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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 9, September 2023
An Audit of Indication for Primary Caesarean Section Deliveries in Multigravida - A Descriptive Study
Dr Tahseen Fatima | Dr Sangeetha K | Dr Misbah [2] | Dr Sunanda Sumo | Dr Radha Nair
Abstract: Background: The purpose of this study was to monitor and examine the necessity for primary Caesarean section in multiparous women. The aim of this study was to determine the prevalence and indications for primary Caesarean section in multiparous women who had one or more previous vaginal births, as well as to assess the maternal and neonatal outcomes. Methods: A prospective observational study of primary Caesarean section in Parous women with prior vaginal delivery for one year at our institute from 25 May 2022 toJune 10 2023 at Srinivas institute of medical sciences and research centre, MUKKA, Mangalore at department of Obstetrics and Gynaecology. Results: There was total of 487 Caesarean section out of 1192 total deliveries with 68 primary Caesarean section in Parous women were done. The most common age group were 21 - 30 (83.8%). The majority group were para - 2 (55.8%). The most common indication for Caesarean section was fetal heart rate abnormalities (41.18%) followed by failed induction (16.18) and malpresentation (11.76%). The maximum number of cases were in MRC - 3 (61.76%). Among this group (10.29%) had postpartum complications. Conclusion: Previous vaginal delivery gives a false sense of security but they may need caesarean section In future pregnancy. Routine antenatal care with proper monitoring with clear interpretation of cardiotocograph for complications for both during antenatal and intrapartumimprovesthe maternal and perinatal outcome. Thereby multiparous women in labour requires the same attention as required for primigravida women in labour.
Keywords: Caesarean section, multipara, multiparous women, primary caesarean section, incidence
Edition: Volume 12 Issue 9, September 2023,
Pages: 67 - 70