COMPARATIVE STUDY OF MATERNAL AND FETAL COMPLICATIONS IN ONE PREVIOUS LOWER SEGMENT CAESAREAN SECTION VERSUS MULTIPLE LOWER SEGMENT CAESAREAN SECTION

Dr.B.Aparna

Volume : X, Issue : II, February - 2020

COMPARATIVE STUDY OF MATERNAL AND FETAL COMPLICATIONS IN ONE PREVIOUS LOWER SEGMENT CAESAREAN SECTION VERSUS MULTIPLE LOWER SEGMENT CAESAREAN SECTION

Dr. B. Aparna

Abstract :

Aims and objectives:Comparative study of maternal and fetal complications in 1 previous caesarean section versus multiple caesarean sections. Materials and methods:Retrospective study .I have taken 24 cases in this study which was divided in to Group–A–12 cases with 1 previous section ,Group–B–12 cases with multiple sections. This study was conducted over a period of 6 months at Department of Obstetrics and Gynecology in Mamata general hospital Khammam. Results In this study Auptio placenta seen in GroupA –16.67%, Group B–8.3%.Placenta previa seen in GroupA–25%,Group B–0%. Adhesions present in GroupA–16.67,which was 4 times more in Group B–66.67%.Post operative infections (UTI) GroupA–25% which was comparatively less in GroupB–16.67%.Peripartum Hysterectomy was needed in GroupA–2 cases–16.67% Maternal mortality in GroupA–1 case –8.3%,none in Group B.Perinatal mortality 8.3% both in GroupA and Group B .Post operative hospital stay was equal in both GroupA and GroupB about 10–12 days. Conclusion– In order to avoid complications in multiple caesarean sections, vaginal birth after caesarean section to be done in more cases.