Evaluation of maternal and perinatal morbidity and mortality in previous caesarean section cases
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 5, Issue 1
Abstract
Background: According to World Health Organization “There is a story behind every maternal death and lifethreatening complication. Aims and Objectives: To Evaluate maternal and perinatal morbidity and mortality in previous caesarean section cases. Methodology: This was retrospective study of 156 cases of previous cesarean birth was conducted at Indian Institute of Medical Science and Research, Warudi, Jalna from May 2015 to June 2017. The details of the patients like morbidity, mean hospital stay, Perinatal mortality and Morbidity was retrieved. Result: No any maternal mortality seen and the common morbidity pattern in patients with pre cesarean section were Wound gape (Dehiscence) in 2.56, Burst Abdomen -0.64%, Blood transfusion required in 1.28%, Obstetric Hysterectomy -0.64%. Mean hospital stay : Elective LSCS =9.5 days, Emergency LSCS =9.4, Vaginal birth =6.7 days. The perinatal outcome in present series one congenital anomaly (FSB) with omphalocele and One FSB (Fresh Still Birth) in case of scar rupture and four Neonatal death among study cases. Conclusion: A women with cesarean section is at increased risk regardless of mode of birth and eliminating vaginal birth after cesarean will not eliminate the risk. Vigilance with respect to primary cesarean delivery is the only way to avoid this dilemma.
Authors and Affiliations
Swati Nagapurkar, Mahesh Tandale
Keywords
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