Volume : IX, Issue : II, February - 2019

A CLINICAL STUDY OF PRIMARY CAESAREAN SECTION IN MULTIPAROUS WOMEN

Vrinda Patil, Vidya Kamath, Girija

Abstract :

OBJECTIVES: Primary: To evaluate the incidence of primary caesarean section among multiparous women with previous vaginal delivery. Secondary: To study maternal and foetal outcome. METHODS: This is a prospective study of 160 cases of primary caesarean section in multiparous women from November 2014 to October 2015, done in the Department of Obstetrics and Gynaecology, Shri Dharmasthala Manjunatheshwara College of Medical Sciences and Hospital, Dharwad. Multiparous women who underwent caesarean section for the first time who had a vaginal delivery previously were included in the study. Multiple pregnancy, Primigravida,Gestational age less than 37 weeks and women with previous history of caesarean section or hysterotomy,myomectomy or septal resection were excluded in the study. RESULTS: The frequency of primary caesarean section in multiparous women is 7.2% of total caesarean sections and 3.1 % of the total number of deliveries during the study period. Majority of patients in the study were of the age group between 26–30yrs. Majority of the women were gravida II and 68.5% of the patients were booked and 32.5% of the patients were unbooked. Malpresentations (26.3%), hypertensive disorders of pregnancy (18.1%) anaemia (10.6%), antepartum haemorrhage (8.1%), were the most common antenatal complications. Foetal distress (28.8%), malpresentations (26.3%), cephalopelvic disproportion (19.4%) and antepartum haemorrhage (8.1%) were the most common indications for caesarean section. Postoperative maternal morbidity was seen in 19.4% patients. Among them urinary tract infection (7.5%) and pyrexia (6.3%) were more common. Blood transfusion was required in 7.5%of the patients. There were no maternal deaths in the present study. Out of 158 live births, 32 babies (20.3%) were admitted in NICU and majority of them were for respiratory distress 13(8.1%) and meconium aspiration syndrome 8(5%). There were no neonatal deaths. CONCLUSION: A multipara who has earlier delivered vaginally may require a caesarean section for safe delivery. This study reemphasizes the need for proper antenatal care and vigilance in the management of labour. There may be a need for operative interventions for the good outcome of both mother and baby

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

A CLINICAL STUDY OF PRIMARY CAESAREAN SECTION IN MULTIPAROUS WOMEN, VRINDA PATIL, VIDYA KAMATH, GIRIJA INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-2 | February-2019

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