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Analysis Study Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 4, April 2023
A Study on Primary Caesarean Section in the Multipara: A Detailed Analysis and Its Implication in a Tertiary Care Centre
R. Rajarajeswari [5] | Indirani D | Mega Priya P
Abstract: Background: Primary caesarean deliveries in the multipara are an important target for reduction of primary caesarean section, as these women had previous vaginal births so that there may be chances to sort-out the unnecessary need for caesarean delivery. This study is performed to observe and analyse the need of caesarean delivery in the multiparous women, unavoidable indications for surgery, associated complications, morbidity sustained, neonatal outcome and the family planning methods adopted. Methods: This is a prospective observational study of the Primary caesarean section done in the multiparous women for a period of one year in The Department of Obstetrics and Gynaecology at Thanjavur Medical College and Hospital, Tamilnadu, India. Results: The total number of multiparous women undergone Primary caesarean section was 351. The incidence of primary caesarean section in multiparous women was higher in age group of 27-30 years-49.9% (175/351 cases). The maximum number of the study population were PARA2-89.2 % (313/351 cases). 96.9% (340/351 cases) constitutes the women who had previous all labour natural. The most common indication for caesarean section was fetal heart rate abnormalities which constitutes 37% (130/351 cases). The maximum number cases belongs to MRC-3 which constitutes 43.3% (152/351 cases). 81.2% (285/351 cases) undergone permanent sterilisation. 8.5% (30/351 cases) among the study group had postpartum complications. Conclusion: This study provides us a clear vision that the multipara-primary caesarean section constitutes only a small population of primary caesarean section and helps us to focus on the other areas to reduce primary caesarean section rate. Here, once again the words of De Lee should be remembered. "Is it the art concerned with effecting the abnormaldelivery from below in spite of possible danger to the mother or the infant or with the earlier abdominal delivery in order to safeguard both the mother and infant?"
Keywords: Caesarean section, multipara, multiparous women, primary caesarean section, incidence
Edition: Volume 12 Issue 4, April 2023,
Pages: 426 - 432