STUDY OF MATERNAL AND FETAL OUTCOME IN OBSTRUCTED LABOUR IN A TERTIARY CARE CENTRE.

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]