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
Gestational Age Correlation by Last Menstrual Period, Ultrasonography and Newballardscore
Introduction: The estimation of gestational age at birth is essential to differentiate between small for dates and truly preterm because of different rates of mortality and morbidity in these subgroups. We do come across...
Impact of L-Arginine on Nitric Oxide Regulation in Pregnant Women Prone to Preeclampsia: Original Research
Introduction: Preeclampsia is one of the major causes of maternal and perinatal mortality, especially in developing countries. Its etiology is still a matter of conundrum, but no specific cause has been identified. Evide...
Scalp Reconstruction in a Tertiary Care Hospital in Jharkhand, India
Introduction: Loss of scalp can be covered by various methods like skin grafting, local flaps, distant flaps, free flap or tissue transfer. Every method has some advantages and some disadvantages. Material and Methods: O...
Role of Urethral Dilation in Females with Recurrent Urinary Tract Infections
Introduction: Urinary tract infection is a trivial problem suffered by women these days. Dilation of female urethera is most commonly performed in patients with urinary tract infection. Out of these almost 25% suffer fro...
Intraoperative Triamcinolone Versus Bevacizumab as an Adjunct to Conjunctival Autograft in Primary Pterygium Surgery
Introduction: Pterygium is a wing shaped fibrovascular growth from the bulbar conjunctiva onto the cornea. The treatment of pterygium is surgical excision but it has high recurrence rate. Considering the role of inflamma...