Abstract: Aim: To analyse obstetrical emergencies in the maternity ward at tertiary care centre in Southern Rajasthan and associated maternal and perinatal outcome retrospectively.
Materials & Methods: Retrospective evaluation of obstetric emergencies admitted at a tertiary care centre over a period of two years from September 2020 to August 2022 at Geetanjali medical college and hospital Udaipur district Rajasthan India was done. All pregnant woman who reported to hospital with the obstetric emergency during study period were enrolled in the study for analysis. Total patients enrolled in the present study were 260. Data was collected from indoor cases file, labour room registers and operation theatre records. Information regarding age, parity, duration of pregnancy, educational status, number of antenatal visits, nature of emergencies, treatment given, type of operative intervention, need of blood transfusion, post-operative maternal morbidity, mortality, perinatal outcome.
Results: Most common obstetric emergencies encountered in the present study were recorded and evaluated. Obstructed labour, fetal distress, postpartum haemorrhage and hypertensive disorder of pregnancy found to be present in 20.38percent, 19.62 percent, 13.85 percent and 15.38 percent of the subjects respectively. While assessing the fetal outcome, live birth was seen in 81.92 percent of the patients while perinatal mortality was seen in 18.07 percent of the patients. Maternal mortality was seen in 4.23 percent of the patients.
Conclusion: Obstructed labour, fetal distress, Postpartum haemorrhage and hypertensive disorder of pregnancy were the most common of obstetric emergency at our tertiary care centre. Timely intervention by a dedicated multi-disciplinary team can help in reducing maternal and fetal mortality.
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