A Comparative Study of Vaginal Delivery Versus Caesarean Section In Primigravida with Eclampsia After 34 Weeks of Pregnancy.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Objective : To compare the results of vaginal delivery & caesarean section in the management of antepartum eclampsia in primigravidae with more than 34 weeks by gestation, with reference to perinatal morbidity and mortality and maternal morbidity & mortality. Materials & Methods: This institution based, descriptive study was conducted in the department of obstetrics & Gynaecology, Bankura Sammilani Medicare College & Hospital, Bankura during the period extending from February 2014 to January 2015. A total 100 eclamptic women who fulfilled the inclusion criteria & had no factors mentioned in exclusion criteria were included in the study. Patients were divided into two groups for comparative analysis. The first group consisted of patients in whom conservative obstetric management and delivery per vaginum was carried out and was called the V.D. Group. The second group consisted of patients in whom lower segment caesarean section was carried out due to eclampsia and varied associated indications was called C.D. Group. Conclusion: Maternal & perinatal morbidity & mortality were low in patient undergoing caesarean delivery than in vaginal delivery group. Both maternal and perinatal outcome can be improved by taking an early decision for caesarean section when the cervix is unfavourable on admission or delivery is not anticipated within 6 hours.
Authors and Affiliations
Swaralipi Misra, Swapan Das, Debjani Deb, Biswajit Mahapatra, Anindya Kumar Das
Keywords
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- EP ID EP588955
- DOI 10.9790/0853-1601044954
- Views 95
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