Volume : 6, Issue : 11, November - 2017

STUDY OF PRIMARY CESAREAN SECTION IN MULTIGRAVIDAE

Dr. T. Radhika, Dr. G. Soumini Ficog

Abstract :

Background: <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">   The widened scope for primary caesarean section in multigravida  promoted to study the raising trends for the concern of mother and foetus<o:p></o:p> AIM OF THE STUDY<o:p></o:p> Aim of the present study is to find out the incidence , foetomaternal outcome of primary caesarean section in multigravida and to review the various indications that required primary section in multipara<o:p></o:p> MATERIALS AND METHODS<o:p></o:p>  A prospective hospital based study was done on multigravidae (n=232)  who underwent <o:p></o:p>   primary caesarean section with prior vaginal delivery ,for two years from November <o:p></o:p>   2013 to October 2015, at Government General Hospital /RMC Kakinada.<o:p></o:p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> <o:p></o:p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">Maternal examination , pelvic assessment ,investigative workup including USG,CTG <o:p></o:p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">  <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">and were done  prior to cesarean section .The indications for caesarean section were <o:p></o:p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">  <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">statistically analysed .<o:p></o:p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">  Results: There were total 6,192 caesarean sections (26.4%) out of 23,161 total deliveries with 457 caesarean sections (4.95%.) during study period. Out of 457 cesarean section 218 sections in primary sections in primigravida, 108 repeat sections. Primary cesarean section  rate in multigravida was 28.5%(n=232)  among all caesarean sections and 2.12% of total number of deliveries. The major indications for cesarean section were  malpresentation 22.3%, cephalo pelvic disproportion 20.38 %  fetal distress 16.37% and antepartum hemorrhage16.12 %,uterine dysfunction 12.3%. Corrected perinatal mortality rate was1.5%. <o:p></o:p>  Conclusion: Prior vaginal delivery gives a false sense of security. Parous women who have had successful previous vaginal delivery may  need section in future pregnancy for improved maternal and fetal salvage. Routine antenatal  care with  proper monitoring for complications  both during antenatal  and  intra partum improves chance  for  improved  maternal and perinatal outcome with low caesarean rates <o:p></o:p>

Keywords :

Primary caesarean section Multipara Foetal distress

Article:

Download PDF Journal DOI : 10.15373/2249555X

Cite This Article:

Dr. T.Radhika, Dr.G.Soumini FICOG, STUDY OF PRIMARY CESAREAN SECTION IN MULTIGRAVIDAE, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-6, ISSUE-11, NOVEMBER-2017