ANALYSIS OF INDICATIONS AND COMPLICATIONS OF ELECTIVE CAESAREAN SECTION IN PRIMI AT A TERTIARY CARE CENTRE, VIJAYAWADA, ANDHRA PRADESH, INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 94
Abstract
BACKGROUND Most common operation performed in any obstetric institute is caesarean section. Worldwide, there is increasing rate of caesarean section. Most important indication is repeat caesarean section. Hence, unless we reduce the primary caesarean section rate, we cannot control the total caesarean section rate. The aim of the present study was to analyse critically the indications and complications of elective caesarean section performed on primigravida and pregnancy with previous miscarriages in a tertiary care centre. MATERIALS AND METHODS This is a prospective descriptive study conducted in Government General Hospital, Vijayawada. All cases of primary elective caesarean sections performed on primigravida or pregnancy with previous miscarriages who reached the period of viability for first time in the present pregnancy were taken up for present study. The present study was conducted in Government General Hospital, Vijayawada, Andhra Pradesh from the month of April 2017 to September 2017, that is for 6 months. All cases of primary elective caesarean sections were analysed for the indication of surgery and postoperative complications. Maternal and perinatal outcome was noted. All patients were followed till discharge. RESULTS Present study comprised of 210 (n= 210) pregnant women who underwent primary elective caesarean section in primigravida and pregnancy with previous abortions. Indications and complications of primary elective caesarean section were analysed. Indications for caesarean sections were liberalised in present days. Operation is being performed for more of foetal indications in view of improved neonatal facilities. Present study analysis showed that 18.7% of sections in Breech 9.5%, 7% in CPD, short primi 7.6%, preeclampsia 11.9%, oligohydramnios 28.1%, long marital life 2.3%, IUGR 3.3%, placenta previa 0.4% and others remaining. The analysis showed changing trends of caesarean section, more liberalisation of indications like long marital life and elderly primi. No perinatal loss. A very few postoperative complications like blood transfusion and surgical site infections were seen. CONCLUSION Because of small family norm in the present days, obstetrician and family cannot afford to lose even one baby. Even low Apgar baby was also not accepted. With the advent of regular antenatal care, all foetal and maternal complications were picked up early. Good anaesthetic facilities made caesarean the safest mode of delivery for the mother and the baby.
Authors and Affiliations
Potharaju Jayanthi, Ganti Ratna
Keywords
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- EP ID EP279922
- DOI 10.14260/jemds/2017/1484
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