Study of maternal and fetal outcome in elective and emergency caesarean section (original) (raw)
Related papers
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
Background: Cesarean section remains the most commonly performed obstetric surgery but indications of it have been changed. Earlier it used to be done for health of the mother but now fetal interest has played a major role. The aim of the study was to find out incidence, indication of LSCS, maternofetal outcome in our rural medical college. Methods: This retrospective study was conducted at MMIMSR Mullana, Ambala, Haryana, India between 1 st April 2015-30 th March 2016. All women admitted for delivery in OBG department via OPD or emergency were taken in the study. Results: The total no of deliveries was 2196. There were 474 (21.6%) case of caesarean sections (LSCS). Among them 156 (32.9%) patients had elective LSCS, and 318 (67.1%) had emergency LSCS. Mean age of the study was 27.2 years. Fetal distress was the commonest indication of LSCS (25.1%) followed by pregnancy with previous LSCS. Post-partum hemorrhage (PPH) and adhesion were commonly encountered complications. Conclusions: LSCS due to maternal fetal indication is inevitable. Timely performed LSCS decrease the morbidity and mortality. Government also has taken initiative in making cesarean deliveries more acceptable and affordable to patients belonging to the rural areas.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021
Background: There is drastic rise in caesarean section (CS) rate worldwide in last decade as compared to optimal CS rate (10-15%) recommendation by WHO. This study was conducted to assess incidence and feto-maternal outcome in CS delivery.Methods: A cross-sectional study was conducted in pregnant women admitted over one year from September 2017- August 2018 in West Bengal. Demographic details and indication of CS were recorded along with documentation of feto-maternal outcomes. Statistical analysis was performed with help of Epi Info (TM) 7.2.2.2. Z-test and corrected Chi square (χ2) test. p<0.05 was considered to be statistically significant.Results: Out of total 10831 deliveries, 2914 (27%) women underwent CS. Demographic analysis shows maximum number of patients to be between 20-25years (51.7%), rural (58%), primigravida (51.3%), term pregnancy (87.7%). Non-progression of labour or NPL (45%) was most common indication of CS followed by previous CS (26.2%) and fetal distress (1...
National Journal of Medical Research, 2014
Introduction: Caesarean section is one of the most performed surgical procedures all over the world. It is associated with high morbidity, although, the morbidity has come down over the years(1)Morbidity and mortality are seen to be more with emergency procedures than elective procedure. Aim: To study the maternal morbidity of elective and emergency caesarean sections in a tertiary care teaching hospital in semirural area Methodology: It is a comparative study on the maternal outcomes in elective and emergency caesarean sections. Total 165 patients undergoing caesarean section in the tertiary teaching hospital in semi- rural area were studied. Data was collected and analyzed. Conclusion: Maternal morbidity was found to be more in emergency caesarean section than in elective caesarean section.
Profile of Caesarean Section in Kirtipur Hospital
Nepal Journal of Obstetrics and Gynaecology, 2014
Aims: This study was done to find out the incidence and outcome of caesarean sections done at Kirtipur Hospital. Methods: This was a retrospective study conducted from 1st January 2009 to 31st December 2013. Case files of 660 patients who underwent caesarean section for various indications were analyzed for incidence, indication of caesarean section, booking status, parity, and maternal and fetal outcomes. Results: Out of 1295 deliveries, 50.9% (n=660) had caesarean section. Most of the caesarean section was done for fetal distress (40.2%; n=265) and on account of previous history of caesarean section (13.5%; n=89). Majority of caesarean section (44.4%, n=293) was done in age group of 25-29 years. Among them, 65.9% (n=435) were nulliparous. There were 35.3% (n=563) booked cases. Emergency caesarean sections were performed in 62.4% (n=412) cases. Maternal morbidity was less (7.2%, n=48). Conclusions: The study showed high rate of caesarean section. The most common indication was feta...
2015
Background: Caesarean section (CS) is a common surgical procedure performed in women of reproductive age. The numerous indications for a CS may be due to fetal or maternal problems. Though it is a life saving procedure, it also carries a higher morbidity and mortality than vagina delivery. Method: This is a retrospective study conducted from January 2014 to December 2014 at a secondary health facility located in a rural setting in Ahmednagar. The theatre registers were the sources of data. Results: There were fourteen indications for the 731-caeserean sections performed with previous LSCS being the highest indication. Previous LSCS, Fetal distress, CPD and Oligohydromnios were the major indications for caesarean Section. There were 1 maternal death and 4 stillbirths out of the 731 babies delivered. Conclusion: Changing trends and changing indications are very well can be seen from the study suggesting that "Once a cesarean always a cesarean" is what we seem to achieve in near future.
