Post cesarean pregnancy and its outcome
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20214445Keywords:
Post cesarean pregnancy, Previous LSCS, Emergency cesarean, Vaginal birth after caesarean, Neonatal sepsisAbstract
Background: Though in recent years lower segment cesarian section (LSCS) procedure is the major reason for the reduction in the mortality rate for both mother and baby, inappropriate indications may affect the outcome of pregnancy. Thus, this study was done with the aim of assessing the prevalence of outcome of delivery among women who underwent caesarean section (CS) and to assess the factors associated with that outcome.
Methods: This study was conducted with a sample of 98 pregnant mothers. After acquiring informed consent, those mothers who were indicated for CS (both elective and emergency) were enquired about the questionnaire containing two parts. Part one is about the history regarding previous birth and the next part is about age, parity, and outcome of current pregnancy (both mother and baby).
Results: The mean age of the study participants is 27 years. Among the study participants, about half of them (51%) were in gravida one and 37 percent have one abortion. About four-fifths of the study participants (81%) were undergone elective LSCS. About one-fourth of the baby needs neonatal intensive care unit (NICU) admission and two percent have the complication of neonatal sepsis. The factors significantly associated with NICU admission of babies delivered after LSCS are more number of the previous history of abortions (p=0.004) and emergency LSCS (p=0.001) by using the chi-square test.
Conclusions: The indication of previous LSCS for LSCS among pregnant mothers is in a rising trend that needs holistic commitment to reduce the prevalence of LSCS.
References
Yoshioka-Maeda K, Ota E, Ganchimeg T, Kuroda M, Mori R. Caesarean section by maternal age group among singleton deliveries and primiparous Japanese women: a secondary analysis of the WHO Global Survey on Maternal and Perinatal Health. BMC Pregnancy Childbirth. 2016;16:39.
Neuman M, Alcock G, Azad K, Kuddus A, Osrin D, More NS et al. Prevalence and determinants of caesarean section in private and public health facilities in underserved South Asian communities: cross-sectional analysis of data from Bangladesh, India and Nepal. BMJ Open. 2014;4(12):e005982.
Ronsmans C, Graham WJ. Maternal mortality: who, when, where, and why. Lancet. 2006;368(9542):1189-200.
Niino Y. The increasing cesarean rate globally and what we can do about it. Bio Sci Trends. 2011;5(4):139-50.
WHO Statement on Cesarean Section Rates. World Health Organization. 2015. Available at: http://apps.who.int/iris/bitstream/handle/10665/161442/WHO_RHR_15.02_eng.pdf;jsessionid=21FB1CB6264FD221E6598A5F2C32FE2B?sequence=1. Accessed on 2021 Aug 11.
The National Family Health Survey (NFHS-4). International Institute For population Sciences. 2015. Available at: http://rchiips.org/nfhs/pdf/NFHS4/ India.pdf. Accessed on 2021 Aug 11.
State Fact Sheet-Tamil Nadu. International Institute For population Sciences; 2015. Available at: http://rchiips.org/nfhs/pdf/NFHS4/TN_FactSheet.pdf. Accessed on 2021 Aug 11.
Seal S, Kamilya G, Mukherji J, Bhattacharyya S, De A, Hazra A. Outcome in Second- versus First Stage Cesarean Delivery in a Teaching Institution in Eastern India. Amer J Perinatol. 2010;27(06):507-12.
Singal S, Bharti R, Dewan R, Divya, Dabral A, Batra A et al. Clinical Outcome of Postplacental Copper T 380A Insertion in Women Delivering by Caesarean Section. J Clin Diagn Res. 2014;8(9):OC01-4.
Unnikrishnan B, B R, Aishwarya A, Nithin K, Thapar R, Mithra P et al. Trends and Indications for Caesarean Section in a tertiary care Obstetric Hospital in Coastal South India. Aus Med J. 2010;1:3.
Desai G, Anand A, Modi D, Shah S, Shah K, Shah A et al. Rates, indications, and outcomes of caesarean section deliveries: A comparison of tribal and non-tribal women in Gujarat, India. PLOS ONE. 2017;12(12):e0189260.
Roy KK, Baruah J, Kumar S, Deorari AK, Sharma JB, Karmakar D. Cesarean section for suspected fetal distress, continuous fetal heart monitoring and decision to delivery time. Indian J Pediatr. 2008;75(12):1249-52.
Panda PK, Panda PK. Clinical profile and outcome of newborns admitted to a secondary-level neonatal intensive care unit in tribal region of Odisha. J Clin Neonatol. 2019;8(3):155.
Shrestha S, Karki U. Indications of admission and outcome in a newly established neonatal intensive care unit in a developing country (Nepal). Nepal Med Coll J. 2012;14(1):64-7.
Gedefaw G, Demis A, Alemnew B, Wondmieneh A, Getie A, Waltengus F. Prevalence, indications, and outcomes of caesarean section deliveries in Ethiopia: a systematic review and meta-analysis. Patient Safety Surg. 2020;14(1):11.
