Analysis of primary cesarean sections in NTSV (Nulliparous, Term, Single, Vertex) in a tertiary care hospital in South India
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction and Aim Globally rising caesarean section rates have become public health concern Cesarean section analysis and audits using Robson ten group classification system have identified the main drivers of Cesarean section rates CSR are the gravidas with previous CS and the nulliparous with term singleton foetus with vertex presentation NTSV110 Given the low rates of vaginal birth after a cesarean section once a woman undergoes her first CS she is extremely likely to have repeat CS in subsequent pregnancies This increases the burden of high risk pregnancies and increased CS rates subsequently Reducing primary cesarean sections in NTSV is the key for improving overall health statistics of the institutions Hence this one year prospective study was conducted to know the factors contributing to CS in NTSV population in a tertiary care hospital in South IndiaMaterials and Methods The study is prospective observational study which is conducted in labour wards of department of Obstetrics Gynaecology at teaching hospital attached to KLE Academy of Higher Educations Jawaharlal Nehru Medical College Belagavi from January 2016 to December 2016Results Total number of gravidas who delivered during study period were 6236 out of which 2494 40 were NTSVs The CS among NTSVs were found to be 8493401 The main indications for emergency cesarean sections in NTSV were fetal distress nonprogress of labour failed induction ie 4476 1665 and 1531 respectivelyConclusion The primary cesarean sections among the NSTV is an important contributor to the overall cesarean sections of the health institute The main indications of CS were fetal distress nonprogress of labour and failed induction There is a need to develop standard clinical protocols for management of these conditions and emphasise vaginal delivery in NTSVs Also strategies like training the obstetricians in interpretation and management of suspicious and nonreactive CTG traces use of cervical ripening agents prior to induction use of partogram in monitoring patients in labour should be included in routine practice to improve vaginal birth rates in this low risk populationKeywords Cesarean section Low risk pregnancy Nulliparous Singleton pregnancy Term pregnancy Vertex presentation Induction
Authors and Affiliations
Anita Dalal, Romana Khursheed, Arpita Reddy, Aditya Gan
Keywords
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- EP ID EP475992
- DOI 10.18231/2394-2754.2018.0111
- Views 94
- Downloads 0
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