A study to compare the incidence, indications and maternal outcome of primary caesarean section in primigravida and multigravida in a tertiary care centre
DOI:
https://doi.org/10.7439/ijbar.v10i9.5248Keywords:
Primigravida, Multigravida, Primary Caesarean Section, Maternal outcomeAbstract
Objective: To compare the incidence, indications and maternal outcome of primary caesarean section in primigravida and multipara.
Material & method: It was a prospective comparative observational study conducted at the caesarean postnatal ward in the Department of Obstetrics and Gynaecology of Burdwan Medical College and Hospital from January 2017 to June 2018. Participants were postnatal women who underwent caesarean section for the first time irrespective of parity. Comparative analysis was done regarding incidence, indications and outcome of caesarean sections among primigravida and multigravida.
Results: Out of total 140 women studied 86 (61.43%) were primi and 54 (38.57%) were multigravida. Malpresentation and dystocia (each 16.67%) are common indications of CS in multi and meconium stained liquor and hypertensive disorder (each 11.63%) are most common indication of CS in primigravida. 23 primi (26.74%) and 16 multigravida (29.63%) had different form of post-op complications.
Conclusion: Multigravida as compared to primigravida undergo lesser primary CS. Meconium stained liquor, hypertensive disorder with induction failure, malpresentation, dystocia, oligohydramnios, PROM are common indications of CS in primigravida as well as multigravida. Multigravida suffered from more post-operative complications than primigravida.
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