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Labour e ve nts , c omplications a nd outcomes
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TYPE OF DELIVERY: The majority of SUbjects 9 8 .1% ( 46 3 ) , had
spontaneous vaginal deliveries, and only 9 SUbjects had
va cuum- a ssis t e d delivery. Obstetri c forceps are rar e l y used at
this hos p i t a l a nd no SUb j e c t was delivered by this method
during the period o f study. Mediolateral episiotomy was
performed in the ma n ageme n t of 21.6% of labours . TABLE 1.6.
DURATION OF LABOUR: on ly 454 SUb j e c t s had records of the
total du ration o f l a bour ; data were missing for 18 cases. The
t otal duration of l a bour was calculated by atten ding midwives
from the patient I 5 reported onset of l a bour to the e nd of the
third stage. Va l ue s recorded ranged from 2 hz-e , 20 mi n. t o 30
hrs . 33 min. with a mean of 11 hrs. 58 min. (SO ± 5 hrs . 29
min. ) . The mean duration of labour for the primiparae was 13
hrs. (S O ± 5hrs. 4 min. ). and that for the multiparae was 11
tu-s , B min. (SO ± 5 hrs. 4 min. ). TWenty-three (5.U) of these
454 SUbjects had prolonged labours of greater than 24 hours .
The fre que nc y o f prolonged l ab our a mong primipara a nd
mUltipara were 6 .1% and 4 .4% r e s pect i v ely . See TABLE 1. 6 .
BLOOD LOSS: The immediate b l ood los s at delivery wa s recorded
f or 459 cases; data were missing for 13 sUbjects. Recorded
estimated bl ood losses ranged from BO-2800 101. (millilitres),