Vol. 5, Issue 8 (2019)
Institutional study of primary caesarean section among multigravida
Author(s): Dr. G Rama Devi, Dr. U Sujatha Patnaik, Dr. AVN Suseela
Abstract: Background: Caesarean section is one of the most commonly performed operations in women. Primary caesarean section in a multigravida means first caesarean section done in the patients who had delivered vaginally once or more. Aims and Objectives: To know the various indications of primary caesarean section in multigravida, and the maternal and fetal outcome among these patients. Methods: It is a prospective study of primary caesarean section in multigravida admitted at Victoria Government Hospital during the period of May 2018 to April 2019. Cases requiring elective and emergency caesarean sections are included in the present study. In this study, analysis of the cases in relation to different factors have been done. Results: During this period 308 multigravida had primary caesarean section out of total deliveries of 6976.Most of these patients (57.14%) belong to age group of 21- 25 yrs and majority were second (50%) and third (36.36%) gravidas. Majority had emergency caesarean section and main indications were fetal distress (18.18%), mal-presentations (15.90%), CPD (15.25%). Most common intra operative complication was atonic PPH and most common post-operative morbidity was puerperal pyrexia with wound infection. There were no maternal deaths in the present study. Conclusion and Interpretation: Even though parous women had previous normal vaginal delivery, there were many complications like increased incidence of malpresentations, fetal distress, CPD, and others which may need caesarean section. Careful analysis of present pregnancy is needed to improve maternal and fetal out-come.
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