STUDY ON MATERNAL MORBIDITY, MORTALITY AND NEONATAL OUTCOME OF LOWER SEGMENT CAESERIAN SECTION CASES CONDUCTED AT TERTIARY CARE HOSPITAL, RANCHI

DR. NIBHA; DR. MEETALI PARASHAR

Volume : VI, Issue : VIII, August - 2017

STUDY ON MATERNAL MORBIDITY, MORTALITY AND NEONATAL OUTCOME OF LOWER SEGMENT CAESERIAN SECTION CASES CONDUCTED AT TERTIARY CARE HOSPITAL, RANCHI

Dr. Nibha, Dr. Meetali Parashar

Abstract :

Introduction: Caesarean section is the most common surgical procedure all over the world, this study was conducted to determine the maternal and neonatal outcome and complications in caesarean sections, so that measures can be taken to reduce further mortality and morbidity in near future.

Material and method: . All patients who delivered after 28 weeks in Rajendra Institute of Medical Sciences, RANCHI by caesarean section were included to calculate incidence of Lower Segment Cesarean Section and their fetomaternal outcome. The Incidence of Lower Segment Cesarean Section, post– operative complications, causes of maternal morbidity and mortality after Lower Segment Cesarean Section , still births, perinatal deaths , early neonatal deaths and neonatal morbidity were assessed.

Result: With increased incidence of Lower Segment Cesarean Section, maternal morbidity, mortality and poor neonatal outcome has increased significantly with postpartum haemorrhage, eclampsia and other causes. Still births are mostly having history of ante partum eclampsia and ante partum harmorrhage in mother, also respiratory distress syndrome, congenital anomalies and birth asphyxia are the are the leading causes of early neonatal deaths.

Conclusion: The decision to do delivery by caesarean section should be clear and justified. Improvement in antenatal care is required in villages of Jharkhand where tribals live, also there should be early identification of high risk pregnancies, adoption of integrated approach to improve health status of women along with health education and proper counselling about baby birth . There should be special care of neonates born thorugh Lower Segment Cesarean Section especially emergency caesareans.