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MONTHLY OF OB STATISTIC

HOSPITAL: ZEINABIEH

YEAR/MONTH: 1392/ SHAHRIVAR

Dr. Mehrnaz fakhroo

TOTAL ADMISSION: 831Unregistered: 799 = 96.2 %

Referral: 32= 3.8 %

UNDELIVERED GROUP:112# %

UTI 3 2.6

Gestational DM 32 28.5

Overt DM 5 4.4

PPROM 4 3.5

DVT ـــ ـــ

Pre-eclampsia 9 8.03

Heart Disease ـــ ـــ

Preterm Labor 15 13.3

Chronic HTN 2 1.78

FGR 3 2.67

Oligohydramnios 8 7.14

NRNST 15 13.3

Hyperemesis 3 2.67

UNDELIVERED GROUP (CONT’D):112# %

Decrease FAD 4 3.5

Others 6 5.3

# %

Vaginal bleeding

Abruption - -

Previa 1 0.8

Unknown 5 4. 4

MATERNAL AGE:# %

<16 - -

16-20 55 7.4

21-25 222 30.8

26-30 227 31.5

31-35 197 27.3

36-40 15 13.3

>40 3 0.4

MATERNAL PARITY:# %

Parity:

0 296 41.1

1 247 34.2

2 109 15.1

3 41 5.7

4 11 1.5

5 8 1.1

6 5 0.6

7 2 0.2

8 - -

TOTAL DELIVERS: 719# %

Single 684 95.1

Twin 19 2.5

Breech 15 2.08

Other (triplet) 2 0.27

DELIVERS WITH MEDICAL COMPLICATION: 88

# %

Gestational DM 35 4.8Overt DM 4 0.5Eclampsia - -

Pre-eclampsia 24 3.3Heart disease - -Hematologic disease

- -

Autoimmune disease

- -

Respiratory disease

1 0.1

Endocrine disease

25 3.4

NVD:447# %

Spont. vag. delivery

184 41.1

With episiotomy 168 37.5

Augmentation of labor

68 15.21

Induction of labor

195 43.6

Epi + Vacuum - -

Breech delivery - -

Born on arrival 6 1.3

Physiological delivery

2 0.44

Painless delivery 213 47.6

REASON OF INDUCTION OF LABOR: # %

Eclampsia - -

Pre-eclampsia 12 6.1

DM - -

Post term (>41w)

52 26.6

IUGR 4 2.05

oligohyraminios 14 7.1

ROM 74 37.9

NRNST 21 10.7

Vaginal bleeding 8 4.1

Abnormal BPP 5 2.5

VAGINAL DELIVERY WITH ANESTHESIA

ANESTHESIA FOR C/S

Local

234( 52.3% )

Entonox

85( 19.01%)

Fentanyl

128(28.6%)

Spinal

264(97.05%)

General

8( 2.9%)

C/S: 272

Number of previous C/S:

Emergency 79 ( 29.04%)

Elective 193 (70. 96%)

Primary C/S 168 (61.7%)

2nd C/S 74( 27.2%)

3RD C/S 21( 7.7%)

4th C/S 4 ( 1.4%)

More -

Type of incision:

low seg. Trans. 272 ( 100%)

low ver -

Classical -

C/Hysterectomy 2(0.73%)

Hystratomy(<30w) 3 ( 1.1%)

INDICATION OF EMERGENCY C/S

Precious C/S

23 )8.4%(

Precious C/S + abnormal

NST 3 ( 1.1%)

Precious C/S + vaginal

bleeding 1 ( 0.36%)

Precious C/S + Abnormal Biophisical Profile:0

-

Precious C/S + Olighohydramnious

1)0.36%(

Precious C/S + ROM

3 ) 1.1%(

Precious C/S + Labor pain

15) 5.5%(

INDICATION OF EMERGENCY C/S (CONT’D)

Breech 3 (1.1%)

Multiple pregnancy 2 ( 0.7%)

Failed induction 5 ( 1.8%)

Pre-eclampsia 4 (1.47%)

CPD 1 (0.3%)

Full arrest 3 (1.1%)

Vaginal bleeding : 5 (8.7%)

OCT Positive 5(1.8%)

previa:1=0.3%

Abruption:3=1.2%

Unknown:1=0.3%

PH<7 -:

PH7-7/2-:

PH>7/2: 5( 1.8%)

Thick meconium 6( 2.2 %)

Poor OB+NRNST 2 (0.7%)

PH<7- :

PH7-7/2: 2(0.8%)

PH>7/2: 4 (1.4%)

INDICATION OF ELECTIVE C/S

Precious C/S 164 (8.2%)

Breech 8 ( 4.1%)

Multiple pregnancy 14 ( 7.2%)

Infertility 5 ( 2.5%)

Prievia 1 ( 1.03%)

PERINATAL

OUTCOME

Live birth 711 ( 98.8%)

Still birth 4 ( 0.5%)

neonatal death 3 (0.7%)

Congenital anomaly 1 (CHD) = 0.1%

Early preterm (<34 w) 72( 10.1%)

Late preterm(34-37w) 85 (11.8%)

Post term (>41w) 52(7.2%)

NEONATAL

MORBIDIRTY

CAUSES:

RDS 18 (2.5%)

Sepsis 5 (0.7%)

Prematurity 72 (10.1%)

anomaly 1 (CHD) = 0.14%

Asphyxia:3 ( 0.41%)

PH<7: -

PH=7~7.2: 1(0.1%)

PH>7.2: 2 (0.2 %)

MATERNAL MORBIDITY

Post-partum

infection:

Atony: 2 ( 0.27%)

Laceration: -

Degree: -

Placental site: -

BLEEDING:

Cesarean wound inf.: 1 (0.13%)

Epi-disruption: -

Perinal or vaginal laceration: -

Hysterectomy: 2 (0.27%)

DVT: -

THANKS