Study of Primary Caesarean Section in Multigravida Patients at SKMCH, Muzaffarpur, Bihar
- 1. Senior Resident, Department of Obstetrics and Gynaecology, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar
Description
Background: One of the most often done major surgical operations worldwide is a caesarean section. Primary caesarean section in multigravida refers to the initial caesarean section performed on a patient who has had one or more vaginal deliveries of viable newborns in the past. The purpose of this study is to examine the prevalence and causes of primary caesarean sections in multigravida, as well as the outcomes for the mother and the baby after the procedure. Methods: The department of Obstetrics and Gynecology at SKMCH, Muzaffarpur, Bihar, conducted a prospective study on 95 cases of primary caesarean sections among multigravida who had a prior normal vaginal delivery for a period of 7 months from March 2022 to September 2022. Maternal and neonatal outcomes were examined while different caesarean section reasons were examined. Results: In 6.34 percent of all deliveries, a primary caesarean section was performed. The bulk of the instances were unbooked and in the second or third trimester of pregnancy. Foetal discomfort was the most frequent reason for a primary caesarean section (29.5%), followed by cephalopelvic disproportion and malpresentations. Conclusion: If a pregnant woman who has previously given birth vaginally experiences any of the several unanticipated difficulties listed above, an emergency caesarean section may be necessary. They can have a better maternal and perinatal outcome if they are carefully assessed during the prenatal and intranatal periods.
Abstract (English)
Background: One of the most often done major surgical operations worldwide is a caesarean section. Primary caesarean section in multigravida refers to the initial caesarean section performed on a patient who has had one or more vaginal deliveries of viable newborns in the past. The purpose of this study is to examine the prevalence and causes of primary caesarean sections in multigravida, as well as the outcomes for the mother and the baby after the procedure. Methods: The department of Obstetrics and Gynecology at SKMCH, Muzaffarpur, Bihar, conducted a prospective study on 95 cases of primary caesarean sections among multigravida who had a prior normal vaginal delivery for a period of 7 months from March 2022 to September 2022. Maternal and neonatal outcomes were examined while different caesarean section reasons were examined. Results: In 6.34 percent of all deliveries, a primary caesarean section was performed. The bulk of the instances were unbooked and in the second or third trimester of pregnancy. Foetal discomfort was the most frequent reason for a primary caesarean section (29.5%), followed by cephalopelvic disproportion and malpresentations. Conclusion: If a pregnant woman who has previously given birth vaginally experiences any of the several unanticipated difficulties listed above, an emergency caesarean section may be necessary. They can have a better maternal and perinatal outcome if they are carefully assessed during the prenatal and intranatal periods.
Files
IJPCR,Vol14,Issue11,Article70.pdf
Files
(296.3 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:cff9811c0338903be6b5cf64c931ec67
|
296.3 kB | Preview Download |
Additional details
Dates
- Accepted
-
2022-11-17
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue11,Article70.pdf
- Development Status
- Active
References
- 1. Hall MJ, DeFrances CJ, Williams SN, et al. National hospital discharge survey: 2007 summary. Natl Health Stat Reports 2010;(29):1-20. 2. Gibbons L, Belizan JM, Lauer JA, et al. Inequities in the use of cesarean section deliveries in the world. Am J Obstet Gynecol 2012;206(4): 331.e1–19. 3. Appropriate technology for birth. Lancet 1985;2(8452):436-437.4. Baskett TF, Calder AA, Arulkumaran S, et al. Munro Kerr's operative obstetrics. Edinburgh: Saunders/Elsevier 2014. 5. Solomons B. The dangerous multipara. Lancet 1934;224(5784):8-11. 6. George JM, Power HA. An analytical survey of multigravidas. Am J Obstet Gynecol 1949;57(5):972-979. 7. Himabindu P, Sundari MT, Sireesha KV, et al. Primary caesarean section in multipara. IOSR Journal of Dental and Medical Sciences 2015;14(5):22-25. 8. Rao JH, Rampure N. Study of primary caesarean section in multiparous women. Journal of Evolution of Medical and Dental Sciences 2013;2(24):4414-4418. 9. Sharmila G, Nishitha C. Study of primary caesarean section in multigravida. Asian Pac J Health Sci 2016;3(4):89-94. 10. Duckman S, Chen W, Gungon T, et al. Disproportion in multipara, fact or philosophy. Am J Obstet and Gynecol 1968;101(7):1001-1005. 11. Klein D, Robbins R, Gabaeff L. Primary cesarean section in multipara. Am J Obstet and Gynecol. 1963; 87:242-252. 12. Bergholt T, Stenderup JK, VedstedJakobsen A, et al. Intraoperative surgical complication during cesarean section: an observational study of the incidence and risk factors. Acta Obstet Gynecol Scand 2003;82(3):251-256. 13. van Ham MA, van Dongen PW, Mulder J. Maternal consequences of caesarean section. A retrospective study of intraoperative and postoperative maternal complications of caesarean section during a 10-year period. Eur J Obstet Gynecol Reprod Biol 1997;74(1):1-6. 14. National Institute for Health and Care Excellence. Caesarean Section: Guidance and Guidelines 2011. 15. Smaill F, Hofmeyr GJ. Antibiotic prophylaxis for cesarean section. Cochrane Database Syst Rev 2000; (3): CD000933.