Prevalence of Dystocia its Risk Factors and Complications among the Women of District Buner, Pakistan
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Abstract
Background: Dystocia, characterized by abnormally slow labor, is a significant cause of primary cesarean delivery globally. It poses serious risks to maternal and neonatal health and is often associated with increased healthcare costs. Despite its prevalence, there is no universal definition of dystocia, making it a complex condition to manage and study.
Objective: The study aimed to investigate the prevalence, risk factors, and complications associated with dystocia among women in District Buner, Pakistan, from September 2021 to September 2022. It also sought to understand the geographic distribution of dystocia cases and the effectiveness of different management strategies.
Methods: A cross-sectional study was conducted in various healthcare facilities across District Buner, including DHQ Daggar, Buner Medical Complex Daggar, and Rahman Medical Complex Jowar. A total of 1,527 women with dystocia were examined. Data collection involved structured questionnaires and interviews with healthcare professionals. The study focused on two types of dystocia: labor dystocia and shoulder dystocia. Statistical analysis was performed to assess the prevalence, risk factors, and complications related to dystocia.
Results: The study found that 97.11% of the dystocia cases were labor dystocia, and 2.881% were shoulder dystocia. Dystocia prevalence varied with age: 3.01% in women below 20 years, 2.03% in 20-30 years, and 95.02% in 30-50 years. Nulliparous women accounted for 50.03% of dystocia cases. Geographically, the prevalence of dystocia in different tehsils ranged from 0.98% to 30.58%. Breech presentation was the cause in 3.34% of dystocia cases, transverse presentation in 0.26%, and oblique presentation in 0.72%.
Conclusion: The study underscores the high prevalence of labor dystocia in District Buner, especially among nulliparous women and those in the age group of 30-50 years. It highlights the need for enhanced prenatal care and targeted intervention strategies to manage and reduce the risks associated with dystocia.
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References
Rahnama P, Ziaei S, and Faghihzadeh S, (2006). Impact of early admission in labor on method of delivery, International Journal of Gynecology & Obstetrics, vol. 92, pp. 217-220.
Ragusa A, Gizzo S, Noventa M, Ferrazzi E, Deiana S, and Svelato A, (2016). Prevention of primary caesarean delivery: comprehensive management of dystocia in nulliparous patients at term, Archives of gynecology and obstetrics, vol. 294, pp. 753-761.
Nahaee J, Abbas-Alizadeh F, Mirghafourvand M, and Mohammad-Alizadeh-Charandabi S, (2020). Pre-and during-labour predictors of dystocia in active phase of labour: A case-control study, BMC Pregnancy and Childbirth, vol. 20, pp. 1-11.
Zhu B P, Grigorescu V, Le T, Lin M, Copeland G, Barone M, (2006). Labor dystocia and its association with interpregnancy interval, American journal of obstetrics and gynecology, vol. 195, pp. 121-128.
Neal J L, Ryan S L, Lowe N K, Schorn M N, Buxton M, Holley S L, (2015). Labor dystocia: uses of related nomenclature, Journal of midwifery & women's health, vol. 60, pp. 485-498.
Selin L, Wallin G, and Berg M, (2008). Dystocia in labour–risk factors, management and outcome: a retrospective observational study in a Swedish setting, Acta obstetricia et gynecologica Scandinavica, vol. 87, pp. 216-221.
Mehta S H, Blackwell S C, Chadha R, and Sokol R J, (2007). Shoulder dystocia and the next delivery: outcomes and management," The Journal of Maternal-Fetal & Neonatal Medicine, vol. 20, pp. 729-733.
Mehta S H, Bujold E, Blackwell S C, Sorokin Y, and Sokol R J, (2004). Is abnormal labor associated with shoulder dystocia in nulliparous women?, American journal of obstetrics and gynecology, vol. 190, pp. 1604-1607.
Khan S, Haq F, and Saeed K, (2012). Pollution load in industrial effluent and ground water due to marble industries in District Buner, Khyber Pakhtunkhwa, Pakistan, International Journal of Recent Scientific Research, vol. 3, pp. 366-368.
Zada N, Farid A, Ahmed Zia M S, Masaud S, Khan A K, Khan I A, (2016). Damselflies (Odonata: Zygoptera) fauna of District Buner, Khyber Pakhtunkhwa, Pakistan, J Entomol Zool Stud, vol. 4, pp. 49-495.
Gimovsky M L, Wallace R L, Schifrin B S, and Paul R H, (1983). Randomized management of the nonfrank breech presentation at term: a preliminary report, American journal of obstetrics and gynecology, vol. 146, pp. 34-40.
Hannah M E, Hannah W J, Hewson S A, Hodnett E D, Saigal S, and Willan A R, (2000). Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial, The Lancet, vol. 356, pp. 1375-1383.
Conway D L, and Langer O, (1998). Elective delivery of infants with macrosomia in diabetic women: reduced shoulder dystocia versus increased cesarean deliveries, American journal of obstetrics and gynecology, vol. 178, pp. 922-925.
Rozenholc A, Ako S, Leke R, and Boulvain M, (2007). The diagnostic accuracy of external pelvimetry and maternal height to predict dystocia in nulliparous women: a study in Cameroon," BJOG: An International Journal of Obstetrics & Gynaecology, vol. 114, pp. 630-635.
Jabeen M, Shahjahan M, Farid G. Information Dissemination during COVID-19 Pandemic among Postgraduate Allied Health Sciences Students in Pakistan. Pakistan Journal of Medical & Health Sciences. 2022;16(11):366-.
Farid G, Zaheer S, Khalid A, Arshad A, Kamran M. Evaluating Medical College Lib Guides: A Usability Case Study. Pakistan Journal of Medical & Health Sciences. 2022 Aug 26;16(07):461-.
Chughati AS, Zaheer S, Farid G, Niazi AK, Mujtaba M, Islam A, Malik WA. Emotional Intelligence as a Predictor of Academic Performance. Pakistan Journal of Medical & Health Sciences. 2022 Dec 12;16(10):636-.
Farid G, Niazi A K, Muneeb M, Iftikhar S. Attitude towards Utilization of e-Resources of Medical Images among Health Care Professionals. Pakistan Journal of Medical and Health Science., 2021 15 (9), 261-263
Shahjahan M, Jabeen M, Farid G. Information Providing in COVID-19 by Health Professionals in Pakistan. Pakistan Journal of Medical & Health Sciences. 2022 Dec 12;16(10):641-
Farid G, Miraj I, Iqbal S, Iftikhar S. ACCESSIBILITY, USAGE, AND BEHAVIORAL INTENTION OF PRINT BOOKS AND EBOOKS BY MEDICAL STUDENTS. Library Philosophy and Practice (e-journal). 2021. 6020.
Farid G, Soroya S. Masooma. Perception and Behavioral Intention of Print and Electronic Books among Medical Students; A Comparative Study. Pakistan Library & Information Science Journal. 2018 49 (1), 52-60.
Baladi Z S, Farid G, Gulzar A, Hussain M, Iftikhar S, Naz M. Examining Authorship Dynamics, Publication Patterns, and Affiliations in the Pakistan Journal of Medical and Health Sciences (PJMHS) from 2009- 2019. Pakistan Library & Information Science Journal. 2023 May 23; 17 (5):270-280.