COMPARISON OF MATRENAL AND FETAL OUTCOME IN CAESAREAN SECTION AND VAGINAL DELIVERY AT TERTIARY CARE CENTRE

Objective: The aim of the study was to compare the maternal and fetal outcome associated with caesarean sections and vaginal delivery.

Methods: A total of 1048 women with caesarean section were compared with the next parity- and age-matched women presenting in spontaneous labor. Maternal and neonatal outcome were the main outcome variables of interest. Maternal outcome variables included wound infection, puerperal sepsis and postpartum hemorrhage. Neonatal outcome were captured by Apgar score, Neonatal icu admission , Respiratory distress syndrome and the occurrence of neonatal sepsis.

Results: A significantly higher rate of Urinary tract infection (n = 45 vs. 14, p = 0.0006) and wound infections (n = 92 vs. 4, p = 0.0004) could be detected in the caesarean section group in compare of vaginal delivery. A singnificant correlation found in Neonatal ICU admission (95 vs 56 , p value =0.01 ) and respiratory distress syndrome ( 88 vs 40, p = 0.004) in between caesarean sections and vaginal delivery.

Conclusion: Overall neonatal and maternal outcome compared favorably among vaginal delivery versus caesarean delivery. Majority of morbidity in mother and children was associated with caesarean section as compared to vaginal delivery.