Vol. 3, Issue 7, Part S (2017)

Background and objectives: The primary aim of this research is to ascertain the prevalence of labor constrictions and examine diverse risk variables linked to labor constriction. The aim of this study is to investigate the topics related to pregnancy, with a specific emphasis on maternal and perinatal mortality, as well as the diverse variables that contribute to these deaths. Analyze methods and approaches for reducing labor obstructions by utilizing the current resources.

Methods: A one-year prospective study was conducted at the Department of Psychiatry, GSL Medical College, Rajamahendravaram, Jagannadhapuram Agraharam, Andhra Pradesh, India. This tertiary care facility serves as a link for term pregnant women experiencing obstructed labor who present with emergency situations in the labor room, originating from outlying healthcare facilities. The study spanned from June 2016 to May 2017.

Results: The age range of the patients was 21 to 30 years, with 69% falling within this age group, followed by 19% aged 21, and 12% aged 31 and above. The average height was 142.7+14.0 cm. The study found that 59.5% of the subjects identified as primigravida, whereas 16.7% and 11.9% identified as gravidas. The prevalence of postpartum hemorrhage (PPH) was found to be 14.7% in cases with a labor duration of 24 hours, and 62.5% in cases with a labor duration exceeding 24 hours. In cases where the duration of labor was 24 hours, 11.8% of the cases and 50% of the cases had an APGAR value of 0. Conversely, in cases where the duration of labor was 24 hours and 0% of the cases had a duration of labor greater than 24 hours, the APGAR value was 10.

Conclusion: Despite the preventability of obstructed labor, it continues to have a substantial impact on maternal and baby morbidity rates within our nation. Consequently, prevention proves to be more advantageous than treatment. Improving remote healthcare has the potential to decrease an occurrence.