2019
Background: Cesarean section is one of the most common surgeries that is widely performed in modern obstetrics worldwide. It was mainly evolved as a lifesaving procedure for mother and fetus. The objective of this study was to determine the rate, indications and complications of previous cesarean section. Methods: Prospective data was recorded on management practices, associated complications, morbidity and mortality for a period of 8 months in 2005-2006 on 15664 consecutive cases of previous cesarean section reporting at 30 medical colleges/teaching hospitals. Results: A total of 155863 deliveries occurred during the study duration. There were 28.1% (n=43824) cesarean section, out of which 35.7% (n=15664) were the number of previous cesarean section. 41.9% of cesarean cases had come from rural areas, 88.8% were the booked cases and 17% were referred. The leading cesarean indications were cephalopelvic disproportion (39.1%), previous 2 cesarean section (15.8%), foetal distress (11.5...
Indications of caesarean section- Study of 200 Cases in Lumbini Medical College
2013
Background: A Caesarean section is a surgical procedure in which one or more incisions are made through a mother's abdomen (laparotomy) and uterus to deliver one or more babies, or, rarely, to remove a dead fetus. Methods and Materials: This study was a prospective descriptive one. It was done in Lumbini Medical College from 2068 Shrawan to 2069 Ashad. A total of 1419 deliveries occurred of which 234 deliveries by LSCS, incidence of LSCS was 16%. The commonest age group being operated ranged from 21-25 years (47.5%). Most of the patients who had undergone LSCS were multigravida-50.5%. The section was due to various indications, the most commonest cause in this study were fetal distress and obstructed labour, non progress of labour, the primary rate of LSCS was 85% while repeat section being 15%. Results: The Peak range of operations were done. In patients with 5 feet 2 inches height, the rate of elective LSCS 26.5%. Where emergency CS were done in 73.5% of cases. Regarding fetel...
Journal of Evolution of medical and Dental Sciences, 2014
The steady rise in caesarean section rate is an emerging area of concern in mother and child health care and a matter of international attention, which has been referred as a "global epidemic". MATERIAL AND METHODS: This was prospective study carried out in the department of Obstetrics and Gynaecology at IGMC, Shimla, from 1st May 2010 to 30th April 2011. All pregnant women were categorized according to Robson's Ten Group classification system (RTGCS) 2001. RESULTS: overall caesarean section rate was 21.86%. Majority of the births 35.30% occurred in group 1 and 11.20% in group 2. Maximum CS rate in each group was in group 9 (88.23%) followed by group 6 (79.63%) and group 7 (71.22%). Contribution made by each group to overall CS rate was maximum by group 1 (6.28%) and group 5 (5.26%). Postpartum haemorrhage (Atonic) occurred in 1.60% subjects belonged to group 2,3,4,8. Two had caesarean hysterectomy. Uterine rupture occurred in one (0.08%) subject during VBAC-TOL. CONCL...
National journal of community medicine, 2018
Increase in caesarean delivery especially in the young primigravida is one of the major concerns in the maternal health. There is also trend for referring expecting women to tertiary care hospital for caesarean section. The study was conducted to know about the frequency and indications of emergency caesarean section (CS) preformed in women got admitted directly and through referral in a tertiary care hospital. It was based on secondary data taken from Emergency register and labour room log book in the Department of Gynaecology and obstetrics of a tertiary care hospital. Data for all women underwent emergency CS during September 2013 to February 2014 were taken and analysed. Out of total 11,617 deliveries in six months, 2,196 (18.9%) were emergency caesarean. Rate of CS was 13.9% in direct admission group and 37.7% in the referred group. Important indications were previous CS (31.8% and 18.5%), foetal distress (19.0% and 13.3%) and cephalo pelvic disproportion (13.0% and 8.9%) in bo...
Retrospective Observational Study of Caesarean Section Cases in a Tertiary Care Hospital in Odisha
Indian Journal of Obstetrics and Gynecology Research, 2017
Objective: To study the incidence and indications of LSCS. Place and Duration: This study was carried out from January to July 2016 in Department of Obstetric and Gynaecology, KIMS, Bhubaneswar. Methodology: In this retrospective analytical study, the total number of patients delivered and the number of LSCS done in the above mentioned study period were counted to find the incidence of LSCS in our hospital. Age, parity and gestational age of the patients who underwent LSCS were tabulated. The indications of LSCS were analyzed from pre operative and intra operative findings. Result: In our study the incidence of LSCS was 67.67%. Of these patients 43.22% belonged to age group 26 -30 yrs and 2.6% patients were in 35 – 39yr age group. 1.49% patients were less than 20 yrs of age and 0.37% were more than 40 yrs. 58.73% of patients were primigravida whereas 28.06% were second gravid and 13.19% were gravida three or more. In 50.74% LSCS was done at > 38 – 42 wk gestational age (GA) follo...