A prospective population-based study of maternal, fetal, and neonatal outcomes in the setting of prolonged labor, obstructed labor and failure to progress in low- and middle-income countries.

HARRISON M; ALI SÇ; PASHA O; SALEEM S; ALTHABE F; BERRUETA M; MAZZONI A; CHOMBA E; CARLO WA; GARCES A; KREBS N; HAMBIDGE KM; GOUDAR S; DHADED SM; KODKANY B; DERMAN R; PATEL A; HIBBERD P; ESAMAI F; LIECHTY EA; MOORE J; KOSO-THOMAS M; MCCLURE E; GOLDENBERG R

REPRODUCTIVE HEALTH MATTERS (PRINT)

Reproductive Health

Año: 2015

0968-8080

BACKGROUND:This population-based study sought to quantify maternal, fetal, and neonatal morbidity and mortality in low- and middle-income countries associated with obstructed labor, prolonged labor and failure to progress (OL/PL/FTP).METHODS:A prospective, population-based observational study of pregnancy outcomes was performed at seven sites in Argentina, Guatemala, India (2 sites, Belgaum and Nagpur), Kenya, Pakistan and Zambia. Women were enrolled in pregnancy and delivery and 6-week follow-up obtained to evaluate rates of OL/PL/FTP and outcomes resulting from OL/PL/FTP, including: maternal and delivery characteristics, maternal and neonatal morbidity and mortality and stillbirth.RESULTS:Between 2010 and 2013, 266,723 of 267,270 records (99.8%) included data on OL/PL/FTP with an overall rate of 110.4/1000 deliveries that ranged from 41.6 in Zambia to 200.1 in Pakistan. OL/PL/FTP was more common in women aged 3500g, and women with a BMI >25 (RR 1.4, 95% CI 1.3 - 1.5), with the suggestion of OL/PL/FTP being less common in preterm deliveries. Protective characteristics included parity of ≥3, having an infant