Obstructed labour in Enugu, Nigeria
Summary All cases of obstructed labour seen and managed at the University of Nigeria Teaching Hospital, Enugu, Nigeria, between January 1999 and December 2004 were identified from the Accident and Emergency department records, labour ward and obstetric theatre records. There were 4,521 deliveries du...
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Veröffentlicht in: | Journal of obstetrics and gynaecology 2008-08, Vol.28 (6), p.596-599 |
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container_title | Journal of obstetrics and gynaecology |
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creator | Nwogu-Ikojo, E. E. Nweze, S. O. Ezegwui, H. U. |
description | Summary
All cases of obstructed labour seen and managed at the University of Nigeria Teaching Hospital, Enugu, Nigeria, between January 1999 and December 2004 were identified from the Accident and Emergency department records, labour ward and obstetric theatre records. There were 4,521 deliveries during the study period and 120 (2.7%) of these were complicated by obstructed labour. Of the 120 women, 68 (56.7%) were nullipara. A total of 41 women (34.2%) were booked, 70 (58.3%) unbooked, and 9 (7.5%) booked elsewhere. Most women were in occupational social class V. The cause of obstruction was cephalopelvic disproportion in 68 women (56.6%). The most common intervention was a lower segment caesarean section. Perinatal mortality was 30%. There were four maternal deaths (3.3%). Obstructed labour remains a major public health problem in Nigeria contributing significantly to perinatal mortality and maternal morbidity and mortality. |
doi_str_mv | 10.1080/01443610802281682 |
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All cases of obstructed labour seen and managed at the University of Nigeria Teaching Hospital, Enugu, Nigeria, between January 1999 and December 2004 were identified from the Accident and Emergency department records, labour ward and obstetric theatre records. There were 4,521 deliveries during the study period and 120 (2.7%) of these were complicated by obstructed labour. Of the 120 women, 68 (56.7%) were nullipara. A total of 41 women (34.2%) were booked, 70 (58.3%) unbooked, and 9 (7.5%) booked elsewhere. Most women were in occupational social class V. The cause of obstruction was cephalopelvic disproportion in 68 women (56.6%). The most common intervention was a lower segment caesarean section. Perinatal mortality was 30%. There were four maternal deaths (3.3%). Obstructed labour remains a major public health problem in Nigeria contributing significantly to perinatal mortality and maternal morbidity and mortality.</description><identifier>ISSN: 0144-3615</identifier><identifier>EISSN: 1364-6893</identifier><identifier>DOI: 10.1080/01443610802281682</identifier><identifier>PMID: 19003653</identifier><identifier>CODEN: JOGYDW</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Adult ; Age Distribution ; Cephalopelvic Disproportion - epidemiology ; Cesarean Section - statistics & numerical data ; Childbirth & labor ; Female ; Humans ; Maternal death ; Mortality ; Mothers ; Nigeria - epidemiology ; Obstetric Labor Complications - epidemiology ; Obstetrics ; obstructed labour ; perinatal mortality ; Pregnancy ; Social classes ; Young Adult</subject><ispartof>Journal of obstetrics and gynaecology, 2008-08, Vol.28 (6), p.596-599</ispartof><rights>2008 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2008</rights><rights>Copyright Taylor & Francis Ltd. Aug 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c431t-e1013ebe396007833bdca3054dd1f851028aa906a8a4a3a6f12dc4c1d32b20d03</citedby><cites>FETCH-LOGICAL-c431t-e1013ebe396007833bdca3054dd1f851028aa906a8a4a3a6f12dc4c1d32b20d03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/01443610802281682$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/01443610802281682$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,59647,60436,61221,61402</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19003653$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nwogu-Ikojo, E. E.</creatorcontrib><creatorcontrib>Nweze, S. O.</creatorcontrib><creatorcontrib>Ezegwui, H. U.</creatorcontrib><title>Obstructed labour in Enugu, Nigeria</title><title>Journal of obstetrics and gynaecology</title><addtitle>J Obstet Gynaecol</addtitle><description>Summary
