Obstructed labour is a common preventable causes of both maternal and perinatal morbidity mortality in developing countries affecting 3-6% labouring women globally accounts for an estimated 8% deaths Sub-Saharan Africa South Asia. Objective: To determine the prevalence outcome obstructed Gynaecology Obstetrics Department at tertiary hospital Northern Uganda. Method: This was retrospective chart...

Background: Access to health services in Afghanistan has expanded in the last decade; however, gaps in care quality and outcomes of care remain a challenge. Recognizing these gaps, in 2009 the USAID Health Care Improvement Project (HCI) began assisting the Ministry of Public Health (MoPH) in Afghanistan to improve the quality of health services. Though eventually scaled up to nine provinces, in...

OBJECTIVE In low-resource settings, obstructed labour is strongly associated with severe maternal morbidity and intrapartum asphyxia, and consequently maternal and perinatal deaths. This study evaluated the impact of a criteria-based audit of the diagnosis and management of obstructed labour in a low-resource setting. METHODS A baseline criteria-based audit was conducted from October 2013 to ...

BACKGROUND The participation of nurses and midwives in vaginal birth care is limited in Brazil, and there are no national data regarding their involvement. The goal was to describe the participation of nurses and nurse-midwives in childbirth care in Brazil in the years 2011 and 2012, and to analyze the association between hospitals with nurses and nurse-midwives in labor and birth care and the ...

BACKGROUND The goal of reducing maternal mortality can be achieved when women receive important service components at the time of their maternity care. This study attempted to assess the availability and the components of maternity services according to the perspectives of service users and providers. METHOD A linked facility and population-based survey was conducted over three months (Januar...

BACKGROUND Acupressure has been used frequently to improve labor, manage labor pain, and shorten delivery time. However, there has been little research-based evidence to support the positive effects of acupressure in the obstetric area and obstetric nursing. OBJECTIVES The aim of this study was to evaluate the effects of SP6 acupressure on labor pain and delivery time in primigravida women in...

As most pregnancy-related deaths and morbidities are clustered around the time of childbirth, quality of care during this period is critical to the survival of pregnant women and their babies. Despite the wide acceptance of partograph as the central tool to optimize labour outcomes for over 40 years, its use has not successfully improved outcomes in many settings for several reasons. There are ...

results there were significant differences between the groups in subjective labor pain scores (except vas 4) (p < 0.001). the duration of the phase one (3 cm dilatation to full dilatation) and phase two (full dilatation to birth) in the acupressure group was shorter than the control group (phase one, 225 min and 320 min, respectively; phase two, 15 min and 20 min, respectively; both p < 0.001)....

From the Department of Obstetrics & Gynecology Christian Medical College & Hospital Ludhiana-141008 Correspondence to : Dr. Puja Puri, 295-Bx, Model Town Extension, Ludhiana-141002 Vaginal Birth after Caesarean Section (VBAC) has always remained a domain of controversies and dilemma in Obstetrics. Nearly 100 years ago it was believed that 'once a C-Section, always a C-Section'. The reasons for ...