Prospective study of timing of elective caesarean section at different gestational ages to assess neonatal outcome in tertiary hospital, New Delhi
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 2
Abstract
Timing of elective caesarean deliveries at term has become an important issue nowadays due to the progressive increase in caesarean delivery rates in recent years all over the world Advanced maternal age at conception legal considerations assisted reproductive techniques and maternal request play an important role in the increased rates of elective repeated caesarean delivery However the most important cause is the increased number of cases with repeated caesarean sections Hence study was undertaken with the aim to find correlation between gestational age of elective caesarean section performed at 38 weeks 39 weeks 40 weeks and neonatal outcome A prospective comparative study consisting of 750 patients was done over a period of one and half year in Department of Obstetrics and Gynaecology Dr Baba Saheb Ambedkar Hospital in Delhi Neonatal outcomes were based on Birth weight apgar score at 1 and 5 minutes Respiratory complications Hypothermia axillary temperature lt3650C within 1 hour of life Hypoglycaemia lt 40 mgdl within 1 hour of life feeding difficulties In our study neonatal outcomes are similar in elective caesarean sections done at 38 39 and 40 weeks of gestation So elective caesarean section can be done in between 38 to 40 weeks depending upon the resources available in a as the neonatal outcomes at 38 weeks are similar to 39 and 40 weeks But further trials with larger sample size are needed to validate the resultsKeywords Elective caesarean section neonatal outcome Gestational age Apgar score Respiratory complications
Authors and Affiliations
Godishela Rammurthy, Seema Pundir, Neeraj Sharma, Sanjay Choudhary, Ritu Khatuja
Keywords
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- EP ID EP475292
- DOI 10.18231/2394-2754.2018.0045
- Views 78
- Downloads 0
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