A comparative study of perinatal outcome in primary caesarean in multiparous women to that in nulliparous women


  • Surabhi Kokate Department of Obstetrics and Gynecology, G. S. M. C. and KEM Hospital, Mumbai, Maharashtra, India
  • Abhishek Kokate Department of Community Medicine, G. S. M. C. and KEM Hospital, Mumbai, Maharashtra, India




Caesarean section, Multiparous, Nulliparous


Background: To compare indication, incidence, complication, fetal and maternal morbidity and mortality in primary caesarean section in multiparous women and nulliparous women. Objective of this study was to compare perinatal outcome of caesarean section in multiparous women to that in nulliparous women.

Methods: It is a prospective observational study conducted in a tertiary care centre during April 2017 to April 2018. All patients who delivered vaginally and abdominally were noted during study period. All patients undergoing primary caesarean section were noted. Their indication, incidence and complication throughout stay were noted. Statistics were calculated separately for multiparous women and primiparous women. Statistical analysis was done using chi square test.

Results: Total 150 primary caesarean section in primiparous women and 100 primary caesarean section in multiparous women were done.  Fetal distress and meconium stained amniotic fluid forms the most common indication in study. Birth weight of babies was more in multiparous women. Need of blood and blood products was more in multiparous women compared to nulliparous women. Complications like postpartum fever and wound gape was more in multiparous women.

Conclusions: In the study population significant difference was seen between the indication and complication between multiparous and nulliparous women.


GA U. Transforming our world: the 2030 Agenda for Sustainable Development. Division for Sustainable Development Goals: New York, NY, USA; 2015.

Progress for every child, sustainable developmental goals, 2018. Available at: https://www.unicef.org/media/48066/file/Progress_for_Every_Child_in_the_SDG_Era.pdf. Accessed on 3rd June 2020.

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

Rao JH, Rampure N. Study of primary caesarean section in multiparous women. J Evolut Med Dent Sci. 2013;2(24):4414-8.

Al Rowaily MA, Alsalem FA, Abolfotouh MA. Cesarean section in a high-parity community in Saudi Arabia: clinical indications and obstetric outcomes. BMC Preg Childbirth. 2014;14(1):92.

Birla S, Gupta M, Birla P, Sharma J. Comparison of incidence, indication and complication of primary cesarean section in primigravida and multigravida. Education (ASME). 2016;3(3):311.

Sobande AA, Archibong EI, Eskandar M. Primary caesarean section in nulliparous and grandmultiparous Saudi women from the Abha region: indications and outcomes. WAJM. 2003;22(3):232-5.

Kolawole AO, Onwuhuafua P, Adesiyun G, Oguntayo A, Mohammed-Duro A. Audit of primary caesarean sections in nulliparae seen in ABUTH kaduna. Australian J Basic Appl Sci. 2011;5(6):1088-97.

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.

Himabindu P, Tripura Sundari M, Sireesha KV, Sairan MV. Primary caesarean section in multipara. IOSR-JDMS. 2015;14(5):22-5.






Original Research Articles