A Study on Reasons for Repeated Cesarian Sections in a Tertiary Care Hospital
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: The cesarian section rate continues to rise in many countries with routine access to medical services. Therefore we tried to know the causes of cesarian sections in a tertiary care set up. Material and methods: In this study 100 subjects were randomly taken after assessing for inclusive and exclusive criteria. During the preoperative period, the study subjects were examined clinically and necessary investigations were done. The data of the cases were compiled and analyzed. Variables like age, period of registry of the cases during pregnancy, Indications for previous cesarian sections etc., were analyzed. Three age groups were taken to analyze the study subjects: first group with 18-23 years, second group with 23-28 years and third group 28-32. In the present study, 46, 48 and 6 were registered in the above age groups. 38 of100 cases were not booked prior to the delivery. Results: Indications for the previous cesarian sections were analyzed. 26of 100 cesarians were due to cephalo pelvic disproportion, 10 of100 were due to bad obstetric history. 1 of 5 of the patients was suffering from hypertensive disorder. Malpresentation and failure to progress were the causes 12 of 100 cases in each category. During the present pregnancy also the reasons for opting for cesarian section were analyzed. 35 of 100 cases were due to previous 2 cesarians and in another 16 of 100 were due to cephalo pelvic disproportion. Fetal distress is observed in 18 cases. Conclusion: The most common clinical entity for cesarian section is of previous cesarian section and followed by cephalo pelvic disproportion.
Authors and Affiliations
B. Damayanthi, Manjula Devi
Keywords
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