CLINICAL STUDY OF LABOUR OUTCOME IN VARIOUS MALPRESENTATION
Shamrao Wakode*, Roshni Alam and Utkarsh Guthe
Foetal malpresentation has the significant incidence in the lower- and middle-income countries (LMIC). The malpresentation leads to increase probability of operative delivery, also determine the maternal and foetal outcomes. We conducted the study with an objective to identify the various types of malpresentations and associated factors for it and incidence of abnormal labour due to misrepresentation. And the aim of the study is to assess the maternal and foetal outcomes in various malpresentation during labour. We conducted the prospective cohort study in the tertiary care hospital in Marathwada region. We estimated the incidence of different types of malpresentation and associated maternal and foetal outcomes. The study findings depicted that breach presentation is observed in 77 (70%) of the patients while the transverse presentation is observed in 21 (19.09%) of patients. The study also illustrated that around 64 (58.18%) of patients undergone caesarean section, while 14 (12.73%) patients experienced atonic postpartum haemorrhage (PPH). While in terms of perinatal outcome study demonstrated that 21 (17.35%) of foetus needed NICU admission >24 hrs while around 15 (12.40%) foetus shows Apgar score <7 at 5 minutes. The study concluded that early detection of malpresentation and its potential cause, as well as prompt referral from a peripheral health centre to an institution with all necessary resources should be provided.
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