FETOMATERNAL OUTCOME OF PATIENTS REFERRED TO TERTIARY CARE HOSPITAL AFTER TRIAL OF LABOUR

Objective: To find out the fetomaternal outcome of patients referred to tertiary care hospital after trial of labour. Methodology: This descriptive study was conducted in the Department of Obstetrics and Gynaecology, Hayatabad Medical Complex, Peshawar. All patients admitted in the labour room who had trial of labour outside the hospital by midwife, lady health visitor (LHV) or doctor were included in the study. Patients who were not handled outside hospital were excluded. Patients were selected through non probability convenient sampling technique after in­formed written consent. At the time of admission detail clinical evaluation was done to assess the condition of both mother and fetus. Patients were then managed according to the labour suit protocols. Data were entered on a predesigned proforma and then analyzed using descriptive statistics including frequencies and percentages using SPSS version 20. Results: A total of 186 patients were included in the study. Mean age of the patients was 27±6.8 years. Majority of the patients were multigravida (38.70%). Most of the patients were handled by LHV/ midwives 109(58.60%). About 43.54% patients underwent cesarean section and 13.43% were delivered by instrumental delivery. Rup­tured uterus was diagnosed in 1.07% cases, while 2.5% were having scar dehiscence. Postpartum haemorrhage occurred in 25 (13.44%) women. About 64(34.40%) babies were delivered with low APGAR score and 18(9.67%) babies were admitted in NICU. Conclusion: Women who were handled outside hospital were associated with poor fetomaternal outcome.