The Study of Maternal and Neonatal Outcome of Primary Cesarean Section at Term ? Influence of Labour and Stage

Dr. T. Shobha, Dr. Jyothi

Abstract: AIMTo study the maternal Morbidity and Mortality associated with cesarean section which was done in first stage and second stage of Labour. AndTo study the Morbidity and Mortality in neonates delivered by Emergency cesarean section which was done in first stage and second stage of Labour. MATERIALS AND METHODSThis observational cross sectional study was conducted in Gandhi Hospital, Secunderabad from June 2010-Oct 2012 in the department of Obstetricesarean section and Gyneacology.200 antenatal women admitted through outpatient department and through Labour room underwent primary cesarean section were included in the study. RESULTS Out of 200 women, 184 women underwent cesarean section in first stage of Labour and 16 women underwent cesarean section in second stage of Labour. Fetal distress (38.04 %) was most common indication for section done in first stage of labour due to more number of inductions. Most common indication for cesarean section done in second stage of labour was undiagnosed CPD (56.25 %). CONCLUSION Maternal morbidity and Perinatal morbidity, mortality was more in sections done in Second stage than in first stage of labour. Improvement of obstetrics services in periphery and use of partogram and early referral of cases can reduce the maternal and perinatal morbidity and mortality. Proper assessment of cases and cesarean section done at appropriate time can reduce maternal and perinatal mortality and morbidity.

Keywords: Emergency Lower Cesarean Section, Fetal distress, Malpresentations, Maternal morbidity