Electrolyte changes in obstructed labour in Kano northern Nigeria

Abstract


Yakasai IA, Anate JA, Morhason-Bello IO, Aiyedun TA

Background: Obstructed labour in developing countries is a major cause of feto-maternal morbidity and mortality. Unlike normal labour, obstructed labour is commonly associated with electrolyte derangements which could cause maternal death. In order to appreciate this, there is a need to compare the electrolyte changes in obstructed labour with that of normal labour. Objective: To compare the electrolyte changes and feto-maternal outcomes in obstructed labour and normal labour. Methodology: The study is a comparative prospective study involving 100 consenting pregnant women in labour at term. Fifty pregnant women who had obstructed labour were compared with another fifty who had normal labour at Murtala Muhammed Specialist Hospital, Kano Nigeria. Main outcome measures. Electrolyte changes: Maternal deaths, mode of delivery, Results: There is a statistically significant difference in electrolyte changes and feto-maternal outcomes between obstructed and normal labour. Obstructed labour is associated with severe electrolyte changes and maternal deaths. Conclusion: Obstructed labour is associated with adverse feto-maternal outcomes.

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