Original article
English
H.M. Legnain, M.M. Legnain, H. Kubti
Jamahiriya Hospital; Department of Obstetrics and Gynecology; Benghazi; Libya
Garyounis Medical Journal Vol. 21, No.1. 2004:8-10
Abstract
Background: The increase in the rate of cesarean section in our hospital over the last 10 years has always been of concern. Objective: To find the true contribution of dystocia to overall cesarean section and the causes of dystocia. Setting: Al — Jamahiriya hospital, department of Obstetrics and Gynecology, Benghazi, Libya. Materials and Methods: The study included all patients who were admitted to the labour ward between June 1 and November 30th after diagnosis of labour, the patient was monitored for progress of labour. Failure of progress is diagnosed when cervical dilatation at a rate of less than 1cm per hour or when there is secondary arrest in the first stage or the second stage of labour that initially progressed normally. Results: We had 7974 deliveries,1759 primigravida, 6215 multigravida.1206 caesarean sections (15.12%) repeated caesarean section ((32.84%), fetal distress (18.90%), dystocia (14.80%), breech (8.21%), others (25.24%). We had 215 cases of previous caesarean section in labour. 89 cases induced by prostaglandin. We had 178 cases of dystocia (14.8%), 50 primi and 128 were multi. We had 53 cases (24.65%) had repeated caesarean section because of dystocia, the causes of dystocia failed indction (6.18%), CPD (29.77%), OP. (26.96%), inefficient uterine action (16.85%), malpresentation (20.22%), 17 cases taken for previous caesarean section at fully dilated cervix. Conclusion: The study showed that emergency cesarean section is the largest category of caesarean section (38%) of overall cesarean sections and dystocia is the single, most common primary indication for cesarean section (14.8%) which comprised (39.2%) of emergency caesarean section. Also we managed labour suboptimally before making the diagnosis of dystocia.
Keywords: Dystocia, Caesarean section, Labour.
Link/DOI: