Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 23

July - September 2007

Number  4


 

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Natural delivery in 1500 Afghan primegravidae

Lala Rukh Malik1, Hashim Khan Mohmand2, Asad Khan Mahmand3

ABSTRACT

Objective: To assess the advantages and disadvantages of natural labour with minimal intervention in 1500 primigravidae.

Methodology: It was an open observational study conducted at department of Obstetrics and Gynecology, Mercy Hospital, Peshawar, Pakistan from May 31, 2000 to June 07, 2002. One thousand five hundred Afghan primigravidae at or above 36 weeks of gestation went through natural labour. Components of "active labour" management were avoided as far as possible.

Results: The group had a low induction and augmentation rate. Breech, forceps and vacuum extraction accounted for 114 cases. The remaining 1340 women had vertex delivery with the following outcome: No episiotomy and no tear in 60.3%, minor lacertion in 5.4%, first degree tear in 18.2%, second degree tear in 5.8% and third degree tear in one patient only. Cervical tears occurred in 0.44% cases. Artificial rupture of membranes was only performed for medical or obstetrical indications. The average duration of third stage was 8 minutes and PPH rate 1.2% inspite of Non-use of oxytocics. Low Caesarean Section rate (4.7%) low perinatal mortality and "zero" maternal mortality speak in favour of "masterly inactivity".

Conclusion: Natural labour with minimal intervention appears to be safe, gratifying and economical.

KEY WORDS: Primigravidae, Natural labour, Minimal intervention.

Pak J Med Sci   July - September 2007   Vol. 23 No. 4   602-606


1. Lala Rukh Malik,
G.P.O Box 363, Peshawar,
N.W.F.P. – Pakistan.
2. Hashim Khan Mohmand,
8072, Plantation Drive,
West Chester,
Ohio 45069, U.S.A.
E-mail: hashimkm@yahoo.com
3. Asad Khan Mohmand,
1213, Eagles Point Court, East Lansing,
Michigan 48823, U.S.A.

Correspondence

Lala Rukh Malik,
E-mail: lalarukh35@yahoo.com
alafkhan1972@yahoo.com

* Received for Publication: May 4, 2007
* Online Received: May 31, 2007
* Accepted: June 23, 2007


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