Document Detail


Delivery of the impacted head of the fetus at caesarean section after prolonged obstructed labour: a randomised comparative study of two methods.
MedLine Citation:
PMID:  12521457     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Obstructed labour is a common obstetric complication in Nigeria associated with poor fetal and maternal outcome. Delivery of the fetus at caesarean section is always difficult, especially if the fetal head is impacted in the pelvis. The mode of delivery at caesarean section may occasionally compound the morbidity associated with obstructed labour. The purpose of this study was to examine and compare the morbidity and mortality associated with two methods of delivery of the impacted fetal head at caesarean section for obstructed labour (the push method and the pull (reverse breech) method). This study is a prospective study of cases of obstructed labour admitted into the labour ward of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife between 1 June 1998 and May 31 2000. One hundred and eight women with obstructed labour at term with live fetus undergoing caesarean section were assigned randomly to either of the methods of admission. The maternal and fetal outcomes were analysed and compared between groups. Patients in the push group had statistically significant higher rates of maternal morbidity (longer operation time, more blood loss, extension of uterine incision, endometritis, longer hospital stay and higher hospital bills) than the pull method (P < 0.05). Also the fetal morbidity was worse in the push group. The 'pull' method of delivery of impacted fetal head at caesarean section for obstruction is safer and faster than the 'push' method.
Authors:
O B Fasubaa; O C Ezechi; E O Orji; S O Ogunniyi; S T Akindele; O M Loto; F O Okogbo
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  22     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2003-01-10     Completed Date:  2003-01-31     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  375-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria. ofasubaa@oau.edu.ng
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section / methods*
Female
Humans
Infant, Newborn
Labor Stage, Second
Nigeria
Obstetric Labor Complications / surgery*
Pregnancy
Pregnancy Outcome
Prospective Studies
Time Factors
Trial of Labor

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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