All cases of obstructed labour seen and managed at the University of Nigeria Teaching Hospital, Enugu, Nigeria, between January 1999 and December 2004 were identified from the Accident and Emergency department records, labour ward and obstetric theatre records. There were 4,521 deliveries during the study period and 120 (2.7%) of these were complicated by obstructed labour. Of the 120 women, 68 (56.7%) were nullipara. A total of 41 women (34.2%) were booked, 70 (58.3%) unbooked, and 9 (7.5%) booked elsewhere. Most women were in occupational social class V. The cause of obstruction was cephalopelvic disproportion in 68 women (56.6%). The most common intervention was a lower segment caesarean section. Perinatal mortality was 30%. There were four maternal deaths (3.3%). Obstructed labour remains a major public health problem in Nigeria contributing significantly to perinatal mortality and maternal morbidity and mortality.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Cephalopelvic Disproportion - epidemiology</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Childbirth & labor</subject><subject>Female</subject><subject>Humans</subject><subject>Maternal death</subject><subject>Mortality</subject><subject>Mothers</subject><subject>Nigeria - epidemiology</subject><subject>Obstetric Labor Complications - epidemiology</subject><subject>Obstetrics</subject><subject>obstructed labour</subject><subject>perinatal mortality</subject><subject>Pregnancy</subject><subject>Social classes</subject><subject>Young Adult</subject><issn>0144-3615</issn><issn>1364-6893</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9Lw0AQxRdRtFY_gBcpCp6Mzuwm2w16kVL_QLEXPS-T3U1NSRPdTZB-e1NaKCp6moH5vTczj7EThCsEBdeAcSzkquVcoVR8h_VQyDiSKhW7rLeaRx2QHLDDEOYAgJDE--wAUwAhE9Fj59MsNL41jbODkrK69YOiGoyrdtZeDp6LmfMFHbG9nMrgjje1z17vxy-jx2gyfXga3U0iEwtsIoeAwmVOpBJgqITIrCHRLbQWc5UgcEWUgiRFMQmSOXJrYoNW8IyDBdFnF2vfd19_tC40elEE48qSKle3Qct0qKRKZAee_QDn3eFVd5vmmAy5UDLtIFxDxtcheJfrd18syC81gl5lpn_F12lON8ZttnB2q9jk1QG3a6Co8tov6LP2pdUNLcva554qUwQt_vO_-SZ_c1Q2b4a8237wt_oLTNSMTw</recordid><startdate>200808</startdate><enddate>200808</enddate><creator>Nwogu-Ikojo, E. E.</creator><creator>Nweze, S. O.</creator><creator>Ezegwui, H. U.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200808</creationdate><title>Obstructed labour in Enugu, Nigeria</title><author>Nwogu-Ikojo, E. E. ; Nweze, S. O. ; Ezegwui, H. U.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-e1013ebe396007833bdca3054dd1f851028aa906a8a4a3a6f12dc4c1d32b20d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Age Distribution</topic><topic>Cephalopelvic Disproportion - epidemiology</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Childbirth & labor</topic><topic>Female</topic><topic>Humans</topic><topic>Maternal death</topic><topic>Mortality</topic><topic>Mothers</topic><topic>Nigeria - epidemiology</topic><topic>Obstetric Labor Complications - epidemiology</topic><topic>Obstetrics</topic><topic>obstructed labour</topic><topic>perinatal mortality</topic><topic>Pregnancy</topic><topic>Social classes</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nwogu-Ikojo, E. E.</creatorcontrib><creatorcontrib>Nweze, S. O.</creatorcontrib><creatorcontrib>Ezegwui, H. U.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nwogu-Ikojo, E. E.</au><au>Nweze, S. O.</au><au>Ezegwui, H. U.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obstructed labour in Enugu, Nigeria</atitle><jtitle>Journal of obstetrics and gynaecology</jtitle><addtitle>J Obstet Gynaecol</addtitle><date>2008-08</date><risdate>2008</risdate><volume>28</volume><issue>6</issue><spage>596</spage><epage>599</epage><pages>596-599</pages><issn>0144-3615</issn><eissn>1364-6893</eissn><coden>JOGYDW</coden><abstract>Summary
All cases of obstructed labour seen and managed at the University of Nigeria Teaching Hospital, Enugu, Nigeria, between January 1999 and December 2004 were identified from the Accident and Emergency department records, labour ward and obstetric theatre records. There were 4,521 deliveries during the study period and 120 (2.7%) of these were complicated by obstructed labour. Of the 120 women, 68 (56.7%) were nullipara. A total of 41 women (34.2%) were booked, 70 (58.3%) unbooked, and 9 (7.5%) booked elsewhere. Most women were in occupational social class V. The cause of obstruction was cephalopelvic disproportion in 68 women (56.6%). The most common intervention was a lower segment caesarean section. Perinatal mortality was 30%. There were four maternal deaths (3.3%). Obstructed labour remains a major public health problem in Nigeria contributing significantly to perinatal mortality and maternal morbidity and mortality.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>19003653</pmid><doi>10.1080/01443610802281682</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; Taylor & Francis:Master (3349 titles) |
subjects | Adult Age Distribution Cephalopelvic Disproportion - epidemiology Cesarean Section - statistics & numerical data Childbirth & labor Female Humans Maternal death Mortality Mothers Nigeria - epidemiology Obstetric Labor Complications - epidemiology Obstetrics obstructed labour perinatal mortality Pregnancy Social classes Young Adult |
title | Obstructed labour in Enugu, Nigeria |
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