Management of prolonged first stage of labour in a low-resource setting: lessons learnt from rural Malawi.

ABSTRACT:

Background

Caesarean sections without medical indication cause substantial maternal and perinatal ill-health, particularly in low-income countries where surgery is often less safe. In presence of adequate labour monitoring and by appropriate use of evidence-based interventions for prolonged first stage of labour, unnecessary caesarean sections can be avoided. We aim to describe the incidence of prolonged first stage of labour and the use of amniotomy and augmentation with oxytocin in a low-resource setting in Malawi.

Methods

Retrospective analysis of medical records and partographs of all women who gave birth in 2015 and 2016 in a rural mission hospital in Malawi. Primary outcomes were incidence of prolonged first stage of labour based on partograph tracings, caesarean secti

SUBMITTER: Bakker W 

PROVIDER: S-EPMC8141136 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature