Volume : 7, Issue : 4, April - 2018

STUDY OF OUTCOME OF SUBSEQUENT PREGNANCY FOLLOWING PREVIOUS CAESAREAN SECTION

Dr. Ambika S. Dubey, Dr. Aarti Sharma

Abstract :

<p>&nbsp;<span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">Introduction-</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">The increasing primary caesarean delivery rate in recent decades has led to large numbers of women undergoing one or more repeat caesarean deliveries.</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">Caesarean section should not be always followed by repeat caesarean section but patientsmust have hospital delivery in a well equipped hospital</span><sup style="font-family: &quot;Times New Roman&quot;, serif; text-align: justify;">10</sup><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">.</span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-bidi-font-weight:bold">Methodology- </span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Across sectional analytical study with prospective observations was performed in a total of 97 pregnant female patients, having previous caesarean section delivery,with the gestational age confirmed by ultrasound dating and with a singleton foetus and they were further followed up in postnatal maternity ward, and<span class="MsoIntenseEmphasis">Maternal outcome was recorded.</span><o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:12.0pt;text-align:justify;line-height:&#10;200%"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;;mso-bidi-font-weight:bold">Observation &ndash;</span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Proportion of repeat CS (83.8%) was significantly higher among the patients with no previous VD in comparison to one VD (60.0%) and two VD (33.3%) (Z=3.77;p&lt;0.0001).</span><b><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&#10;&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:&#10;minor-bidi"><o:p></o:p></span></b></p> <p><span lang="EN-IN" style="font-size:12.0pt;line-height:107%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-ansi-language:&#10;EN-IN;mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-bidi-font-weight:&#10;bold">Conclusion &ndash;</span><span lang="EN-IN" style="font-size:12.0pt;line-height:&#10;107%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:Calii;&#10;mso-fareast-theme-font:minor-latin;mso-ansi-language:EN-IN;mso-fareast-language:&#10;EN-US;mso-bidi-language:AR-SA">Every case of post-caesarean pregnancy should be labelled as a high risk. One or more vaginal delivery intervene between previous caesarean section and present post-caesarean pregnancy, there is greater chances of vaginal delivery but in no way preclude the risk of scar rupture.&nbsp;&nbsp;</span></p>