Primary caesarean section in multigravida

Authors

  • Mohana Dhanapal Munusamy Department of Obstetrics and Gynecology, Government Mohankumaramangalam Medical College Hospital, Salem, Tamil Nadu, India
  • Subha Sivagami Sengodan Department of Obstetrics and Gynecology, Government Mohankumaramangalam Medical College Hospital, Salem, Tamil Nadu, India
  • Kalaivarasi Umapathy Duraisamy Department of Obstetrics and Gynecology, Government Mohankumaramangalam Medical College Hospital, Salem, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20180874

Keywords:

Caesarean section, Foetal distress, Multigravida

Abstract

Background: This study was done to analyse primary caesarean section in multigravida who had delivered vaginally. Indications for caesarean section were studied in relation to age, gravida, maternal and foetal morbidity.

Methods: This study was conducted in Goverment Mohankumaramangalam Medical College and Hospital, Salem. It was a retrospective study from September 2016 to August 2017.

Results: Most of cases were referred as an emergency. Most common age group was between 20-30 years. Majority were second gravida. Among the various indications for primary caesarean section in multigravida, foetal distress (18.12%), hypertensive disorder complicating pregnancy (16.10%), CPD (15.43%), APH (12.08%), malpresentation (10.73%) were the common indications. In intraoperative complication PPH was most common (16.77%). In postoperative complication fever was the most common (20.80%). Still birth occurred in 10.06% of cases, 42 babies were admitted in NICU and babies had APGAR >7 (61.74%).

Conclusions: Implementation of standard labour management strategies can decrease primary caesarean rate without compromising maternal and foetal safety. We must encourage early referral of high risk patient, so that the patient can reach higher centre earlier and proper management could be done before consequences become grave.

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References

Awoyinka BS, Ayinde OA, Omigbodun AO. Acceptability of caesarean delivery to antenatal patients in a tertiary health facility in south-west Nigeria. J Obstet Gynecol. 2006 Jan 1;26(3):208-10.

Adeoye SI, Kalu CA. Pregnant Nigerian women’s view of caesarean section. Nigerian J Clin Pract. 2011;43:276-9.

Penna L, Arulkumaran S. Cesarean section for non‐medical reasons. Int J Gynecol Obstet. 2003 Sep 1;82(3):399-409.

Agrawal M, Waydande S, Jadhav V, Bhave S. Frequency and indications of primary caesarean section inmultipara in tertiary care hospital. Int J Recent Trends Sci Tech. 2016;18(3):430-2.

Klein MD, Robbins R, Gabaeff L. Primary caesarean section in multipara. Am J Obstet Gynecol. 1963;87(2):242-52.

Rao J, Rampure N. Study of primary Caesarean section in multiparous women. JEMDS. 2013;2(24):4414-8.

Samal R, Palai P, Ghose S. Clinical study of Caeserean section in Multiparous women in a tertiary care hospital. IJRCOG. 2016;5(5):1506-9.

Birla S, Gupta M, Birla P, Sharma J. Comparison of incidence, indication and complication of primary Caeserean section in Primigravida and Multigravida. Int J Med Sci Edu. 2016;3(3):311-7.

Sharmila G, Nishitha C. Study of primary caesarean section in multi gravida. Asian Pac J Health Sci. 2016;3(4):89-94.

Himabindu P, Sundari MT, Sireesha KV, Sairam MV. Primary caesarean section in multipara. JDMS. 2015;14(5):22-5.

Desai E, Leuva H, Leuva B, Kanani M. A study of primary Caesarean section in Multipara. Int J Reprod Contracept Obstet Gynecol. 2013;2(3):320-4.

Prakash SA, Vikram A, Raja Gopal K, Lavanya PS. Primary cesearean section in multigravidas. Int J Reprod Contracept Obstet Gynecol 2016;5:3849-52.

Saluja JK, Roy PK, Mahadik K. Study of primary caesarean section in multiparous women. NJIRM. 2014;5(2):27-9.

Sams S, Cicily TJ, Balachandran A. Institutional study of primary caeserean section among multigravida. J Med Sci Clini Res. 2017;5(4):20713-20.

Suresh DY, Suresh D. A prospective comparative study of caeserean section in multiparous and primiparous women. Int J Pharma Bio Sci. 2017 Jul;8(3):890-5.

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Published

2018-02-27

How to Cite

Munusamy, M. D., Sengodan, S. S., & Duraisamy, K. U. (2018). Primary caesarean section in multigravida. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 7(3), 961–965. https://doi.org/10.18203/2320-1770.ijrcog20180874

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Original Research Articles