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Nutrition and obstructed labor^1,2,3

¹ From the University Department of Obstetrics and Gynaecology, Leicester Royal Infirmary, Leicester, United Kingdom, and the Department of Obstetrics and Gynaecology, University of Wales College of Medicine, Heath Park, United Kingdom.

Obstructed labor is one of the most common preventable causes of maternal and perinatal morbidity and mortality in developing countries. Among the common causes are cephalopelvic disproportion, malpresentation, and malposition. Recognizing the causes of obstructed labor is important if the complications are to be prevented. Adequate prevention, however, can be achieved only through a multidisciplinary approach aimed in the short term at identifying high-risk cases and in the long term at improving nutrition. Early motherhood should be discouraged, and efforts are needed to improve nutrition during infancy, childhood, early adulthood, and pregnancy. Improving the access to and promoting the use of reproductive and contraceptive services will help reduce the prevalence of this complication.

Key Words: Obstructed labor • cephalopelvic disproportion • supplementation • intergenerational effects

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