Mode of deliveries and maternal complications

Volume : VIII, Issue : VI, June - 2018

Dr. Soniya Saini, Dr. Shyam Lal, Dr. Suman Mittal

Objectives– To determine effect of mode of deliveries and of gestational age on maternal outcome.

Study Design— This was Prospective Study done at Department of Obstetrics & Gynaecology Zenana Hospital, SMS

Medical College, Jaipur from March 2015 to Feuary 2016. Mode of delivery were categorized as caesarean section and vaginal deliveries.

Gestational age defined as early term births( 37 weeks to 38weeks 6days) and full term( 39 weeks to 40weeks 6days ). Rates of maternal

morbidities and mode of deliveries were compared, correlated and statistically analyzed. .Sample size was calculated to 300 subjects in each of

the two groups(early term and full term neonates) at alpha error 0.05 & study power 80%.

Result and discussion: maternal morbidities were slightly higher in LSCS and in early term birth group. Duration of maternal hospital stay was

(>8 days ) 25.67% in early term group and 67.25% in LSCS group. PPH were seen more in early term group(3%) and more in vaginal delivery

group(64.28%).genital tract injuries were seen more in vaginal deliveries group(72.72%). Septicaemia was seen moe in early term group(1.67%)

and in LSCS group(66.67%).

Conclusion: This study demonstrates that maternal morbidities were more in caesarean section group performed at early term period (37 weeks

to 38 weeks 6days ) than vaginal deliveries,however, these rates were low. Further larger studies are needed to analyze perfect correlation

between maternal morbidities and mode of deliveries.