THE STUDY OF FOETOMATERNAL OUTCOME IN POST CAESAREAN PREGNANCY IN MKCG MEDICAL COLLEGE, BERHAMPUR, ODISHA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 89
Abstract
BACKGROUND Caesarean section has become a procedure of choice in high-risk situations to prevent perinatal morbidity and mortality. But repeat caesarean deliveries performed largely to benefit neonate often result in significant maternal morbidity and mortality. MATERIALS AND METHODS Present study was carried in the Department of Obstetrics and Gynaecology of MKCG Medical College, Berhampur, where 270 cases of post-caesarean pregnancies from June 2015 to May 2016 were studied. History was taken about previous section whether trial was given prior to operation or not. Detailed general examinations were done. Abdominal and Pelvic examinations were done. Relevant investigations were done. Patients were allowed to undergo spontaneous labour and monitored. Emergency repeat CS was done when indicated. Prophylactic low forceps and ventouse application was also done. Condition of baby and mother was noted. RESULTS In our study, repeat CS rate was 82.23% and VBAC rate was 17.77%. No TOL was given in 71.49% cases, while in those given successful VBAC rate was 62.3%. Elective CS was done in 14.07% cases and emergency CS was done in 57.4% cases. Repeat section after TOL was done in 10.74% cases. Among the indications of previous CS, CPD (37.03%) was the leading cause. In repeat CS after TOL leading cause was due to foetal distress (34.48%) cases as well as same figures in emergency CS. Most common third stage complication and intraoperative finding in RCS was adhesion, while in VBAC it was PPH. There was one neonatal death in VBAC, but none in repeat CS. CONCLUSION In our setting repeat CS rate is very high, as well very few patients have undergone TOL. To improve the maternal morbidity, attempts for successful VBAC should be done. This can be possible only if optimum resources for maternal and foetal monitoring are provided.
Authors and Affiliations
Anee Verma, Subhesh Kumar Bhol,, Bharati Misra
Keywords
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- EP ID EP278003
- DOI 10.14260/jemds/2017/1357
- Views 82
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