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Obstructed Labour - An Avoidable Tragedy

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    1. Obstructed Labour - An Avoidable Tragedy & DR. ANITA LENKA, M.B.B.S. Postgraduate

    2. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 2

    3. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 3 MATERIAL & METHODS

    4. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 4 MAGNITUDE OF OBSTRUCTED LABOUR IN OUR HOSPITAL

    5. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 5 AGE AND PARITY OF PATIENTS

    6. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 6 DEMOGRAPHIC PROFILE

    7. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 7 MATERNAL CONDITION AT ADMISSION

    8. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 8

    9. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 9 CAUSES OF OBSTRUCTED LABOUR

    10. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 10 MODE OF DELIVERY CAESAREAN SECTION 213* 83.20% Live Births 190+ Still Births 24+ Neonatal Death 24 DESTRUCTIVE OPERATIONS 17 06.64% Craniotomy 06 Evisceration 08 RUPTURED UTERUS 26 10.16% Hysterectomy 22 Repair 04 TOTAL 256

    11. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 11 MATERNAL MORBIDITY AND MORTALITY

    12. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 12 NEONATAL MORBIDITY AND MORTALITY IN 161 LIVE BIRTHS

    13. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 13 These tragic case histories bear testimony to the fact that obstructed labour is the result of multi level deficiencies in our health care delivery system. Once this complication arise, swift access to high quality professional treatment is essential, if lives are to be saved. However more importantly it is essential that all efforts should be made to prevent the occurrence of the complications in the first place. For this we have to improve the socio-economic environment of the women. There is need for information on existing facilities, utilization of facilities, changing demands and accessibility and availability of efficacious and safe obstetric care CONCLUSION

    14. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 14 To decrease this unfortunate & mostly preventable obstetric complication, restructuring of M.C.H. Services should be done with particular attention to: - Increasing community awareness Promotion of appropriate technology and Effective health care planning starting from grassroots levels to tertiary levels Establishment of an streamlined and effective referral system CONCLUSION

    15. 24 October 2011 Obstructed Labour-An avoidable Tragedy--Prof.S.N.Panda & Dr Anita Lenka 15