Obstetrical Outcomes in Primigravida with Engaged Versus Unengaged Fetal Head during Spontaneous Labor: Outcomes in Primigravida

Zunaira Lutfullah; Nilofer Mustafa; Pakeeza Aslam; Qurratulain Mushtaq; Seema Samreen; Neha Salik; Sania Maqbool

doi:10.54393/pjhs.v5i12.2070

Authors

Zunaira Lutfullah Department of Obstetrics and Gynecology, Combined Military Hospital Medical College, National University of Medical Sciences, Lahore, Pakistan
Nilofer Mustafa Department of Obstetrics and Gynecology, Combined Military Hospital Medical College, Lahore Medical College, National University of Medical Sciences, Lahore, Pakistan
Pakeeza Aslam Department of Obstetrics and Gynecology, Combined Military Hospital, Lahore Medical College, National University of Medical Sciences, Lahore, Pakistan
Qurratulain Mushtaq Department of Obstetrics and Gynecology, Combined Military Hospital, Lahore Medical College, National University of Medical Sciences, Lahore, Pakistan
Seema Samreen Department of Obstetrics and Gynecology, Combined Military Hospital Medical College, Lahore Medical College, National University of Medical Sciences, Lahore, Pakistan
Neha Salik Medical Unit, Jinnah Hospital, Lahore, Pakistan
Sania Maqbool Department of Physical Therapy, Lahore College for Women University, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i12.2070

Keywords:

Fetal Head Engagement, Primigravida, Spontaneous Labor, Obstetrical Outcomes, Cesarean Section

Abstract

When the fetal head's widest diameter fits into the pelvic inlet, it is referred to as engaged. When a primigravida's labor begins with the fetal head still not engaged, she was most likely to experience an obstructed labor. This study was conducted at a large tertiary care center with adequate sample size to determine the study outcomes. Objective: To compare the obstetrical outcomes in primigravida with engaged versus unengaged fetal head at the onset of spontaneous labor in terms of delivery methods and associated risks. Methods: This was a case control study. Study was conducted at Department of Obstetrics and Gynecology National Hospital Defence, Lahore. One hundred thirty patients through non-probability consecutive sampling. Demographic data like name, age was recorded for participants. Data were analyzed using SPSS version 22.0. RR was calculated for two groups. Results: Mean age of patients was 22.4 ± 2.6 years. Total 44.7% patients had C-section. When comparison of engaged and unengaged fetal head, 49 patients out of 88 i.e. 55.68% patients had engagement of head in vaginal delivery group and 16 patients out of 42 i.e. 38% patients had engagement of fetal head in C-section group. Relative risk among two group was 1.2564 and z score was 1.847 and p value was 0.0648. Conclusion: Relative risk of primigravida getting C-section was high with un- engaged fetal head compared to primigravida who has engaged fetal head

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