TRANSVERSE LIE

PREDISPOSING FACTORS, MATERNAL AND PERINATAL OUTCOME

Abstract

Transverse lie is dangerous not only to fetus but may endanger the life of mother if timely intervention is not done. Good antenatal care is of tremendous importance for proper management of transverse lie. Objectives: 1). To determine the predisposing factors to transverse lie. 2). To find out maternal and perinatal outcome in transverse lie. Facts were analyzed to find out the avoidable factors which make the maternal and perinatal outcome worse. Setting: Gynae and obstetric unit-II DHQ Hospital Faisalabad. Study Design: It was a descriptive study. Duration: Six months from 15th September, 2006 to 15th March, 2007. Materials and methods: Sixty cases of transverse lie were included in this study. These sixty patients were analyzed in great details, regarding predisposing factors, clinical features, intrapartum and postpartum management including the maternal and perinatal outcome. Results: Predisposing factors were found in 42% of the primpara but in only 34% of the multipara. The mode of delivery was surgical and lower segment caesarean section was undertaken in 80% of cases. Maternal outcome in order of frequency were difficult surgery in 23.3%, obstructed Labour in 15%, delayed recovery from anaesthesia in 3.3% and uterine rupture in 1.6%. Fetal outcome in order of frequency were intrauterine death in 18.3%, hand prolapse in 20% and cord prolapse in 8.9%. Conclusions: Known predisposing factors to transverse lie withstand a closer and more accurate assessment of their incidence. The maternal and perinatal outcome can be improved by early diagnosis during antenatal care and hospital delivery, without any delay.