Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

1



Primary cesearean section in multigravidas

Sonia Arogya Prakash*, Archana Vikram, Raja Gopal K., Poluri Seeta Lavanya.

Abstract
Background: Cesarean section is one of the widely performed surgical procedures across the world. Cesarean section is associated with increased risk of maternal morbidity and mortality, despite remarkable improvements in the safety. The objective of the present study is to study the cesearean section in the context of various indications, parity, intraoperative complications, post-operative morbidity, and perinatal morbidity among multigravidae undergoing cesarean section for first time.
Methods: The present study was carried out at Yenepoya medical college hospital. All multigravidas who had delivered vaginally once or more and who underwent primary caesarean sections for the first time during time period of August 2015-May 2016 were included in study and various factors are analyzed.
Results: In our study most of primary cesearean sections were in second paras who constituted 50%, followed by 4/> paras constituting 29.54%, and it was observed that incidence in third paras was 20.45%. 75% of the patients underwent emergency cesearean section and 25% had elective ceserean section. The most common indication for cesearean in our study was observed to be fetal distress accounting for 25% of the cases, 2nd most common being malpresentations (19.31%), non-progress of labor constituting 11.36% of cases. Intra operative complications were noted in 6.81% of cases, most common complication being extension of uterine incision extension of uterine incision.
Conclusions: Complications may occur in women who previously had a normal vaginal delivery requiring interventions in the form of caesarean section and is not uncommon. Though to a small extent, they are contributing to rise is total caesarean section rates seen. There are many cases where a caesarean becomes mandatory for her. The fact that a multipara who has had one or more vaginal deliveries should be regarded as an optimistic historical fact, not as diagnostic-criteria for spontaneous delivery of the pregnancy at hand. A parous woman needs good obstetric care to improve maternal and neonatal outcome and still keeping caesarean section to a lower rate.

Key words: Caesarean section, Multiparous, Parous women



Share this Article


Advertisement
American Journal of Physiology, Biochemistry and Pharmacology

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.
Scopemed Buttons