A study of primary cesarean section in multigravidae
Journal Title: Perspectives In Medical Research - Year 2014, Vol 2, Issue 2
Abstract
Introduction: Cesarean section is one of the widely performed surgical procedure across the world. Despite remarkable improvements in the safety, cesarean section is associated with increased risk of maternal morbidity and mortality. The objective of the present study was to study the cesarean section in the context of various indications, age incidence, maternal and fetal outcome among multigravidae undergoing first time cesarean section. Materials and Methods: A prospective study was conducted among 100 parous women who underwent cesarean section for the first time attending tertiary care hospital during September 2010 to August 2011, selected through convenient sampling. Detailed history and thorough examination of the patient was done. Labor was monitored throughout and indications for cesarean section were noted. Intraoperative details, maternal and fetal outcome were recorded. Results: Maximum number of women undergoing primary cesarean section were in the group of 25-29 years (41%), 35% belonged to gravida 2. Only 38% parous women had regular antenatal check up and 91% of women had undergone emergency cesarean section. Among various indications of cesarean section, malpresentations accounted for 23%, followed by antepartum hemorrhage (17 %) and fetal indications (16%). In this study, intraoperative complications were observed in 8% and postoperative complications were seen in 12% of patients. Also 17 babies had perinatal morbidity and required NICU admission. There were 3 cases of still births and 2 cases of neonatal deaths. Conclusion: Complications may occur in women who previously had a normal vaginal delivery requiring interventions in the form of cesarean section. Maternal and perinatal morbidity following cesarean section was observed in the studied sample which highlight the need of early detection of complications and timely interventions to improve the maternal as well as fetal outcome.
Authors and Affiliations
Sethi Pruthwiraj
Keywords
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