DOI: 10.36347/sjams.2023.v11i06.010

Pages: 1039-1044

Background: The condition of labor and neonatal outcome after delivery are two critical components of maternal and child health. Labor is a complex physiological process that involves a series of changes in the body to bring about the delivery of the fetus. The quality and progress of labor can have a significant impact on the health and well- being of both the mother and the newborn. Factors such as the duration of labor, the strength and frequency of contractions, and the position of the fetus can all affect the outcome of delivery. Objective: In this study our main goal is to evaluate the Condition of Labour & neonatal outcome after delivery. Methodology: This is a prospective study was carried out (MAT-1) in the Department of Obstetrics and Gynaecology, Dhaka Medical College Hospital (DMCH), Dhaka from 1" July 2009 to 31" December 2009. 50 Patients who are in 2nd stage of labour were included in my study. Fifty cases, including both primi- and multi-gravidae, who were admitted to Unit-I, Department of Obstetrics and Gynaecology, DMCH, during this period, was taken as the study population. Results: 59% pt need augmentation of labour and ARM was done in 48.1% of the pt. Of the total NVD, Assisted VD and LUCS was 70%, 10% & 20% pt respectively. Those who had LUCS among them 40% & 20% due to foetal distress and malrotation respectively where another 40% due to CPD. 50% primi and 83.3% multi pt in the age group 20 -30 years, on the other hand 6.2% primi and 16.7 % multi were above the age of 30 years. No multi pt was found below the age of 20 years. Cephalic presentation was found 100% those who had assisted VD and LUCS. Those who had NVD among them 88.6% & 11.4% presentation were cephalic and breech respectively. 100% pelvis was adequate those who had NVD and assisted VD. Those who had LUCS among them 70% pelvis was adequate and rest (30%) was not adequate. Membrane was intact 51.4% & 60% of pt in NVD and assisted VD respectively. Those who had LUCS among them .....