DETERMINATION OF LABOUR OUTCOME IN FULLTERM PRIMIGRAVIDA PATIENTS PRESENTING WITH UNENGAGED HEAD- A PROSPECTIVE STUDY

Dr Mubassira I Pathan; Dr Harshad Ladola; Dr Shikha Jain

Volume : VIII, Issue : XI, November - 2019

DETERMINATION OF LABOUR OUTCOME IN FULLTERM PRIMIGRAVIDA PATIENTS PRESENTING WITH UNENGAGED HEAD- A PROSPECTIVE STUDY

Dr Mubassira I Pathan, Dr Harshad Ladola, Dr Shikha Jain

Abstract :

Unengaged head in Primigravida patients at term is considered a foreboding sign in Obstetrics and Gynecology, a finding that has long been found to be associated with more incidence of caesarean deliveries and increased maternal morbidity owing to it. The present prospective study was conducted at a tertiary care Hospital in Ahmedabad, covering 100 primigravida patients with nonengaged head at the onset of labour which were subsequently followed in terms of parameters like mode of delivery, duration of first and second stage of labour in those who delivered vaginally, APGAR score at 1 and 5 minutes and birth weight. Out of 100, vaginal delivery occurred in 68 and LSCS in 32 cases. Therefore, it could be concluded that non–engagement of head in Primigravidas at term is not in itself an indication for LSCS, and most cases are to be managed unbiased with watchful expectancy.