Labour outcome in primigravida with unengaged head: a observational study

Background: Physiologically, labour is different in primigravida. It raises the apprehension of physicians. In last two decades, rising cesarean section rate attributed to many factors, amongst which primigravida with unengaged head one significant cause. Objective were study outcome a at term gestation labourMethods: An institution based prospective was conducted among 120 subjects. Primigravida onset included. Pregnancy pathological conditions fetus and maternal co-morbid condition excluded. Intrapartum monitoring done, partograph plotted.Results: Amongst population, 49.2% (59) cases delivered by vaginal delivery. 58 (48.3%) section.Non-progress indicated delivery most cases. 34.4%of cases, non progress indication for section. Duration first stage ranges from 5-26 hours.Conclusions: early not direct art instrumental can result successful