group PSU). In this current study, there were no significant differences in this patient distribution between the two groups based on presenting complaints like APH, and mean age, parity, GA, and foetal complications not appearance were comparable between the two groups. In this present study, in the women group PSU the number of previous cesarean sections were 1 in 69.2%, 2 in 27.6%, 3 in and above is 1.2% of the women, 2% of the women have history of D&C. With their history of one, two, three, or more cesarean sections or history of DC, placenta previa was observed in 3.1%, 12.3%, 33.3%, and 10% of instances, and the difference was determined to be statistically significant, indicating that scarring is a substantial risk factor for previa. Placenta prevalence was 2.4% in the PVD group and 6.8% in the PSU group, indicating a higher prevalence in the PSU group. The Placenta Previa group of PSU had more postpartum hemorrhage cases and interventions than the PVD group. Low birth weight (LBW), preterm, low APGAR scores, and NICU admissions were comparable in both groups with a modest increase in the PSU group. Conclusion: The current study's findings showed that uterine scarring in the past had a substantial impact on the chance of placenta previa in a subsequent pregnancy. Therefore, it's critical to encourage vaginal birth as much as possible. Regular prenatal checks, early diagnosis, and skillful management of previa are the keys to optimal maternal care. [ABSTRACT FROM AUTHOR]