AN OBSERVATIONAL STUDY OF PRIMARY CAESAREAN SECTION & THEIR OUTCOMES IN MULTI-PAROUS WOMEN
Keywords:multi-parous women, primary caesarean section, postpartum haemorrhage.
Background: The most frequently performed life-saving operative procedure in women & newborns is the Caesarean section. Maternal & fetal complications can be minimized by awareness of the need for caesarean section in multi-parous women.
Aim & objective: To study the indication, maternal & fetal outcome in primary caesarean in multi-parous women.
Methodology: The present research was a prospective study performed on multi-parous women who had undergone caesarean section for the first time in prior pregnancies who had delivered vaginally. Data was obtained using a pre-tested questionnaire. Demographic data, clinical history & clinical analysis were included in the data.
Results: The majority of patients were 21-25 years of age (53 percent), followed by 26-30 years of age (28 percent). Second gravida (57 percent) was the bulk of the patients, followed by third gravida (28 percent). Fetal distress (19 %) accompanied by mal-presentations (14%) & oligo-hydramnios was the most common sign for the caesarean section (14 percent). Atonic postpartum haemorrhage (PPH), which was seen in 7 percent of patients, was the most frequently observed complication.
Conclusion: Early recognition of complications in multi-para & proper management including caesarean section will improve maternal & fetal outcome.
Keyword: multi-parous women, primary caesarean section, postpartum haemorrhage.
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