Table 1 Inventory of maternal complications and diagnostic symptoms
Complications | Reported symptoms and identification of complication |
|---|---|
Prolonged labour | • True labour pain in regular interval for more than 18 hours (dawn to dusk/night) |
|  | • Light vaginal bleeding, watery vaginal discharge during labour pain |
|  | • Non progressing labour as cervix is not/delayed open with regular uterine contraction or |
|  | • Foetal part is not descending due to abnormal position |
|  | • Foetal position is okay but adequate uterine contraction is absent, need labour induction by uterotonics to deliver the baby |
Obstructed labour | • True labour pain in regular interval for more than 18 hours (dawn to dusk/night) |
|  | • Light vaginal bleeding, watery vaginal discharge during labour pain |
|  | • Cervix is open but head arrested at certain point with adequate uterine contraction. |
|  | • Foetal size/head/foetal part is larger than maternal pelvis, birth attendant will able see the head but would not be able to bring the baby out. |
|  | • Uterotonic drugs fail to assist in vaginal delivery |
|  | • Need surgical intervention (caesarean section) |
Haemorrhage | • Any spout of bleeding after 28th weeks of pregnancy |
|  | • Excessive bleeding during pregnancy or at the time of labour |
|  | • Large mass of blood clot came out from genital tract |
|  | • Excessive bleeding like tape water after delivery with or without placental delivery |
Retained placenta | • Placenta is not expelling out 30 minutes after delivery of the baby |
Pregnancy induced hypertension/preeclampsia | • Blood pressure ≥140/90 mm of Hg on ANC card or doctors prescription in pregnancy |
|  | • Sever headache |
|  | • Neck pain |
|  | • Blurred vision |
|  | • Pain abdomen |
|  | • Swelling of face/hands/legs/genital organ |
Eclampsia | • Convulsion in pregnancy/delivery/after delivery |
|  | • Fell unconscious |
|  | • Tongue bite |
|  | • Blood pressure ≥140/90 mm of Hg on ANC card or doctors prescription |
|  | • Pain abdomen |
|  | • Swelling of face/hands/legs/genital organ |
Malpresentation | • Foetal part (other than head) came first during the process of normal delivery |
Puerperal pyrexia | • Fever within first 10 days following delivery |
|  | • Offensive vaginal discharge |
|  | • Pain abdomen |